What is the reason for not seeing a gestational sac in ectopic pregnancy after 50 days?

Patient's question:

Hello, what is the reason for not seeing a gestational sac in ectopic pregnancy after 50 days? What should be done in this situation?

Doctor's answer:

Ectopic pregnancy does not always show a gestational sac. At fifty days, it is relatively dangerous. You currently need a blood test to check hCG levels. If the value is high and the gestational sac is not visible, it is recommended to undergo a D&C procedure, followed by the use of medication to reduce hCG levels. If the treatment is successful and hCG levels decrease, it means it has worked. During this process, hospitalization is required.

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