Question
The patient had her last menstrual period on November 17th and went to the hospital for a check-up on December 16th, where the specific β-human chorionic gonadotropin (β-hCG) level was 76.59 mIU/mL and progesterone (P) was 12.7 g/ml. The doctor advised a retest of the blood three days later. The results of the retest on December 19th showed that the specific β-human chorionic gonadotropin had increased to 491.40 mIU/mL, with a slight increase in progesterone to 12.9 g/ml. Due to the late retrieval of the report, the patient was unable to consult the doctor in time and wants to understand if there are any abnormalities in the data.
Answer
Based on the provided test results, your β-hCG levels are showing a normal upward trend, but your progesterone levels are low. This situation may increase the risk of threatened miscarriage. It is recommended that you take oral progesterone and undergo pregnancy maintenance treatment, and have another check-up for β-hCG and progesterone levels in one week. Around 45 days after stopping your period, a pelvic ultrasound should be performed to determine whether it is an intrauterine pregnancy or an ectopic pregnancy. During this period, if you experience vaginal bleeding or abdominal pain, you should seek medical attention immediately.