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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does HCG Level Of 5/1 And 285.1 With Empty Sac Of 0.649cm Indicate?

Hi my last period was on 05/12/2011 and had an iui on 17/12/2011 and hpt positive on 3/1/2012. Hcg level on 3/1 was 176.1 and on 5/1 was 285.1. Since it did not double like it should, dr gave me 2 shots of pregnyl the following week 3 days apart. Yesterday (16/1/2012) I had the first ultasound, it only showed an empty sac of 0.649cm which dr said was very small. She told me not to have high hopes on this pregnancy and told me to go back in 2 weeks time. I'm so confused and upset now and would like to get a second opinion.
Thu, 4 Sep 2014
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Pathologist and Microbiologist,  's  Response
Hi!
welcome to HCM!
A blighted ovum (empty gestational sac) occurs when a fertilized egg implants into the uterine wall, however, the fetus does not continue to develop past the sixth to eighth week of gestation. There is continued development of the placenta and amniotic sac which produces hCG (giving the positive pregnancy test). Mostly detected within the first trimester.
A blighted ovum has many different treatment options and only a woman can decide which one is right for her.Some women will naturally miscarry and will experience slightly heavier menses then normal and may even pass small fragments of tissue. Other women will not want to wait for the natural process to occur and will opt for a chemically induced miscarriage or have a D&C (dilatation & curettage). A D&C is recommended for a miscarriage if the couple wishes for a doctor to examine the tissue and attempt to determine the reason for the blighted ovum (empty gestational sac). Take care!

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What Does HCG Level Of 5/1 And 285.1 With Empty Sac Of 0.649cm Indicate?

Hi! welcome to HCM! A blighted ovum (empty gestational sac) occurs when a fertilized egg implants into the uterine wall, however, the fetus does not continue to develop past the sixth to eighth week of gestation. There is continued development of the placenta and amniotic sac which produces hCG (giving the positive pregnancy test). Mostly detected within the first trimester. A blighted ovum has many different treatment options and only a woman can decide which one is right for her.Some women will naturally miscarry and will experience slightly heavier menses then normal and may even pass small fragments of tissue. Other women will not want to wait for the natural process to occur and will opt for a chemically induced miscarriage or have a D&C (dilatation & curettage). A D&C is recommended for a miscarriage if the couple wishes for a doctor to examine the tissue and attempt to determine the reason for the blighted ovum (empty gestational sac). Take care!