Hi,I am Dr. Aniruddha Malpani (Infertility Specialist). I will be looking into your question and guiding you through the process. Please write your question below.
Undergone IVF, Early Pregnancy, Gestational Sac, Yolk Sac, Absence Of Fetal Pole, High Hcg Level, Done Trans-vaginal Ultrasound,concerned About Unsuccessful Pregnancy
Hi, I had my first ultrasound at 6wks pregnant and we found a gestational sac and yolk sac at 5wks 4days. Just this morning (now 8wks 2days)we had a transvaginal ultrasound to check for fetal pole and heartbeat . Sadly, we did not detect any fetal pole and heartbeat but only gestational sac and yolk sac. The ultrasounds read 6wks and 2days. I am worried since this is an ivf cycle and the dates are accurately counted by my gyne. My dr said to do another ultrasound next week. I m worried. We had hcg blood test done and it was 27,000. Do I need to worry about my pregnancy not being viable? Pls help....
I am sorry but this pregnancy is very unlikely to be viable. At hcg level of 27000 a fetal pole with active heart beat should be seen. With 2 weeks of passage of time, one would also expect normal progression of structures seen on ultrasound, from sac and yolk sac at 6 weeks to sac with fetal pole and heartbeat at 8 weeks. Generally a repeat ultrasound is ordered to assure parents that the diagnosis is correct, only because it is emotionally so difficult. Good luck.
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Undergone IVF, Early Pregnancy, Gestational Sac, Yolk Sac, Absence Of Fetal Pole, High Hcg Level, Done Trans-vaginal Ultrasound,concerned About Unsuccessful Pregnancy
I am sorry but this pregnancy is very unlikely to be viable. At hcg level of 27000 a fetal pole with active heart beat should be seen. With 2 weeks of passage of time, one would also expect normal progression of structures seen on ultrasound, from sac and yolk sac at 6 weeks to sac with fetal pole and heartbeat at 8 weeks. Generally a repeat ultrasound is ordered to assure parents that the diagnosis is correct, only because it is emotionally so difficult. Good luck.