The difference between biochemical and ectopic pregnancy hcg

Women all know that checking hcg is to detect whether they are pregnant and whether the pregnancy is normal. Although biochemical pregnancy and ectopic pregnancy have similar symptoms, they are two different situations. Ectopic pregnancy is more harmful to the body. Nowadays, many women have an unscientific lifestyle and diet, which may lead to biochemical pregnancy or ectopic pregnancy. Therefore, women should go to the hospital for further examination as soon as possible after detecting pregnancy to determine whether the fetus is normal and healthy.

The difference between biochemical and ectopic pregnancy hcg:

In fact, in clinical practice, there are many patients with both biochemical pregnancy and ectopic pregnancy. If either situation occurs, bleeding and abdominal pain may occur. Each person's situation is different, and the amount of bleeding and the degree of abdominal pain are also different. Relatively speaking, the amount of bleeding in biochemical pregnancy may be larger. When an abnormal situation occurs, female friends will go to the hospital for examination to confirm the situation. Through specific examinations, they will finally determine what the situation is, usually through blood tests or color ultrasound examinations.

Whether it is an ectopic pregnancy or a biochemical pregnancy, it means that the woman is definitely pregnant. When patients with both diseases go to the hospital for examination after bleeding, HCG results will be positive. However, if it is a biochemical pregnancy, no special treatment is needed. After a period of time, the HCG value will naturally decrease until it returns to the normal range. If it is an ectopic pregnancy, the HCG value will not drop to the normal range when you recheck it. Generally, it will increase, but the doubling of the HCG value is not very ideal. Ectopic pregnancy needs to be treated as soon as possible.

How to differentiate ectopic pregnancy?

1. Threatened abortion in early pregnancy

The abdominal pain of threatened abortion is generally mild, the size of the uterus is basically consistent with the month of pregnancy, the amount of vaginal bleeding is small, and there is no sign of internal bleeding. B-ultrasound can be used for identification.

2. Ovarian corpus luteum rupture and bleeding

Corpus luteum rupture often occurs during the luteal phase, or menstrual period. However, it is sometimes difficult to differentiate from ectopic pregnancy, especially in patients with no obvious history of amenorrhea and irregular vaginal bleeding. β-HCG is often required for diagnosis.

3. Ovarian cyst pedicle torsion

The patient has normal menstruation and no signs of internal bleeding. Generally, there is a history of adnexal mass and obvious tenderness at the cyst pedicle. The diagnosis can be confirmed by gynecological examination combined with B-ultrasound.

4. Rupture and bleeding of ovarian chocolate cyst

The patient has a history of endometriosis, which often occurs before or during menstruation. The pain is quite severe and may be accompanied by obvious anal swelling. The diagnosis can be confirmed by extracting chocolate-like fluid through puncture of the posterior vaginal fornix. If the rupture injures blood vessels, signs of internal bleeding may appear.

5. Acute pelvic inflammatory disease

In acute or subacute inflammation, there is generally no history of amenorrhea, abdominal pain is often accompanied by fever, blood count and erythrocyte sedimentation rate are often elevated, B-ultrasound can detect adnexal masses or pelvic effusion, and urine HCG can assist in diagnosis. Especially after anti-inflammatory treatment, inflammatory manifestations such as abdominal pain and fever can gradually alleviate or disappear.

6. Surgical conditions

Acute appendicitis often presents with obvious migratory right lower abdominal pain, often accompanied by fever, nausea, vomiting, and increased blood count. Ureteral stones cause colic pain on one side of the lower abdomen, accompanied by ipsilateral flank pain and hematuria. The diagnosis can be confirmed by combining ultrasound and X-ray examination.