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

Ultrasound showed gestational sac but no yolk sac. HCG level is also low. Is it viable pregnancy?

User rating for this question
Very Good
Answered by
Practicing since : 1997
Answered : 1031 Questions
I'd like my ob to be honest with me. I feel like we're holding out hope for nothing :( 6 wk 1 day ultrasound showed gestational sac, no yolk sac. 7 wk 1 day ultrasound showed 1.2 cm gestational sac, still no yolk sac. HCG level at 7 wk 2 day showed 15000. My prior pregnancy I was 26000+ at 5w 2 day and 40000 2 days later. I feel like the HCG level this time is very low and lack of yolk sac concerns me. She is waiting one more week to see. I want a "realistic" viable is this pregnancy, what are the odds. Thank you.
Posted Sat, 7 Dec 2013 in Women's Health
Answered by Dr. Kulsoom Qureshi 36 minutes later
Brief Answer: This is a viable pregnancy but we have to wait! Detailed Answer: Hi, Thanks for consulting us. I would like to share some facts with you: 1. An hCG level of less than 5mIU/ml is considered negative for pregnancy, and anything above 25mIU/ml is considered positive for pregnancy. So, you are still pregnant. 2. Normal levels of hCG at 7 – 8 weeks LMP is 7, 650 – 229,000 mIU/ml. So, your levels are well within normal range. 3. The yolk sac should be seen by transvaginal ultrasound when the mean sac diameter is 5-6mm. This is a point of concern as in your case it is not visible even at 1.2cm size. There could be 2 possibilities: 1. Either you are carrying a Blighted ovum ( that is an empty sac or a missed miscarriage). 2. Or, it is an early pregnancy grey area, or limitations of ultrasound machine or sonographer. No Gynecologist would make a quick decision at this stage. Your doctor has made a good decision to wait for 7-10 days & repeat a trans-vaginal ultrasound to see if a fetal pole has appeared or not. If yes, it is a good news for you, if no ( God forbid), we will not give you false hope!. Odds depend upon the reliability of your sonographer & the type of ultrasound you had. No one can give exact figures. I think, I have given you the clearest possible picture at this stage. Rest will appear with time. Wish you best of luck.
Above answer was peer-reviewed by
Follow-up: Ultrasound showed gestational sac but no yolk sac. HCG level is also low. Is it viable pregnancy? 23 minutes later
Thank you so much :)
Answered by Dr. Kulsoom Qureshi 21 hours later
Brief Answer: Wish you all the best Detailed Answer: You are always welcome here with all your health related concerns. Best regards.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask an OBGYN

© 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