How to determine if it is an ectopic pregnancy?

Patient's question:

I've been pregnant for 33 days, but there's no echo of the gestational sac in the uterus. Is it an ectopic pregnancy, or can't it be seen on ultrasound?

Doctor's answer:

Did you use a pregnancy test strip or check blood HCG to confirm you're 33 days pregnant? Or is it just that your period has been delayed for 33 days? If you used a pregnancy test strip, sometimes there can be false positives. If it's an ectopic pregnancy, the endometrium should be thickened, and ectopic pregnancy can occur in many places, the most common being the fallopian tube. Possible symptoms include vaginal bleeding, abdominal pain, etc. Moreover, you've only been 33 days pregnant, and sometimes it may not be possible to detect the gestational sac due to differences in hospital technology. Patients face the dangers of ectopic pregnancy, and we should actively adopt treatment measures and not avoid seeking medical attention. If ectopic pregnancy is not treated promptly, it's important to adjust the treatment plan in a timely manner.

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