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No visible development in yolk sac week 4/5. Is this miscarriage

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September 11th, 2011
My last periods were Aug 1st-4th. I had a sonohysteography with echovist on Aug 10, recommended to check on endometriosis/right ovary pain. Last year I had a leparoscopy for cyst removal, my left ovary and tube had to be removed. We first had intercourse on the 10th of Aug. I missed my periods in the sept cycle, started feeling sore and heavy in my breasts. My O&G recommended blood work and confirmed pregnancy on Sep 4th. He ordered first ultrasound in week 6 (booked for Sep 23). I experienced a dull pain in the right ovary area 2 days ago. An ultrasound confirmed today (Sep 11) the sac is in the uterus. However, the ER doc said that since I am in 5.6 weeks and nothing else visible inside sac, concluded that this is early pregnancy loss. Now no more pain, and no bleeding, spotting occurred even once. Is this really a miscarriage? I will have O&G’s recommended UTs on Sep 23. Can I be 5.6weeks into pregnancy? Today is Sep 11 and if I had my first intercourse in the last cycle on the 10th of aug - that makes it exactly 4 week from conception (assuming conception happened on 10th). Is this not a bit too early to see any growth in the sac? Please help.
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replied September 14th, 2011
Hi,
Welcome to ehealthforum,
During early pregnancy, ultrasound scans can fail to detect the gestational sac/fetal heartbeat. At about 6-8 weeks of gestation, it gets clearer. Wait and go ahead with getting repeat scan (preferably transvaginal ultrasound scan) to look for the fetal pole and heartbeat. You can also consider requesting your gynecologist/obstetrician for getting serial HCG levels tested. Doubling up of the hormone levels in 48-72 hours will show that pregnancy is going on smoothly. If levels are not adequate, then external hormonal supplements should be considered to be started to help with preventing miscarriage/threatened abortion. Take adequate rest. Drink plenty of water. Maintain healthy diet. Be in regular follow-up and monitoring of your treating gynecologist/obstetrician and report any unusual/abnormal/new symptoms immediately.
Take care.



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