Does low progesterone mean ectopic pregnancy?

After pregnancy, patients will go to the hospital for a pregnancy check-up. First, they will check whether the gestational sac is developing normally. During the examination, urine and blood routine tests will be checked, and the value of progesterone will be found. Because the value of progesterone represents the development of the embryo, some patients will ask if low progesterone is an ectopic pregnancy? In fact, low progesterone has a certain relationship with ectopic pregnancy, but the results must be judged in combination with the patient's B-ultrasound examination. So what are the main symptoms of ectopic pregnancy?

The clinical manifestations of tubal pregnancy are related to the site of implantation of the fertilized egg, the presence or absence of miscarriage or rupture, the amount and duration of intra-abdominal bleeding, etc.

symptom

(1) Amenorrhea: Except for interstitial pregnancy with a long history of amenorrhea, most cases have amenorrhea for 6 to 8 weeks. About 20 to 30% of patients have no obvious history of amenorrhea.

(2) Abdominal pain: It is the main reason for patients with tubal pregnancy to seek medical treatment. Before tubal pregnancy miscarriage or rupture, symptoms include dull pain or soreness in one side of the lower abdomen. When miscarriage or rupture occurs, the patient suddenly feels tearing pain in one side of the lower abdomen, often accompanied by nausea and vomiting. If blood accumulates in the rectouterine pouch, there is a feeling of heaviness and distension in the anus. Internal bleeding increases, and blood flows from the pelvic cavity to the entire abdomen, causing general abdominal pain. Stimulation of the diaphragm can cause radiating pain in the shoulder blades.

(3) Vaginal bleeding: There is often irregular vaginal bleeding, which is dark red in color, small in amount, and continuous, usually not exceeding the amount of menstruation. Decidual casts or fragments may be discharged with the vaginal bleeding.

(4) Syncope and shock: Due to acute intra-abdominal bleeding and severe abdominal pain, the patient may suffer from syncope in mild cases and hemorrhagic shock in severe cases. Its severity is proportional to the rate and amount of intra-abdominal bleeding, but not proportional to the amount of vaginal bleeding.

Signs

(1) Gross examination: When there is a lot of intra-abdominal bleeding, the patient may appear anemic. When massive intra-abdominal bleeding causes hemorrhagic shock, the patient will have a pale complexion, cold and wet limbs, a rapid, thin and weak pulse, and low blood pressure. The body temperature is generally normal or slightly low, and may rise slightly when blood is absorbed into the abdominal cavity.

(2) Abdominal examination: There is obvious tenderness and rebound pain in the lower abdomen, especially on the affected side, but the abdominal muscles are less tense. When there is a lot of internal bleeding, mobile dullness may occur. A small number of patients may feel a mass in the lower abdomen.

(3) Pelvic examination: There may be a small amount of dark red blood in the vagina, the posterior fornix may be full and tender, the cervix may be tender when raised or swinging, the uterus may be equivalent to that of the menopausal months or slightly larger and softer, and a mass with mild tenderness may be felt next to the uterus. When there is a lot of internal bleeding, the uterus may feel like it is floating.

When patients find the above symptoms, they should be careful of ectopic pregnancy. The progesterone test done by the patient will also find that the value is very low. Therefore, low progesterone may be an ectopic pregnancy. Patients should not be anxious. Early detection of ectopic pregnancy and treatment will not endanger the patient's health, and the patient will be less harmed. If the patient discovers an ectopic pregnancy too late, it can cause serious harm and be life-threatening.