Lower abdominal pain without vaginal bleeding is an ectopic pregnancy?

Patient's question:

Age
Detailed medical condition and consultation
Duration of this illness and persistence: one week
Current general condition: 35 days of amenorrhea, with nausea, vomiting (pregnancy-related symptoms), lower abdominal pain, and no vaginal bleeding. Hospital ultrasound examination showed no pregnancy, only endometrial thickening. What could be the reason for this? He also warned me that if I experience lower abdominal pain or heavy bleeding, I should go to the hospital immediately for examination. I’m very scared it might be an ectopic pregnancy.
Medical history: 3 induced abortions
Previous diagnoses, treatments, and outcomes: induced abortion
Support

Doctor's answer:

Not necessarily. Hello, your situation suggests you should go to the hospital for an ultrasound examination. You need active treatment to preserve the pregnancy. You should pay attention to rest, reduce activity, avoid sexual intercourse, and avoid unnecessary vaginal examinations to minimize stimulation to the uterus. At the same time, avoid excessive mental stress, as it may lead to miscarriage. After the bleeding stops, it is best to rest for two weeks before resuming work.

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