Why is there no gestational sac visible on ultrasound after 40 days of pregnancy?

Patient's question:

Why is there no gestational sac visible on ultrasound after 40 days of pregnancy? How many days should it take?

Doctor's answer:

If it is definitely pregnancy but no gestational sac is observed, it is important to be aware of the possibility of ectopic pregnancy. Pay attention to examining outside the uterus.

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