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Can Delayed Ovulation And Delayed Conception Can Lead To A Smaller Gestation Period?

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Posted on Tue, 8 Aug 2023
Question: Dear,
I had my first TV ultrasound yesterday and All the OB could see was an empty gestational sac.
LM PERIOD 24/02/18 EGA 6 WEEKS 5 DAYS.

AS PER U/S REPORT -
YOLK SAC AND FETAL POLE IS NOT YET SEEN. THE CERVIX IS NORMAL IN LENGTH. OVARIES ARE NORMAL
GROWTH PARAMETERS: MSD 8.9MM EGA 5-6 WEEKS
OB scheduled me for a second ultrasound NEXT week and suggested that I just might not be far enough along. We've been ttc and I can't help but panic . Anyone have any words of advice
doctor
Answered by Dr. Purushottam Neurgaonkar (23 minutes later)
Brief Answer:
Some more information. Repeat USG. Continue with present treatment.

Detailed Answer:

Hi,

First of all do not panic. I can understand your situation, as you planning to get pregnant and USG report is a bit different than expected.

In my opinion, you should patiently wait for 7 to 10 days and repeat USG after that.
Sometimes, delayed ovulation and delayed conception can lead to smaller gestation period.

I would like to know about few things more.
1. Are you taking any other supporting hormone injection or tablets?
Please let me know it's name.
2. Do you have history of regular periods?
3. Have you undergone USG follicular study in the last cycle of February 24th?

In the mean time, take rest avoid exertion.
Keep taking prenatal vitamins.

Please feel free to communicate with me again. I hope this answer helps you.

Thank you.

Regards,
Dr. Purushottam Neurgaonkar
OBGYN
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Purushottam Neurgaonkar (41 minutes later)
Dear Dr XXXXXXX

First of all thanx for very needed quick response in this time.

We tried on 12 March when ovulation kit showed clear 2 lines

My periods are regular. I have done scan in December and everything was ok.

From last 2 months I’m taking HOMO 16B
From yesterday I have taken INJECTION HCG 10000
And started duphaston 10mg
Folivite active

Yolk sac or fetal pole not seen
MSD: 8.9MM , a single well defined intrauterine gestational sac seen chorionic reaction is good cervix normal ovaries and internal OS normal

I want to know how much do you think it’s normal and sustaining , and will it be a healthy pregnancy ?
doctor
Answered by Dr. Purushottam Neurgaonkar (19 hours later)
Brief Answer:
Review USG. Continue with the treatment.

Detailed Answer:

Hi,

In my opinion, there is not much delay in ovulation.
Accordingly, fetal pole and yolk sac should have been visible by now.

Please do continue with the treatment as suggested by your Gynecologist. Only, review USG will be able to tell us about the viability and growth of the pregnancy.

So, I will suggest you to be patient and wait for next USG .
Please report to your treating doctor if you get any kind of pain in abdomen and per vaginal bleeding.
*Think positive.
*Meditate regularly.

Things will be fine in the due course of time.

I hope this answer helps you. Let me know if I can assist you further.

Thank you.

Regards,
Dr. Purushottam Neurgaonkar
OBGYN
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Purushottam Neurgaonkar (1 hour later)
I did last scan on 12th April . 6.6 weeks
Also 1 detail that on 31st March I took urine test and there was hardly any second line. Thinner than hair . Tested again On 7th April line was dark
Can it be delayed ? What is the latest date for showing yolk sac n pole. No spotting or blood
doctor
Answered by Dr. Purushottam Neurgaonkar (2 hours later)
Brief Answer:
Can be delayed conception. Wait for USG report.

Detailed Answer:

Hi,

Your input is very important. Initial weak positive urine pregnancy test and later on getting confirm positive test, can be suggestive of delayed conception.

Also, it's good to know that you don't have abdominal pain and or bleeding.
Please do continue with the supportive treatment as before.

Let's follow up as discussed earlier. Please get USG done after 7 to 10 days.

Pl let me know about it, once you get your USG reports.

I hope this answer helps you.

Thank you.

Regards,
Dr. Purushottam Neurgaonkar
OBGYN
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Purushottam Neurgaonkar

OBGYN

Practicing since :1992

Answered : 2236 Questions

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Can Delayed Ovulation And Delayed Conception Can Lead To A Smaller Gestation Period?

Brief Answer: Some more information. Repeat USG. Continue with present treatment. Detailed Answer: Hi, First of all do not panic. I can understand your situation, as you planning to get pregnant and USG report is a bit different than expected. In my opinion, you should patiently wait for 7 to 10 days and repeat USG after that. Sometimes, delayed ovulation and delayed conception can lead to smaller gestation period. I would like to know about few things more. 1. Are you taking any other supporting hormone injection or tablets? Please let me know it's name. 2. Do you have history of regular periods? 3. Have you undergone USG follicular study in the last cycle of February 24th? In the mean time, take rest avoid exertion. Keep taking prenatal vitamins. Please feel free to communicate with me again. I hope this answer helps you. Thank you. Regards, Dr. Purushottam Neurgaonkar OBGYN