What symptoms confirm it's not an ectopic pregnancy?

Patient's question:

Since getting pregnant, I have also frequently undergone thorough examinations, but the gestational sac has not been found. How can I confirm it's not an ectopic pregnancy?

Doctor's answer:

If you are more than 45 days pregnant and the ultrasound does not show a gestational sac, ectopic pregnancy should not be ruled out. It is necessary to have a blood hCG test to carefully monitor the doubling of the values. If the doubling is not ideal and the increase is slow, along with symptoms of bleeding and abdominal pain, it is necessary to go to the hospital for a check-up. Hospitalization may be required for close observation, and strict treatment should be administered. Regular follow-up tests are necessary. The above information can be used for reference.

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