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thick endometrium no sac

okay ladies here is a update sister had an ultrasound done today.  The just saw a thickened enodmetrium.  The thing is some pregnancy test show positive others show negative.  They didn't do a pregnancy test urine at the doctors office they just drew blood. according to her  last menstrual period she will be 4 weeks 2 days is that the right thing to see at 4 weeks.  Her breast aren't hurting yet.  What do you guys think.  help she is drving me crazy.... what would be other reasons for a thick endometrium??
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I really don't know any other reason but I think it could just be too early to see anything.  I would think seeing the thickened endometrium would be the first step to confirming she is pregnant, but honestly the doctor should have done a blood or urine test to be sure first.  
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