### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
good day,I m 30 yrs old my height is 5 0 my weight i think is 58 kilos,5 years ago when i was pregnant at first 5 weeks of my pregnancy i have to undergo ultrasound because my first 5 weeks of pregnancy is critical.My doctor advice me to have bed rest for at least 3 months of pregnancy but after 3 months i miscarriage,after my operation it takes 1 day i dont know what you call that but to clean me inside i think, just after that i feel pain for 9 days of staying in the house and go back to the doctor again and i have to undergo ultrasound for the second time and they found out that i have an ectopic pregnancy another pregnancy,is this really happening?because i ve been ultrasound for my first 5 weeks of pregnancy and why they didn t saw inside that i do have an ectopic pregnancy? and now after 5 years my problem right now during intercourse i need to stop my husband because i feel pain feels like hitting something inside,what will i do?hope to hear answers soon.thank you very much

### output:

Dear Madam, I have gone through your comprehensive history. Let me assure you that your miscarriage and ectopic pregnancy were sheer two coincidental unfortunate events. Ectopic is not a complication nor is due to miscarriage. Many a time, ectopic is missed in ultrasonography at very early stage. If you are getting deep pain in the abdomen during the intercourse, particularly with the movements of the penis, it is likely that you are having some tender pathology in the pelvis. It could be some tumor, infection, collection of endometriums in the pelvis, back fallen tender uterus or ovaries fallen back in the pelvis between the uterus and the rectum. There could have been a tender mass formation at the site of the ectopic surgery on the tube also. I know you are worried about repeat ectopic pregnancy, which can be diagnosed and treated only by Gynecologist. Have you missed your periods? If so you may get urine tested for pregnancy after a week. In ectopic pregnancy, it is usually weak positive. I feel you should report to your Gynecologist regarding this deep painful intercourse. If diagnosed in time, it can definitely be treated and relief obtained. I am sure, you will again start enjoying your normal sexual life after the treatment.