What should I do if I don’t see any bleeding from the gestational sac inside or outside the uterus? In this case, the first thing to do is to go to the hospital for a blood test to see the level of chorionic gonadotropin in the blood, and this number should be compared with the number of the previous test, if it can increase exponentially, the bleeding may have the possibility of pre-eclampsia, so you need to rest in bed and take birth control pills. If the chorionic gonadotropin level is lower than the last test, it is possible that a biochemical pregnancy has occurred. If the HCG still increases, but not exponentially, that is, the growth rate is slower, and there is bleeding, it is important to consider whether there is an ectopic pregnancy. Now that the ultrasound has been done and you still can’t see the gestational sac you can continue to wait and go back for the ultrasound after a week.