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

### input:
i am 4 weeks 4 days pregnant having dull aching pain mainly in my right side of abdomen lower back and hip..sometimes in groin..what is the reason..its been there for almost 2 weeks..kind of pulling sensation especially when i lie down in left lateral position..my gynaecologist had advised me to take drotaverine tab sos..i have taken 3 so far..is it safe?..my serum beta ChatDoctor is 291 calculated 2 days back..and serum progesterone is 55..i am very much worried thinking about chances of ectopic pregnancy..i had planned my pregnancy according to ovulation study (received clomiphene 50 mg from day 3) which showed 2 follicles being ruptured on 14th day of cycle with ET 6.5mm,...for this pain i underwent TVS which showed 23mm follicle in right ovary and intact vascularity..please guide

### output:

Hi, Thanks for the query I understand your concern. Abdominal pain & cramping in early weeks is a common symptom in early pregnancy. The dull ache due to uterine changes in pregnancy can be in center of abdomen or on either of sides of center . The pain in right side away from midpoint can be tubal pregnancy which is associated with considerable cramps/ bleeding by 4 weeks pregnancy.  In case the cramping is severe & is associated with bleeding you should see your doctor earliest.  In case the cramping is severe & is associated with bleeding you should see your doctor earliest.  Your Chat Doctor & progesterone levels are normal for 4 weeks of pregnancy.  * after 5 weeks gestational sac is visible in USG scan... you can go for it to know normality of fetal position / to know about possibility of tubal pregnancy. Followed by needful treatment under care of a gynecologist.  Thanks