Pregnant At 8 Weeks. Ultrasound Done, Showed Yolk Sac, No Fetal Pole Or Heartbeat, Dropping Hcg Levels. Do I Need D&C?

Posted on Mon, 26 Dec 2011

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 26 Dec 2011 Answered on

Tue, 19 Jun 2012 Last reviewed on

Question : Supposed to be 8 weeks pregnant. Had my first ultrasound and Dr said I had a yolk sac but no fetal pole or heartbeat . Hcg levels are not dropping but not significantly going up. Still feel pregnant. Is there any hope?

Answered by Dr. Meenakshi Titoria Sahu (4 hours later)

Hi,
Thanks for posting your query.

You should have your repeat scan 2 weeks after the first scan. In early pregnancy, the first thing visible on ultrasound is pregnancy sac followed by yolk sac and then the fetal pole and cardiac activity appear. If after 2 weeks, the ultrasound findings are improving, then you should not worry.

I hope I have answered your query. Please accept my answer if you have no follow up queries.

Best wishes

Above answer was peer-reviewed by : Dr. Aparna Kohli

Follow up: Dr. Meenakshi Titoria Sahu (8 hours later)

is it normal to not see anything in the yolk sac at 8weeks 4 days? My doctor wants me in for a D&C tomorrow.

Answered by Dr. Meenakshi Titoria Sahu (8 hours later)

Hi,

It is difficult to visualize anything in yolk sac as it is a very small structure. In my opinion you should review your ultrasound report with films with other Radiologist / Gynecologist.

All the best.

Above answer was peer-reviewed by : Dr. Shanthi.E