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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pelvic scan USS shows a gravid ante verted uterus with regular gestational sac. Advice?

Pelvic scan USS shows a gravid ante- verted uterus with AP diameter of 4.5cm containing a single regular gestational sac measuring 17mm x 16mm with no obvious fetal echo yet. Internal OS is closed. There is right adnexal cystic mass measuring 3.8cm x 4. 0cm. The left adnexium is free. Copious fluid collection sighted in the pouch of Douglas with a depth of 1.9cm.
Wed, 9 Oct 2013
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OBGYN 's  Response
Hi,
According to the size of the sac, your pregnancy should be around 6 weeks. At this stage, the yolk sac, fetal pole and cardiac pulsations are usually seen. As it is not evident, the sonogram should be repeated, preferably through the trans-vaginal route after another week. This should be accompanied by serial serum beta-hCG titres. Doubling titres every 2-3 days at this stage indicate good progress of the pregnancy. Take as much rest as possible, avoid stress in any form including sexual intercourse and eat healthy diet with plenty of liquids. Hope this helps.
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