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Hi, Dr. Mo here with JA. Please let me review the information and I'll reply shortly.
What question do you have for me that I may answer for you? I'm here to assist you anyway I can.
It is incredibly hard to tell from this image since the quality isn't good and there aren't any other views. However, I don't think this is a pregnancy from what I am seeing. It could be an angle of the uterus but doesn't appear to be a pregnancy. It is so early that it's hard to tell.
When was your last period?
What was your blood and urine pregnancy results?
Do you feel that your period is about to start or are you normally more than 30 days apart between your periods?
It would be good to repeat the pregnancy test both by blood and urine in the next 1-2 days. But from the US I cannot see a pregnancy.
No, it was likely methotrexate or misoprostol. Such medications will never cause any permanent issues with future chance of reproduction.