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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Lack Of Heartbeat In Fetus In 6 Weeks Pregnancy

My wife has PCOS..She underwent 2 IUI procedures. The second attempt was successful. She went for a scan 2 days back..doctor told her that there is no heartbeat. Incase of PCOS patients how do we calculate the weeks?? if we calculate from LPM.. it is 8-10 weeks..if we count from ovulation..it is 5-6 weeks. the doc told my wife after looking at fetus size that she is 6 weeks pregnant. doctor is not confident of hearbeat of the baby and advising us to wait for a week and then abort the baby using medicine..what should we do..we r stressed and shattered
Fri, 29 May 2015
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Radiologist,  's  Response
Hello, thanks for writing in. I understand your anxiety and worries.
When we are evaluating an early pregnancy, gestational age by LMP as well as by fetal size is measured. Ovulation date is not a part of the calculation per se. In case of assisted fertility treatments when the date of conception is known, it is easier to calculate fetal age.

Fetal heart beat appears at around approximately 6-7 weeks (later on trans-abdominal scans)
.
In cases of wrong dates, or irregular periods we do not know the approximate time of ovulation or conception, and the age by LMP and actual fetal size may not match.
So it is suggested to wait and re-scan in 1-2 weeks, assuming patient has had no cramping or bleeding.
There is no treatment for an absent heartbeat.
Please discuss with your doctor about this.
Hope this is helpful.
All the best.
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Suggest Treatment For Lack Of Heartbeat In Fetus In 6 Weeks Pregnancy

Hello, thanks for writing in. I understand your anxiety and worries. When we are evaluating an early pregnancy, gestational age by LMP as well as by fetal size is measured. Ovulation date is not a part of the calculation per se. In case of assisted fertility treatments when the date of conception is known, it is easier to calculate fetal age. Fetal heart beat appears at around approximately 6-7 weeks (later on trans-abdominal scans) . In cases of wrong dates, or irregular periods we do not know the approximate time of ovulation or conception, and the age by LMP and actual fetal size may not match. So it is suggested to wait and re-scan in 1-2 weeks, assuming patient has had no cramping or bleeding. There is no treatment for an absent heartbeat. Please discuss with your doctor about this. Hope this is helpful. All the best.