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What Causes Irregular Gestational Sac In Pregnancy?

Posted on Thu, 15 May 2014

Question: Hi doctor;
Am 6wk pregnant,had spotting.so i consult my Dr.she asked to take u/s.in u/s it shows irregular gestational sac and no foetal pole.Dr prescribed to take susten 200 for 10 days and rescan after 10 days.she had only 10 % hope.
Dr i want to know why this happens,Am worried,this is my 2nd pregnancy ,have 4yr baby girl by ceaserian .
Can we wait for another 2 wks if rescan have no improvement.
Could you please give the ansr. Thank you

Answered by Dr. Mahesh Koregol (15 minutes later)

Brief Answer:
yes

Detailed Answer:
Hi,

I read your query and I understand your concerns.

Following is my reply:

1) By 6 weeks there should have been a a fetal pole along with cardiac activity.

2) Since only a sac is seen the probability of fetal pole and heart beat appearing after this is very less and hence your doctor has said less chances.

3) You can wait for 10 days and repeat a scan. Meanwhile continue medicines given by doctor.

4) If scan has same findings after 10 days, it is better to stop medicines and let it abort.

5) This generally happens because of possible chromosomal abnormality and may not repeat again.

Let me know if you have any more doubts.

Regards,
Dr. Mahesh Koregol

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (38 minutes later)

my scaning report attached

Answered by Dr. Mahesh Koregol (6 minutes later)

Brief Answer:
no

Detailed Answer:
Hi

I dont see any scan report attached.

Please scan and upload it.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (13 minutes later)

scanning report attached

Answered by Dr. Mahesh Koregol (4 minutes later)

Brief Answer:
Yes

Detailed Answer:
Hi

I saw the scan report. It shows non viable embryo. It has to be repeated after 10 days to confirm viability.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Mahesh Koregol (21 minutes later)

if rescan report is negative, can i prefer aborting tablets; i wish to take tab, may tab cause any side effect.or its compulsory for d&c.d&c cause any harmful effect for uterus or next pregnency. after abortion, rest,time period for next pregnency .thanks for ur valuable answers and pray for me.

Answered by Dr. Mahesh Koregol (4 minutes later)

Brief Answer:
yes

Detailed Answer:
Hi

It is very early gestation. If rescan is negative you may not need tablets also. Wait for 2 weeks and you might abort yourself without tablets.

If not tablets are more than enough. Get prescribed from your doctor after next scan if negative.

D&C not required.

I pray the god to bless you.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar