Can you have a medical abortion without a gestational sac?

Patient's question:

I am 40 days pregnant, but the ultrasound hasn't shown a gestational sac yet. Can I have a medication abortion without a gestational sac?

Doctor's answer:

It is recommended not to blindly take medication. You have missed your period for over 40 days and are considering pregnancy, but the ultrasound did not show a gestational sac, which cannot rule out an ectopic pregnancy. It is advised to wait another week and then have an obstetric examination at a regular hospital to check if the fetus is inside the uterine cavity. If it is, you should follow the doctor's guidance even if you insist on not having the child, and should not take medication blindly on your own. Avoid spicy and irritating foods in the near future, do not overexert yourself or catch a cold, and do not stay up late.

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