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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Early pregnancy ultrasound showing gestational sac with fetal pole, enlarged uterus. What does this report mean?

Hi, i m about 7 weeks pregnant. I m holding the result of a scan i had 4 days ago but can t understand the details: gestational sac with foetal pole within free sac enlarged uterus with smooth outline and uniform myometrial echopattern with AP diameter of 70mm foetal cardial activity equivocal pouch of douglas empty adnexae are free early cyesis GA 18weeks 0day CRL 15mm EDD 29/06/13 Can you please help me understand this result? Thank you. Tee.
Mon, 3 Dec 2012
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OBGYN 's  Response
Hello,
I appreciate your query.
You have not mentioned if you had an abdominal or transvaginal ultrasound.
However, I will proceed to explain the result to yu.
Gestational sac means the pregnancy sac ( bag ) which is inside your uterus, it contains a foetal pole ( the baby itself , which is very tiny at this stage ). The uterus is enlarged to accomodate the pregnancy.
Pouch of douglas empty is normal
Adnexa free means that both your ovaries and tubes are clear and normal.
The slightly doubtful part is when you mention that foetal cardiac activity is equivocal, which means that it is not clear on the ultrasound whether the cardiac activity is present or not ( whether the baby's heartbeat is present or not ).
I am sure you have made a mistake while typing this question.
CRL 15 mm, means that the pregnancy is 8 weeks.
Not 18 weeks.
GA - gestational age - weeks of pregnancy
EDD - is the expected date of delivery , which will be 29.6.13.
Hence, your report appears to be fine, apart from the query on the heartbeat of the baby.
I would advise you to go for a repeat ultrasound around this time, since it is already a week since your previous report, and at 8 weeks , the cardiac activity should definitely be present, else it indicates a failed pregnancy.
Also, if an abdominal scan fails to detect the cardiac activity, please go for a transvaginal ultrasound to confirm it.
Hope this helped you and best of luck
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Early pregnancy ultrasound showing gestational sac with fetal pole, enlarged uterus. What does this report mean?

Hello, I appreciate your query. You have not mentioned if you had an abdominal or transvaginal ultrasound. However, I will proceed to explain the result to yu. Gestational sac means the pregnancy sac ( bag ) which is inside your uterus, it contains a foetal pole ( the baby itself , which is very tiny at this stage ). The uterus is enlarged to accomodate the pregnancy. Pouch of douglas empty is normal Adnexa free means that both your ovaries and tubes are clear and normal. The slightly doubtful part is when you mention that foetal cardiac activity is equivocal, which means that it is not clear on the ultrasound whether the cardiac activity is present or not ( whether the baby s heartbeat is present or not ). I am sure you have made a mistake while typing this question. CRL 15 mm, means that the pregnancy is 8 weeks. Not 18 weeks. GA - gestational age - weeks of pregnancy EDD - is the expected date of delivery , which will be 29.6.13. Hence, your report appears to be fine, apart from the query on the heartbeat of the baby. I would advise you to go for a repeat ultrasound around this time, since it is already a week since your previous report, and at 8 weeks , the cardiac activity should definitely be present, else it indicates a failed pregnancy. Also, if an abdominal scan fails to detect the cardiac activity, please go for a transvaginal ultrasound to confirm it. Hope this helped you and best of luck