What does this TVS test result indicate?

Posted on Thu, 10 Dec 2015

Question: I have done IVF on 14/10/2015.
After 6 weeks, TVS test was done and resulted as follows:
Uterus: Bulky in size and is gravid. Two gestational sacs are seen. One gestational sac is noted showing viable embryo pole with normal cardiac pulsation. Yolk sac measures 3 mm.
CRL= 3mm, corresponds to GA of 5 weeks 6 days.
GS = 18 mm, corresponds to GA of 6 weeks 1 day.
FHR = 164 bpm, regular.
Another gestational sac is seen measuring 19 mm (6 weeks 2 days) with large yolk sac ( 6 mm) without visualization of embryonic pole likely to be non-viable.
Normal chorio-decidual reaction noted.
Adnexae : Both the adnexae are normal.
Impression : Two gestational sacs- one with viable embryo of 6 weeks 1 day gestational age. Another gestational sac containing large yolk sac without embryo -- likely to be non- viable.
What may be the reason and what about to worry about " Bulky in size and gravid in uterus" in case of the Positive Pregency".

Answered by Dr. Deepti Verma (49 minutes later)

Brief Answer:
Normal findings

Detailed Answer:
Hi dear, I have gone through your question and understand your concerns.
Bulky and gravid uterus means enlarged uterus due to the pregnancy inside it.It is a normal finding.
Moreover, the ultrasound shows twin pregnancy, with one fetus with cardiac activity, however, the other twin sac contains no fetus.
This pregnancy will advance as a singleton pregnancy, as the non viable sac will compress with time and will have no effect on the normal fetus.
I suggest you not to worry at all.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards
Dr Deepti Verma

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