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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Urine Pregnancy Test Positive. Ultrasound Shows Small Sac But No Baby. Is This A Problem?

hello,
i have taken 2 home test and one in the doctors office, 2 weeks ago i went for my appt to see if i was indeed preg, the urine test said yes, but no heart beat was detected, so a ultarasound was done, and could only find a pin hole of the sac, today i went for another ultasound could not find the baby but the sac is bigger, is this a problem we are suspeciting i am 5 weeks along

posted on Fri, 19 Jul 2013
Twitter Fri, 19 Jul 2013 Answered on
Twitter Fri, 19 Jul 2013 Last reviewed on
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OB & GYN Specialist,  's  Response
Hello,

First of all, ultrasound scan is quite normal with above features. In TVS scan, gestational sac is usually seen around 4-5 weeks, yolk sac around 5-6 weeks and fetal heart beat & pole around 6-7 weeks. So, you have to repeat the TVS scan after 2 weeks for more detailed picture of growing fetus.

Take folic acid and vitamin supplements and do periodic check up to your gynecologist. Take adequate bed rest and avoid heavy work. Good luck.
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General & Family Physician,  Dr. Lohit K's  Response
Hi, Thanks for using HCM.

I congratulate you for being pregnant. Positive urine test with sac in uterus suggest you are pregnant. Trans vaginal sonography detects better than abdominal scan. So since 5 week get done pervaginal USG done. Transvaginal or abdominal ultrasound showing no fetal heartbeat will mean one of two things: either the pregnancy is too early for the heartbeat to be visible(
Hope I answered your question. Feel free to ask me if you have any further queries.
Wish you good health. Take care.

Regards
Dr. Lohit
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General & Family Physician,  Dr. Vidya KR's  Response
Hi, Thanks for using HCM.

Need not have to worry.at 5th week of ammenorrhea usually sac will be detected by trans abdominal scan, to get fetal pole it takes 8 weeks of ammenorrhea. early detection is possible in trans vaginal scan.
raising blood HCG titers confirms diagnosis.
Consult your doctor for examination and management.
Hope I answered your question. Feel free to ask me if you have any further queries.
Wish you good health. Take care.

Regards
Dr. Vidya
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Urine Pregnancy Test Positive. Ultrasound Shows Small Sac But No Baby. Is This A Problem?

Hello, First of all, ultrasound scan is quite normal with above features. In TVS scan, gestational sac is usually seen around 4-5 weeks, yolk sac around 5-6 weeks and fetal heart beat & pole around 6-7 weeks. So, you have to repeat the TVS scan after 2 weeks for more detailed picture of growing fetus. Take folic acid and vitamin supplements and do periodic check up to your gynecologist. Take adequate bed rest and avoid heavy work. Good luck.