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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does "little Inside The Sac But No Fetal Pole/yolk Sac" Indicate?

Hi, I am 6 weeks pregnant and I just recently started to have a brown discharge spotting. I had blood work done and my hcg levels are over 2000 so they conducted an ultrasound. In the ultrasound they saw a gestation sac, a little inside the sac but no fetal pole,yolk sac or no heartbeat. I am concerned and i go back to the doctor tomorrow morning. Could this be a miscarriage?
Wed, 24 Feb 2016
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OBGYN,  's  Response
Hi
Dr. Purushottam welcomes you to HCM virtual clinic!
Thanks for consulting at my virtual clinic. I have carefully gone through your query, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.

Please do not panic.

As there is sac inside the uterus , means you are pregnant.
Sometimes fetal pole and yolk sac are not seen if you have conceived late due to delay in ovulation.
You can verify the viability of pregnancy after 2 weeks on USG.
Till then support the pregnancy with micronized progesterone 200 mg twice a day for 2 weeks. Tab Vitamin C 500mg 2 times a day for 10 days, tab PAUSE 500 mg two times a day for 5 days.
Take rest. Do not over exert. Be calm, think positive.
All things will be fine.

I hope my answer helps you.
Thanks.
Wish you great health.
Dr Purushottam S Neurgaonkar
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What Does "little Inside The Sac But No Fetal Pole/yolk Sac" Indicate?

Hi Dr. Purushottam welcomes you to HCM virtual clinic! Thanks for consulting at my virtual clinic. I have carefully gone through your query, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options. Please do not panic. As there is sac inside the uterus , means you are pregnant. Sometimes fetal pole and yolk sac are not seen if you have conceived late due to delay in ovulation. You can verify the viability of pregnancy after 2 weeks on USG. Till then support the pregnancy with micronized progesterone 200 mg twice a day for 2 weeks. Tab Vitamin C 500mg 2 times a day for 10 days, tab PAUSE 500 mg two times a day for 5 days. Take rest. Do not over exert. Be calm, think positive. All things will be fine. I hope my answer helps you. Thanks. Wish you great health. Dr Purushottam S Neurgaonkar