Can an ultrasound gestational sac that is too small to be visible rule out an ectopic pregnancy?

Patient's question:

Hello doctor, I am 27 years old, and I have been pregnant for 40 days. A few days ago, I took a pregnancy test, and today I went to the hospital for an ultrasound. The doctor said they couldn't see anything, possibly because the gestational sac is too small, and asked me to come back in four or five days. I always feel a sense of fullness and discomfort in my lower abdomen and surrounding area, and sometimes I have a sensation of heaviness in my vagina, but there is no tearing. I had a urine test and blood test, and the doctor said everything was normal. Could you please help me rule out ectopic pregnancy?

Doctor's answer:

Hello, according to your description, it is impossible for you to remove the ectopic pregnancy by yourself. I suggest you go to the hospital in a week and cooperate with the doctor's examination. Because according to your description, the implantation time of the fertilized egg is relatively short, and it cannot be detected by instruments now. However, you can rest assured. According to your description, it is considered that you have signs of pregnancy, but in these days.

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