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What Does The Following Ultrasound Report Indicate?

Posted on Wed, 22 Feb 2017

Question: Hello...my last LMP is 20.12.2016,today I have done the TVS but it shows gestational sac less than 5wks and no yolk sac and no embryonic activity...can u say is it normal???is there any problem???according to due date calculation I am 5wk 2days but still no yolk sac????

Answered by Dr. Deepti Verma (32 minutes later)

Brief Answer:
Repeat TVS after 2 weeks

Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.

Yolk sac and fetal node should be seen in a gestational sac of 5 weeks in a transvaginal ultrasound.
However, since the gestational sac is less than 5 weeks in your case, then a repeat ultrasound is advised after 2 weeks to assess the appearance of yolk sac and fetal node.

Sometimes, if the ovulation is delayed, hence is delayed and in this scenario the gestational age by ultrasound and last menstrual period do not correspond.

I suggest you to get a repeat TVS after 2 weeks and then further treatment should be done accordingly.

Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Deepti Verma (8 hours later)

mam..plz see my reports.can u tell me what are d medicines to be taken now and what are d predictions to b followed?is it a blighted ovum?I have to travel daily 25km by riding scooty to reach my work place???is there any problem to ride sccoty??plz suggest.I m taking folinal plus tablet??which is better for me folvite or folinal plus.I m little bit worry 'coz my last pregnancy was ended with missed abortion on 20.10.2016.

Answered by Dr. Deepti Verma (12 hours later)

Brief Answer:
Do not worry

Detailed Answer:
Hi dear,
I have reviewed the report.

Folic acid is the only tablet which needs to be taken at this stage.
Blighted ovum is said when there is no fetal node in the presence of a gestational sac of 20 mm.
Since the sac is only 10 mm, then you should definitely get a scan after 2 weeks.

Yes, you can ride scooty.
However, avoid bumpy roads.

You can take either of the tablet (either Folvite or Folinal plus), both are good.

Feel free to ask further.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Deepti Verma (45 hours later)

Hello mam,thanx.for past 3-4days ,I m feeling very thirsty???is there any problem?what are d test to b done during first trimester?

Answered by Dr. Deepti Verma (5 hours later)

Brief Answer:
Not to worry

Detailed Answer:
Hi dear, increased thirst can occur in first trimester.
There is nothing to worry.
Blood group, complete blood count, HIV, HbsAg, HCV, urine routine and microscopic examination, TSH levels are the tests which are to be done in the first trimester.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Prasad