Home » Browse Health Topics » Pregnancy Loss » No Gestational Sac Growth
No Gestational Sac Growth
Dear Ask The Doctor:
My wife is 37. A vaginal ultrasound one week ago showed gestational sac and yolk sac. She believes she got pregnant about 1 week after Valentine's Day. A second vaginal ultrasound yesterday (1 week after the first) showed gestational sac and yolk sac, but no embryo. And importantly, it showed no growth in gestational sac (I'm not sure if this means absolutely no growth, or very little growth). My question is, is failure of the gestational sac to grow as expected, at this point in time, indicative that there WILL be a miscarriage? Or is it POSSIBLE that despite the lack of growth, she could have a viable pregnancy. My research indicates that blighted ova occur when the sac continues to grow, but no embryo grows. What about when the sac DOESN'T continue to grow between, say, the 4th and 5th week. In such a situation, is miscarriage CERTAIN? If she is not bleeding or infected or in pain, is there any medical downside to waiting another week or two before deciding to have a dc?
Answer:I do understand your concern about a blighted ovum. However, ultrasound done early in the gestation cannot reliably diagnose a pregnancy. Transabdominal ultrasound cannot reliably diagnose pregnancies that are less than 6 weeks gestation. Transvaginal ultrasound, by contrast, can detect pregnancies earlier, at approximately 4 ½ to 5 weeks gestation. Sometimes it may take serial ultrasounds to confirm a diagnosis. You may even consult your doctor for quantitative HCG analysis. A rising level of HCG will indicate a viable pregnancy. If the next ultrasound shows nothing in the sac, it is either a blighted ovum (which means a baby did not form, only the sac) or it is a pseudo sac (fake sac). I wish you well and do hope for a positive outcome.
Have a Question? Ask The Doctor Here.
Sign In to join in the conversation.
My question is about my pregnancy loss and DNC
I salam.... I am sabeen .... i have lost my pregnancy after 4 weeks and had DNC.... after 10 days of dnc i am sufferi...
Just wondering a few things actually. Sunday the 8th of February I went to hospital and was told that I was mis car...
No cardiac activities found - 7-8 weeks missed ...
Hi doctor, my wife has ultrasound done 03/01/2015. At that time she was 6 week 3 days pregnant.We got 90 cardiac puls...
How long does it take your cervix to close afte...
How long does it take your cervix to close after a d&c..and when is safe to wear tampons again?
I have been on Mercilon birth control since Nov...
I have been on Mercilon birth control since November last year. My boyfriend and I had intercourse at the beginning o...
Did pregnancy woman can take swine flu vaccine?
Sir,is there any problem for taking swineflu tablets for pregnant woman
Early miscarriage now suffering severe back ache.
Last week i had a miscarriage at 6 weeks pregnant. The bleeding only lasted 5 days and it wasnt really painful. The l...
Is arm pain connected to miscarriage?
Hi. I am currently going through a miscarriage. I have mild cramping and small blood clots. The doctor confirmed i ha...
Pregnancy Travel - Can I travel
Hi, if you're 38 years old and having my an otherwise healthy first pregnancy, at the beginning of your third trimes...
Could I have Miscarried?
I started to get cramps this past friday, which wasn't bothersom as I was expecting my period soon anyway. My period ...
You’re in good hands, meet ATD’s founding physicians.
Dr. Suneel Sharman M.D.
- Board Certified GP
- CMO ATD Health Network Inc.
- Adjunct Professor at U Of T
Dr. Kunaal Jindal M.D.
- Board Certified Plastic Surgeon
- Director ATD Health Network Inc.
- Fellowship Training Atlanta, GA