Many people encounter situations that cause anxiety when the pregnancy test shows 2 lines but when they go for an ultrasound, they still do not find a gestational sac in the uterine cavity. This raises the question of am I really pregnant? Is there something wrong?

Reasons why the gestational sac may not be found yet

1. The pregnancy is still too early Normally, the gestational sac can be clearly seen when the pregnancy is about 5-6 weeks or more If the ultrasound is done earlier than that, nothing may be found in the uterine cavity, which is considered normal.

2. There may be an ectopic pregnancy Although rare, an ectopic pregnancy requires close monitoring because it can be dangerous if not properly managed.

3. Miscalculation of gestational age If the first day of the last menstrual period is not remembered accurately, it may lead to scheduling the check-up too early, and the gestational sac may not yet be visible via ultrasound.

What should you do if the test shows 2 lines but the ultrasound still does not find a gestational sac?

  • Wait to follow up within 5-7 days
  • Blood test to measure hCG hormone levels to see if the pregnancy is developing normally
  • Consult a doctor continuously to monitor symptoms and confirm the safety of the pregnancy

Following up according to the doctor’s advice will help plan further care safely and carefully.


Need advice on unplanned pregnancy or follow-up after a pregnancy test? Contact us here Unplanned Pregnancy Consultation System Line Official: @rsathai
RSA Online: https://abortion.rsathai.org
Facebook Page: https://www.facebook.com/rsathai.org
Website: https://rsathai.org/en/home-en
Online consultation service Monday – Friday from 8:00 AM to 7:00 PM.

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