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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Any Online Doctor Help Me With The Ultrasound Results?

U/s at 5 weeks 5 days showed a well defined gestational sac but no foetal pole. U/s at 7 weeks again a well defined sac but no viable fetal pole seen (very small, not an expected growth). HCG in 6-7 weeks are rising tremendously as 169880 mul. Do i have to miscarry? Or sh i wait ?
Tue, 25 Feb 2014
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OBGYN 's  Response
Hello
Thanks for writing to us with your health concern.
Hello
Thanks for writing to us with your health concern.
Normally, cardiac activity appears on ultrasound scan by 6 weeks, when the scan is done vaginally.
Was your scan done vaginally or transabdominally ?
Abdominal scans are not as reliable as transvaginal scans in dating a pregnancy.
Also, what was the date of your last menstrual period ?
If you have a history of delayed cycles, or irregular cycles, then you can wait and watch for another week for a repeat scan, which might show heartbeat.
Meanwhile, take rest.
Avoid stress and intercourse, and take the medications as prescribed.
Please ensure that the repeat scan that is done after a week should be done transvaginally.
If you have cramping / spotting / pain or expulsion of clots at any time, go the ER immediately, and do not wait for a week.
Your rise in B HCG levels are quite reassuring, they do not tally with the results of the scan .
All the best.
Please feel free to discuss further.
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Can Any Online Doctor Help Me With The Ultrasound Results?

Hello Thanks for writing to us with your health concern. Hello Thanks for writing to us with your health concern. Normally, cardiac activity appears on ultrasound scan by 6 weeks, when the scan is done vaginally. Was your scan done vaginally or transabdominally ? Abdominal scans are not as reliable as transvaginal scans in dating a pregnancy. Also, what was the date of your last menstrual period ? If you have a history of delayed cycles, or irregular cycles, then you can wait and watch for another week for a repeat scan, which might show heartbeat. Meanwhile, take rest. Avoid stress and intercourse, and take the medications as prescribed. Please ensure that the repeat scan that is done after a week should be done transvaginally. If you have cramping / spotting / pain or expulsion of clots at any time, go the ER immediately, and do not wait for a week. Your rise in B HCG levels are quite reassuring, they do not tally with the results of the scan . All the best. Please feel free to discuss further.