Patient's question:
I went to the hospital for a thorough check-up when I was 40 days past my period. The doctor said they couldn't see a gestational sac, but the hCG test ruled out ectopic pregnancy. What could be the situation?Doctor's answer:
At 40 days post-menstruation, a color ultrasound examination revealed no gestational sac in the uterine cavity, and the blood hCG level has ruled out ectopic pregnancy. The blood hCG level being normal and consistent with a 40-day pregnancy is the key point. In cases of ectopic pregnancy, a color ultrasound would show no gestational sac in the uterine cavity, and the blood hCG level would be low, with slow decline or failure to double. In the current situation, it is possible that the delivery is delayed, and the gestational sac has not yet grown in the uterine cavity, making it invisible.