Patient's question:
I had an ultrasound at 42 days of pregnancy, but no gestational sac was found. There was a cyst-like object in the right adnexa, and my hCG level was 753. The doctor suspected an ectopic pregnancy. However, now that I'm 48 days pregnant, I haven't experienced any abdominal pain or bleeding. Is it possible to have an ectopic pregnancy without a gestational sac?Doctor's answer:
At 42 days of pregnancy, a detailed ultrasound examination revealed no gestational sac inside the uterus, with a blood HCG level of 753, which aligns with being pregnant for over 30 days. Now at 48 days of pregnancy, there are no symptoms of abdominal pain or vaginal bleeding. Based on your current examinations, it cannot be confirmed whether it is an ectopic pregnancy. It is recommended that you undergo another ultrasound examination. If there is still no gestational sac echo inside the uterus, it would be highly suspected as an ectopic pregnancy. Further examinations of blood HCG and progesterone are advised, along with maintaining a balanced diet.