High hCG, empty uterus on ultrasound, "? Hydrosalpinx vs ectopic
Hi everyone,
I am in early pregnancy limbo. Based on my LMP, I should be about 7w3d. We got a positive pregnancy test and hCG ~13471.
I had a transvaginal ultrasound today to establish gestational age. The report noted:
- Thickened endometrium, but no mention of a gestational sac in the uterus.
- Two fibroids.
- Left ovary is normal.
- Right ovary has a corpus luteum, but the tech also noted: "Fluid seen adjacent to ovary, ? Hydrosalpinx vs ectopic."
I know the corpus luteum is normal for early pregnancy, but seeing the word "ectopic" next to fluid on the same side is terrifying, especially since my hCG is high and my uterus appears empty on the scan.
I am already in contact with my doctor and waiting for our next steps (likely more bloodwork/scans), but the waiting is the hardest part.
Has anyone had an ultrasound report that looked like this? Did it turn out to be a hydrosalpinx, an ectopic, or just normal fluid? What were your next steps for confirming what was going on? Any stories or advice would be so appreciated right now.
Context
- Last Period Date: 03/28/2026
- Ovulation: 04/12-13/2026
- I am yet to receive Dr's notes after the visit. The above text is from just ultrasound.
- Gave blood sample today as well to measure hCG.
- We have next visit planed for tomorrow.