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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Brown Discharge. Ultrasound Of The Embryo Showed No Fetal Pole Or Yolk Sac. Why?

Hi, i had an ultrasound last feb.5,2013 and the result is there is well decidualized gestational sac with an embryo with good cardiac activity. Pregnancy uterine 6wks and 3 days. Just yesterday, it started as brown discharge then become brown red around 9:00 pm after i peed. I rushed to the ER and they just took a blood sample and they scheduled me for pelvic ultrasound the nextday. The u/s result is there is a single intrauterine gestational sac with decidual reaction. Corresponding to 5wks 5days. No fetal pole or yolk sac identified. No heart rate detected. D
Thu, 7 Mar 2013
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OB & GYN Specialist,  's  Response
Hello,

Brown to red period discharge may indicate sign of early miscarriage which corresponds with USG scan also ( no fetal pole & no heart rate).

Here, you should undergo beta HCG level estimation in blood & TVS scan to confirm viability of fetus once again. In such cases, medical therapy like progesterone can be given.

Otherwise, you have to proceed medical or surgical abortion ( D & C) after consultation with gynecologist.

Be well & take care.
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Brown Discharge. Ultrasound Of The Embryo Showed No Fetal Pole Or Yolk Sac. Why?

Hello, Brown to red period discharge may indicate sign of early miscarriage which corresponds with USG scan also ( no fetal pole & no heart rate). Here, you should undergo beta HCG level estimation in blood & TVS scan to confirm viability of fetus once again. In such cases, medical therapy like progesterone can be given. Otherwise, you have to proceed medical or surgical abortion ( D & C) after consultation with gynecologist. Be well & take care.