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doctors advised a D&C but the sonologist has said wait

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i am 9 weeks pregnant according to my LMP but no yolk sac no fetel pole seen i recently did another ultrasound which now shows me that according to the gestational sac am only 6 weeks 1 day pregnant i was facing cramps in my lower stomach somewhere in the second and third week but no bleeding or spotting......doctors have advised a D&C but the sonologist has asked me to wait and come back in two weeks ....kindly advise what shall i do?????

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replied February 2nd, 2015
First Trimester of Pregnancy Answer A50953
Hi, and thanks for your query on eHealth forum!

You have been probably diagnosed as having a blighted ovum. An anembryonic (without the baby) pregnancy is characterized by a normal-appearing gestational sac, but the absence of an embryo. Normally a gestational sac with a yolk sac appears at about 5 weeks (calculated from your last missed period date) of pregnancy and can be well visualized by 6 weeks on a transvaginal (through a vagina) ultrasound. A pregnancy is anembryonic or blighted ovum, if an ultrasound through vagina reveals a sac with gestational sac diameter greater than 13 mm and no yolk sac, or diameter more than 18 mm with no embryo. Follow-up ultrasound is done after 10 days to verify diagnosis.

Normally it is wise to wait until 10-11 weeks of pregnancy for a confirmed diagnosis of blighted ovum or fetal death. Meanwhile monitor the HCG levels at 48 hours levels. If they rise and almost double in 48 hours, then chances of pregnancy carrying forward are high. If not, then I am sorry, but you will need to get the D and C done. Please re-consult your gynecologist regarding this. Hope this helps. Take care!

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