Early pregnancy with a weak positive test but no gestational sac on transvaginal ultrasound - could it be an ectopic pregnancy?

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'm also extremely sensitive to cold and coldness. Could a negative pregnancy test with a positive early pregnancy result and no gestational sac on ultrasound indicate an ectopic pregnancy?

Doctor's answer:

Hello, if you have a weak positive result from an early pregnancy test after a missed period, it is likely that you are pregnant. It is recommended to go to the hospital to check your blood HCG levels for confirmation. Make sure to take good care of yourself and follow up regularly. Before pregnancy, 3 months before the menstrual cycle just ends, you should have the following tests:
1. Examination of the reproductive system and vaginal inflammation.
2. A complete toxoplasmosis panel, including rubella, toxoplasmosis, and cytomegalovirus.
3. Liver function tests. Currently, liver function tests include both comprehensive and basic tests. The comprehensive liver function test, in addition to the hepatitis B panel, also includes items such as blood sugar and bile acid.
4. Urinalysis, which helps in the early diagnosis of kidney diseases.
5. Dental examination. If you experience tooth pain during pregnancy, consider the impact of treatment medications on the fetus.

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