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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Cramping And Spotting. Ultrasound Shows 2 Sacs With One Empty. Suggestions?

Ultrasound at 6 weeks showed an empty sac that measured 5 weeks. A week later I returned because of cramping and spotting also didnt feel pregnant anymore. Dr. now saw two sacs one with a yolk and embryo and the other empty. Next day I spotted red and passed some brown clots and then returned to brown spotting. Please help
Wed, 27 Feb 2013
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OBGYN,  's  Response
Hello
Thank you for your query.
I think you have had a twin conception, out of which one is non viable.
The spotting / brownish clotting is because of the non viability of the second one ( the failed second pregnancy )
As a yolk sac and embryo is visualized in the other sac, and if a heartbeat is clearly seen, it means that particular fetus is growing normally.
As the pregnancy appears to be dichorionic diamniotic ( two separate sacs as you mentioned ), chances of the non viable twin affecting the other are less, although not absent.
Continue taking adequate pregnancy support as prescribed by your gynecologist for the viable fetus.
Take care.
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Had Cramping And Spotting. Ultrasound Shows 2 Sacs With One Empty. Suggestions?

Hello Thank you for your query. I think you have had a twin conception, out of which one is non viable. The spotting / brownish clotting is because of the non viability of the second one ( the failed second pregnancy ) As a yolk sac and embryo is visualized in the other sac, and if a heartbeat is clearly seen, it means that particular fetus is growing normally. As the pregnancy appears to be dichorionic diamniotic ( two separate sacs as you mentioned ), chances of the non viable twin affecting the other are less, although not absent. Continue taking adequate pregnancy support as prescribed by your gynecologist for the viable fetus. Take care.