6 weeks pregnant, no sac seen on transvaginal scan + brown spotting — worried about ectopic pregnancy (history of miscarriages)
I’m currently around 6 weeks pregnant (last period April 6). I’ve had brown spotting since May 8, which is still continuing. I also had a transvaginal ultrasound today and the doctor said they could not see a gestational sac in the uterus.
I have a history of 4 previous miscarriages, so I’m very anxious right now. I also have mild cramps, but they don’t feel one-sided. I don’t have shoulder pain or severe pain.
The doctor told me to go to the ER if I notice heavy bleeding, shoulder pain, or one-sided severe abdominal pain, mentioning ectopic warning signs. That has made me even more worried.
I had my hCG blood test done today and am waiting for the results.
My question is — is it possible this could still be ectopic even if nothing was seen on the scan? What could be the possible next steps in evaluation or management in this situation?