Brown discharge from ectopic pregnancy

Female secretions are also an important reference indicator of female reproductive health, so if there is an abnormality in secretions, people will be very worried about whether various gynecological problems have occurred. For pregnant women, if the secretion is abnormal, it is more concerning. Some pregnant women will have brown secretions. Will ectopic pregnancy have brown secretions?

Can brown discharge occur in ectopic pregnancy?

You can't think it's an ectopic pregnancy just by brown discharge. You can distinguish it through relevant examinations. The actual examination methods are:

(1) Early pregnancy test: simple and convenient. A positive result can help confirm the diagnosis, while a negative result needs to wait for blood β-HCG quantitative analysis to clear the diagnosis.

(2) Quantitative analysis of blood β-HCG: It is an important method for early diagnosis of ectopic pregnancy. In addition to assisting in diagnosis, it can also help identify the specificity of test tube embryos to guide treatment. In ectopic pregnancy, the blood β-HCG value is generally significantly lower than that in normal intrauterine pregnancy. During traditional drug treatment or after surgery, blood β-HCG levels are tested to detect persistent ectopic pregnancy in the early stages.

(3) Blood progesterone measurement: The progesterone level in patients with ectopic pregnancy is slightly lower, which can also be used as an indicator for diagnosing early ectopic pregnancy. Progesterone is relatively stable during early pregnancy. If the progesterone value is <45nmol/L (15ng/ml) at 8 weeks of pregnancy, it indicates ectopic pregnancy or luteal hypoplasia, with a sensitivity of 95%. There is overlap in the progesterone levels of normal and abnormal pregnancy blood cells. The absolute critical point between them is basically the same and is for reference only. Capitalist countries include progesterone values ​​in the basic detection indicators for ectopic pregnancy.

(4) Color Doppler ultrasound examination: Intravaginal ultrasound is better than abdominal ultrasound, and the accuracy of diagnosing ectopic pregnancy is 70-94%. The diagnosis can be made by seeing the gestational sac in the bilateral fallopian tubes ("bilateral fallopian tube ring") or the fetal heartbeat. For patients who have undergone cesarean section, the position of the anterior wall scar should be observed to avoid misdiagnosis of scar pregnancy. If the blood cell β-HCG exceeds 2000MIU/ml, if it is an intrauterine pregnancy, intravaginal ultrasound can detect the gestational sac, otherwise you should be alert to ectopic pregnancy. Fluid shadows in the pelvis and abdomen are helpful for diagnosis.

(5) Laparoscopy: It is the "gold standard" for diagnosing tubal pregnancy, but it is an invasive method with high cost. After the diagnosis is confirmed, endoscopic surgery can be performed to avoid the one-sidedness of open surgery. It has less trauma and faster recovery. It is commonly used in hospitals with standards.