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What Causes Vaginal Bleeding And Absence Of Gestational Sac?
Question: HI, I did blood test cme positive. Dr told me I was positive. Did ultra sound today, they said no sac located and i started bleeding today. Does this mean I am not pregnant
Brief Answer:
possibly ectopic pregnancy...explained
Detailed Answer:
Hello,
Thanks for the query to hcm,
If your urine pregnancy test has turned out to be positive and the ultrasound doesn't show any sac in the uterus and moreover you have started bleeding as well per vaginum which is likely to be a darkish brown spotting , then there is a possibility that this may be an ectopic pregnancy, possibly inside the tube ( fallopian tube).
A repeat ultrasound transvaginal is advised with an aim to rule out ectopic pregnancy and a serum beta hcg level test should be done to reconfirm the hcg levels which if more than 5ng/dl then you are surely pregnant and if pregnancy is not in uterus then this could be an ectopic for sure which can be an emergency.
So please get repeat targeted ultrasound and beta hcg test done asap.
Regards
possibly ectopic pregnancy...explained
Detailed Answer:
Hello,
Thanks for the query to hcm,
If your urine pregnancy test has turned out to be positive and the ultrasound doesn't show any sac in the uterus and moreover you have started bleeding as well per vaginum which is likely to be a darkish brown spotting , then there is a possibility that this may be an ectopic pregnancy, possibly inside the tube ( fallopian tube).
A repeat ultrasound transvaginal is advised with an aim to rule out ectopic pregnancy and a serum beta hcg level test should be done to reconfirm the hcg levels which if more than 5ng/dl then you are surely pregnant and if pregnancy is not in uterus then this could be an ectopic for sure which can be an emergency.
So please get repeat targeted ultrasound and beta hcg test done asap.
Regards
Above answer was peer-reviewed by :
Dr. Prasad
Hi thank you for your explanation. On 16/5 my HCG was 286 , today it is 984. What does this mean. Is my pregnancy at risk ? My doctor wants me to do blood test every 48 hours.
Hi my blood hc game has gone down from 986 to 326 does this mean I have had a miscarrqge
Hi my blood hc game has gone down from 986 to 326 does this mean I have had a miscarrqge
Brief Answer:
answered
Detailed Answer:
Hello,
The hcg levels double in every 48 hrs in an ongoing developing viable pregnancy ,Generally the gestational sac is visible when the hcg levels reach 1500 +, hence the doctor wants them to eb done every 48 hrs so that he/she can schedule a repeat transvaginal ultrasound to locate the sac. Because if located inside uterus then you are safe completely and its not an ectopic else you may need a laparoscopic salpingotomy or salpingectomy to remove the tubal pregnancy.
If the hcg levels are decreasing and reduced more than half now, it indicates a failing pregnancy or a chemical pregnancy but still it is necessary to localise the pregnancy as any pregnancy in tubes can be an emergency as said earlier for fear of rupture.
You may get a repeat hcg after another 48 hrs and then a repeat targeted USG for localising the decidual reaction or gestational sac.
Regards
answered
Detailed Answer:
Hello,
The hcg levels double in every 48 hrs in an ongoing developing viable pregnancy ,Generally the gestational sac is visible when the hcg levels reach 1500 +, hence the doctor wants them to eb done every 48 hrs so that he/she can schedule a repeat transvaginal ultrasound to locate the sac. Because if located inside uterus then you are safe completely and its not an ectopic else you may need a laparoscopic salpingotomy or salpingectomy to remove the tubal pregnancy.
If the hcg levels are decreasing and reduced more than half now, it indicates a failing pregnancy or a chemical pregnancy but still it is necessary to localise the pregnancy as any pregnancy in tubes can be an emergency as said earlier for fear of rupture.
You may get a repeat hcg after another 48 hrs and then a repeat targeted USG for localising the decidual reaction or gestational sac.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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