Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

139 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What does ultrasound showing gestational sac without a fetal pole indicate?

Answered by
Dr. Madhuri N Bagde


Practicing since :2001

Answered : 1390 Questions

Posted on Thu, 7 Aug 2014 in Women's Health
Question: scan shows a gravid uterus.there is intra uterine gestation sac with ap diameter 33mm at ga 8wks 3 fetal pole yet liquor volume is adequate .internal os is close .both adnexa appear free.pouch XXXXXXX is empty .no free pelvic collection sighted .no fibrod. doctor comment early cyesis (blighted ovum. repeat scan two wks to determine viability.
Answered by Dr. Madhuri N Bagde 1 hour later
Brief Answer:
detailed answer below.

Detailed Answer:
Hello and welcome,

I am a consultant gynecologist and will be helping you in your queries.

If an ultrasound at 8 weeks suggests a sac without a fetal pole then there are two possibilities:
1. It is a delayed conception meaning that the pregnancy occured late and so a fetal pole is yet to develop.
2. It is a blighted ovum or a missed abortion.

In any case, the best way to rule out a blighted ovum is by getting a repeat scan after 2 weeks. If there is growth of the baby then a blighted ovum is ruled out and it is just a delayed conception.

So your doctor is correct.
Please wait for two weeks, take folic acid and progesterone tablets and then get a repeat scan after 2 weeks. If the fetal pole is still not seen then a blighted ovum will be confirmed and will need a surgical evacuation.

Do not worry, just wait.
Hope this satisfies your query.
Thanks for using HCM.     
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist

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

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication ,  
Medical Topics ,  

Recent questions on  Progesterone tablets

doctor1 MD

Hi. I have my wedding on 10.12.2017 for which I need my periods to completely stop by 09.12.2017. I am taking PAUSE MF from 03.12.2017 3 times/day. My periods have not completely stopped. Do I need to have some other medications or is PAUSE MF in...

doctor1 MD

hi! My 11 yr daughter (5 feet 4 inches, 56 kgs)has to go for outbound trip. She wants to delay her periods. Is there any medicine? What is the dosage? She is going to get her periods around Nov 21. How soon she should start the medication? Is it...

doctor1 MD

Hi, i am 18 years old and didn't have my period since 18 months. My Gynecologist diagnosed me with PCOS and put me on Duphaston (2 tablets/day for 10 days). But now it's been 15 days since I stopped Duphsaton and still did not have my period. I'm...

doctor1 MD

Hi Doc.

My querry is i had 1 abortion & 1 spontaneous abortion & 1 missed abortion.Doctor advised me to wait for at least for three months to conceive again.This time when i showed to a senior doctor she prescribed me few medicines.Amongst them she has told me to take Clofert-50mg.from the 2nd to the 6th day of MC. Will you plz. tell me why to take this one & when should i take Progesterone tablets. AND most importantly even if i'm conceiving what should i do or what medication i should be taking to retain the fetus, it would not be a blitained ovum again like last time(missed abortion);that is no heart beat was there on the 6th week...Plz. oblige me....

doctor1 MD

Hi, I am 33 yrs, I have PCOS, hypothyroid and with just one fallopian tube ( Unicornuate uterus on right), and have had 2 miscarriages. I have recently started taking M2tone syrup, but on Clomiphene as per doctor s prescription. Is it safe to take M2tone syrup along with Clomiphene? I live in UK, and here, doctors do not prescribe Progesterone Tablets. While in India, I was given progesterone from Day 20 of my cycle for 5 days. Can I take that, as I suspect, both my 2 miscarriages were due to low progesterone level.

doctor1 MD

I am 7 week pregnant, yesterday night i had light bright red vaginal bleeding without any cramps or abdominal pain.
My GP gave a injection Maintain 200 ml along with a Progesterone tablet. I am already on Thyroxine 100 mg and Folic acid.
In morning i didnt have any fresh bleeding. I would like to know whether such bleeding have any side effect on my fetus or any danger of abortion. Further more what precautions should i take in such case.

doctor1 MD


I had been diagnosed with PCOS and also thyroid problem 8 months ago, and my weight was 62kgs(Height-5feet,Age-28) at that time. I had an ectopic pregnancy at that time itself after taking Clomid and Progesterone tablets also with some injection too. Then treated by Methotrexate injection. Now my weight is 57kgs. Is my weight within normal range now? Also iam taking thyronorm 75mcg tablets everyday. Could you please let me know is it difficult for me to conceive bcz PCOS and Thyroid problem is being diagnosed?