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Dr. Andrew Rynne

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6 weeks pregnant. Scan showed no fetal pole, no heart beat and no fluid. Am I miscarrying?

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Dr. Sree Gouri SR

OBGYN

Practicing since :2006

Answered : 5162 Questions

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Posted on Wed, 26 Dec 2012 in Early Pregnancy Signs and Symptoms
Question: I am 42 years old very healthy and had a miscarriage 2 years ago.
I am currently 6 weeks pregnant based on an ultrasound tech measurement because I don't know dates of my LMP and went off the pill anyway last month so i could have ovulated late.
Anyway, my hcg results were 0000 and 2 days later only XXXXXXX to 0000.
An ultrasound at 5 weeks said no fetal pole was visible yet. At 5 weeks 6 days it said the same thing. No heartbeat yet, no fetal pole. No ovaries identified and no evidence of fluid in the cul de sac.
I have had no bleeding or severe cramping.
I am meeting with my doctor tomorrow, but want a second opinion first.
Is it still too early to see a fetal pole/heartbeat? Am I miscarrying? Should I get another panel of Hcg tests to see if they double? I need honest help.
Thank you
doctor
Answered by Dr. Sree Gouri SR 41 minutes later
Hi,
Thanks for the query.

The possibilities are:
-After 6000 mIU/ml, hcg levels will take four or more days to double.
Reference: WWW.WWWW.WW And sometimes fetal pole may not be visible till five weeks. As you are not having accurate dates and as first trimester scan can show 3 to 4 days difference in gestational age, better to wait for one more week before coming to one conclusion.

-Even after one week if the fetal pole is not visible, then there is possibility for blighted ovum. In this condition only gestational sac presents without fetal pole.

Hope I have answered your query. I will be available to answer your follow up queries. If you are satisfied with all my answer, please rate the answer after closing the discussion.
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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