After transplantation, why can't the gestational sac be seen if the blood value rises slowly?

Patient's question:

I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried about it affecting my fertility, and I also feel extremely cold and afraid of the cold. Why can't I see a gestational sac after the transfer if the blood levels are rising slowly?

Doctor's answer:

Hello! Ectopic pregnancy has the following symptoms:
1. Menstrual delay: Before ectopic pregnancy, there is often a short-term menstrual delay or a delay of several days in menstruation, with a positive urine HCG test.
2. Abdominal pain: This is the most common symptom, usually located in the lower abdomen. It is often mistaken for menstrual cramps or appendicitis.
3. Vaginal bleeding: The most common type is a small amount of vaginal bleeding after menstrual delay. Some people mistake it for a period, but it is different from a true period, such as having less bleeding or dark-colored blood. A few people may experience heavy bleeding.

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