Is there a gestational sac inside the uterus in ectopic pregnancy?

Patient's question:

Is there a gestational sac inside the uterus in an ectopic pregnancy? The ultrasound I had done did not show any gestational sac. Could it be an ectopic pregnancy?

Doctor's answer:

According to your description, ectopic pregnancy means that the gestational sac is pregnant outside the uterus, such as in the fallopian tubes or abdomen. It is impossible for the gestational sac to be inside the uterus. If the ultrasound has not yet detected the gestational sac, it does not necessarily mean ectopic pregnancy—it could be a later pregnancy, where the gestational sac has not yet reached the uterus. I recommend you go to the hospital's gynecology and obstetrics department for a follow-up examination. Under the guidance of a doctor, you should undergo a re-examination or other detailed tests to rule out ectopic pregnancy.

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