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Pregnant. Ultrasound does not show fetal pole. Prescribed Duphaston

According to LMP i am 7 weeks pregnant and the ultrasound report shows the gestational sac measuring 1.4 cm (gestation according to US is 4 week 4 days) but the fetal pole could not be visualized my physician told me to repeat the ultrasound after 2 weeks, and prescribed me medicine Duphaston to be taken twice for 2 weeks.
Asked On : Sat, 29 Dec 2012
Answers:  2 Views:  381
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General & Family Physician 's  Response
thank you.duphaston prescribed by your doctor for neuroendocrine control of endometrial growth to prevent abortion.take rest & continue the drug & repeat USG after 2 wks.
Answered: Sat, 29 Dec 2012
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Psychiatrist Dr. Jonas Sundarakumar's  Response
Hello and welcome to Healthcare Magic. Thanks for your query.

I understand that you must be worried and anxious about this discrepancy in the ultrasound report. Now, a difference of 2 weeks between the LMP and the scan gestational age is considered normal.

In the first trimester, a significant difference in age could indicate two things:
1) If your periods were irregular, then the calculation of your gestational age based on your last menstrual cycle is often not accurate.
2) Sometimes, a large difference between the expected size of your baby and what the scan reveals could indicate a missed miscarriage or a blighted ovum .

Like your doctor has suggested, the next course of action would be a repeat scan after two weeks. Duphaston (Dydrogesterone) is a steroidal progestin, which is sometimes prescribed in pregnant women, to prevent early miscarriages. So, don't worry too much, you can take the medication and wait for the repeat scan.

Wish you all the best.

Dr. Jonas Sundarakumar
Answered: Sat, 29 Dec 2012
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