Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
189 Doctors are Online

Pregnant via IVF and has low ovarian reserve. US showed only yolk sac. Any hope?

User rating for this question
Answered by
Practicing since : 2007
Answered : 1279 Questions
My wife is 7 week pregnent now. We saw just yolk sac in the ultrasound scanning. Doctor has asked to re-visit next week. i have few questions
1) Is there any hope. Pregnency was via IVF and Embryo was rated as Grade 1 (best). She is 30 yrs with poor ovarian reserve.
2) If it is positive any issues in baby's health.
3) Any tests (like chromozomes) etc to be conducted to make sure that baby is physically and mentally healthy.
4) In worst case we have to restart the cycle. Will there be any issue ( i mean will this repeat).
5) Why are facing this day even though the Embroyo was 8 Cell equal sized and Grade 1 .
Posted Sun, 14 Jul 2013 in Infertility Problem
Answered by Dr. Arif N Khan 47 minutes later

Thank you for choosing XXXXXXX

I can understand your present situation. At 7 weeks pregnancy fetal cardiac activity is usually noted on ultrasound scan. As it is still not present, there is remote possibility of delayed conception. My answers for your questions:

1) Though remote, there is still hope - The fetus can grow and you could see fetal heart activity in subsequent scans.
2) Delayed conception won't cause any major issues to baby's health. It can grow like any normal pregnancy.
3) Presently no tests are required, but as the pregnancy advances your wife will require screening (BLOOD tests- TRIPLE SCREEN) for chromosomal abnormalities at around 15 weeks of gestation and Nuchal translucency scan at 11-14 weeks. It's a universal screening done for all pregnant females.
4) If the pregnancy does not grow/ if at all it goes into missed abortion, I suggest you and your wife to undergo chromosomal analysis, check for any TRANSLOCATIONS. If the tests are normal, then there is very less chance of recurrence.
5) It can happen, just have hope. Just wait for another week for fetal cardiac activity.If at all any untoward happens, next time you can go for PGD-prenatal genetic diagnosis. PGD has its own limitations, as it won't detect all genetic abnormalities.

I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it.

Wish you good health.

Dr Arif
You can consult me again directly through my profile
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Medical Procedures
Medical Topics

The user accepted the expert's answer

Ask an Infertility Spclst

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor