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Ultrasound shows single intrauterine gestation sac of 4 weeks 2 days, no fetal pole seen. Meaning ?

LMP = 03/01/13; GA(LMP) = 7 weeks 4 days Small gestational sac , measuring 4.7mm. No fetal pole or yolk seen. Surrounding trophoblastic rim is noted. No evidence of subchroionic bleed seen. Cericl length is 2.0 cms. Internal os is closed. Bilateral ovaries are normal in size and echopattern. No free fluid noted in pouch of Douglas. Single intrauterine gestation sac of 4 weeks 2 days. Kindly advice on the report...
Asked On : Thu, 28 Feb 2013
Answers:  2 Views:  697
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OBGYN 's  Response
If you are sure about your dates and if you are regular with your cycles, then the sonogram report indicates that the pregnancy is not progressing. You may repeat the sonogram after a few days to see if there is any progress;you may also get alternate day titres of serum beta-hCG tested to see if there is doubling which is normal at this stage of pregnancy. Please consult your gynecologist for further suggestions. Good luck.
Answered: Sat, 9 Mar 2013
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OBGYN Dr. Mrs Sumeet Baheti's  Response
If your cycles were regular, then this type of report more likely indicates unhealthy pregnancy.
You should get repeat ultrasound after about 8-10 days to see the growth of pregnancy.
If it is growing,well and good.
If not, it indicates missed miscarriage.
Meanwhile, you should continue taking folic acid and some progesterone supplementation with your doctor's advise.
Hope this helps.
Dr. Mrs. Sumeet Baheti
Answered: Sat, 9 Mar 2013
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