What is the reason for a 37-day miscarriage without the expulsion of a gestational sac?

Patient's question:

I got married to my husband two years ago. Due to work pressure, we haven't considered having children yet. So, I'd like to ask what happens if a 37-day miscarriage doesn't show up and the gestational sac is expelled?

Doctor's answer:

Patient, at 37 days of pregnancy, an ultrasound examination is usually not yet at the stage where the gestational sac can be seen, so it cannot be determined for certain whether it is ectopic pregnancy at this time. If you want to have a child, it is still best to avoid using anti-inflammatory drugs. If you do not want to have a child, you need to use anti-inflammatory drugs to control the inflammation before terminating the pregnancy. The best time for an abortion is between 45-55 days of pregnancy, so you can still wait for about 2 weeks to have an abortion surgery.

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