Patient's question:
Today I went to the hospital to check CG, 37 weeks pregnant, progesterone 15.82. The ultrasound did not show any gestational sac. The doctor asked me to come back for an ultrasound after 40 days. In the recent period, I feel lower abdominal pain, but it's not very painful, and there's no bleeding. It just hurts frequently, then stops for a while. Is this normal?Doctor's answer:
Hello, if the gestational sac develops normally in the early stages of pregnancy, it will implant and develop around weeks 5-6. You are currently 37 days pregnant, and blood tests have confirmed pregnancy, but no gestational sac was observed in the uterus. This could be because the conception time was relatively short, and the gestational sac has not yet implanted. However, ectopic pregnancy cannot be ruled out. You are experiencing occasional abdominal pain, so it is recommended to rest in bed and avoid strenuous activity. If the abdominal pain intensifies or vaginal bleeding increases, it is advisable to go to the hospital immediately to avoid severe bleeding in case of ectopic pregnancy. It is recommended to closely monitor the ultrasound. Only when a clear gestational sac is observed in the uterus can the possibility of ectopic pregnancy be ruled out.