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What Does The Following Ultrasound Report Indicate?

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Posted on Sat, 10 Oct 2015
Question: I am 30 yrs old and my LMP was on 10.07.15.and my doctor says im 8 weeks 3 days pregnant. Mensuration cycle comes with an average days of 32.I did TVS scanning today and report as follows:
Evidence of yolk sac with CRL measures 0.34 cm.
Embrayonic cardiac ativity is not detected.
Im little scared to know that here comes a chances for miss carriage. Doctor suggested to review after a week.Kindly help me by answering my doubt.
thank u
doctor
Answered by Dr. Richa Agarwal (46 minutes later)
Brief Answer:
Repeat scan is advised.

Detailed Answer:
Hello dear,
Thanks for trusting hcm about your health care.
I have gone through your history and understand your concerns.
As your baby CRL is 3.4 mm ,maybe you conceive late,so in my opinion repeat ultrasound scan is advice in your case after one week to see the cardiac activity.
Usually heart beat is audible when CRL reached 5 mm.
So do not take stress and get your repeat scan done( one time ultrasound scan report is not very conclusive).
Hope found useful, feel free to discuss more information.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Richa Agarwal (3 hours later)
Hi Doctor
Thanks for your prominent reply.Here by attaching todays Scan report and todays(7th Sep 2015) HCG Beta Report.Also I attached my previous scan report done on 22nd Aug 2015.Please go through the report and get me a reply asap.

Thank you.

doctor
Answered by Dr. Richa Agarwal (7 hours later)
Brief Answer:
Repeat scan is advised after 7-10 days.

Detailed Answer:
Hello dear,
Sorry for the delay.
I have gone through your reports and in your recent ultrasound scan reports it is showing pregnancy of six weeks and mild subchorionic bleed.
Your hcg levels are fine.
As you are not having any pain and vaginal bleeding, we should wait 7-10 days for foetal cardiac activity because in some cases it may appear after 7 weeks.
Hope found useful, feel free to discuss more information.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Richa Agarwal (32 hours later)
Hello doctor.Thanks again..
I have one more doubts to discuss with you.My doctor has prescribed to take folic acid and T Tarpic 650 twice in a day for 5 days.l would like to know, is it advisable to take tarpic at the earlier preganacy time?Please clarify if there is any side effects for this medicine.

Waiting for ur reply

doctor
Answered by Dr. Richa Agarwal (9 hours later)
Brief Answer:
It is safe to use during pregnancy.

Detailed Answer:
Hello dear,
Sorry for such a long delay but I was stuck somewhere.
Yes,it is safe to use trapic- in early pregnancy but as you are not having any bleeding why this drug prescribed to you?
As such there is no major side effects of this drug.
So do not worry about it.
Hope found useful.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Richa Agarwal (10 days later)
Hi, I have provided some attachments. Please review them.

Dear Dr,

Kindly go thru all the previous discussions once again and please answer to my questions.
Studying the last TVS scan report my doctor concluded that mine as a miscarriage with non viable intrauterine pregnancy. As such I was asked to undergo an abortion by taking cytote 600 mg tablet on 18th sep and caused discharging of blood and cramps at high volume.But i had to take same tablet again at 400 mg as my scan report after abortion,says a 13mm echogenic content left in the cavity. Gestational sac got removed somehow .Also a 4mm anechoic focus noted in the right overy.Any other previous scan reports never mentioned such a focus and no idea if its occured due to this abortion or not.otherwise both overies are normal in size.I am still waiting to get cleared all those noticed particles from the cavity and overies infact there is no such heavy bleed or crams for a long while after the medication has been done.its around 16 hrs now.
Do I needed to go for a Surgery in such a case??coz personally I wish to stay away from D&c.
Is there any other solution for this issue.if yes i welcome your valuable suggestions.

Beta HCG shows 7000 on 19th, i mean after the abortion.earlier it was 32000.

Hope u will reply soon.Thanking you
doctor
Answered by Dr. Richa Agarwal (3 hours later)
Brief Answer:
Consult a Gynecologist.

Detailed Answer:
Hello dear,
I have gone through your whole history and understand your concerns.
If you have retained products of conception in the cavity you should consult a Gynecologist and took more tablets of cytotec to clear cavity or you can go for D&C.
The corpus luteal cyst can be due to pregnancy and resolve in 3 months automatically.
Hope it is useful.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Richa Agarwal (2 hours later)
Hello doctor
Thanks for u brief reply.i would like to know if consuming mifeprostone 200 is useful and sefe as bleeding already started to continue.if there is no problem means i can start it from today itself.Can I have it from home itself?I would be much grateful if you colud deliver reply at the earliest.
Thank you
doctor
Answered by Dr. Richa Agarwal (4 hours later)
Brief Answer:
Should be taken under supervision.

Detailed Answer:
Hello dear,
Sorry for the delay in my response.
You should consult a Gynecologist and took mifepristone under her supervision only because mifepristone is usually used before mesoprostol to detach the product of conception from wall of the uterus.
So in your case mesoprostol is much useful than mifepristone.
Hope found useful.
Good luck.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Richa Agarwal

OB & GYN Specialist

Practicing since :1999

Answered : 4031 Questions

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What Does The Following Ultrasound Report Indicate?

Brief Answer: Repeat scan is advised. Detailed Answer: Hello dear, Thanks for trusting hcm about your health care. I have gone through your history and understand your concerns. As your baby CRL is 3.4 mm ,maybe you conceive late,so in my opinion repeat ultrasound scan is advice in your case after one week to see the cardiac activity. Usually heart beat is audible when CRL reached 5 mm. So do not take stress and get your repeat scan done( one time ultrasound scan report is not very conclusive). Hope found useful, feel free to discuss more information. Good luck. Regards