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Question
Hello doctor,
When my period was 1 week late, I took a pregnancy test on 1 dark line and 1 light line. Three days later, I had a transvaginal ultrasound, the doctor said that the gestational sac was not found. On the 13th day, I got my period again. The next day, I had an ultrasound again, but the doctor said there was nothing abnormal. I feel very worried, the pain in the lower abdomen is dull since yesterday until now. Today, I have a blood test, HCG level: 43.41. Doctor let me ask, pregnancy test 2 lines but ultrasound did not show gestational sac, is it pregnant?
Diep Hoa (1986)
Answer
Answered by Master, Specialist II Phung Thi Ly - Obstetrician and Gynecologist - Women's Health Center, Vinmec Times City International General Hospital.
Hello,
With the question "2 lines pregnancy test but ultrasound does not show a gestational sac, is it pregnant?", the doctor would like to answer as follows:
You are 1 week late for your period and 2 lines at home pregnancy test but did not see a gestational sac on ultrasound. You get your period again without specifying what your menstrual cycle is like. Because the symptoms you have not mentioned, it is difficult for a doctor to give you specific advice.
Currently, your HCG is 43.41, this means you are pregnant. However, the doctor cannot be sure whether the fetus is developing normally or not, the bleeding and dull abdominal pain are caused by an early miscarriage or the fetus is still developing but has not yet entered the ovaries. Usually, the fetus is seen on ultrasound around the 5th week of pregnancy or when the hCG level reaches 1100. Before this time, the ultrasound will not be able to detect the fetus in the mother's body. You should take the HCG test again after 48 hours to accurately determine the pregnancy status and receive specific advice from an obstetrician-gynecologist.
If you still have questions about ultrasound without gestational sac, you can go to the hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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