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What does the "absence of fetal pole" in ultrasound report suggest?

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Posted on Mon, 2 Mar 2015
Question: I was 4 weeks one day pregnant. in four weeks pregnancy i did a ultrasound and the result was my gestational sac was 11 mm with no fetal pole seen in it and no yolk sac is seen and decidual reaction was adequate. after 5 days i started bleeding the next day befote meeting my doctor i was tensed again conduct a ultrasound the report was gestational sac is 14 mm and gestational age is 4.5 mm, no feta pole is visualized no cardiac activity is seen and peri sac hemmorage i reported, my doctor said that u need rest , but my bleeding continue starts heavily ..then after 2 days my ultrasound report showed gestational sac size 8.3 mm that was reduced from previous one?? what is your advice to me in such a situation??? is my pregnanncy is healthy or not???? my bleeding did not stop but flow is less after 6days continue bleeding....
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Answered by Dr. Sameer Kumar (30 minutes later)
Brief Answer:
failed pregnancy

Detailed Answer:
Hello,
Thanks for contacting HCM,

If your gestational sac never went above 15mm and there was no metal pole at all which generally is seen after 15mm size or hcg levels 5000IU only. As you had started bleeding earlier to that and the present sac size has decreased to 8.1mm , it indicates that the sac is crenated and hence its a failed pregnancy.
This should be ideally removed with a simple surgical procedure called dilatation and curettage.
there is no point continuing it as the size has diminished already and there is no metal pole.
regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1656 Questions

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What does the "absence of fetal pole" in ultrasound report suggest?

Brief Answer: failed pregnancy Detailed Answer: Hello, Thanks for contacting HCM, If your gestational sac never went above 15mm and there was no metal pole at all which generally is seen after 15mm size or hcg levels 5000IU only. As you had started bleeding earlier to that and the present sac size has decreased to 8.1mm , it indicates that the sac is crenated and hence its a failed pregnancy. This should be ideally removed with a simple surgical procedure called dilatation and curettage. there is no point continuing it as the size has diminished already and there is no metal pole. regards