Medical Questions > Pregnancy Forum > Miscarriage and Stillbirth Forum

7 weeks pregnant and no fetal heart beat during first ultrasound

If a fetal heartbeat isn't seen during your first ultrasound and vaginal ultrasound during your 7 weeks of pregnancy, it is a sign you are going to miscarry or you already miscarried?

The radiologist talked to my doctor's office to schedule a d&c. How do they know for sure I miscarried? I have no signs of bleeding or cramping. Although, I don't have any signs of pregnancy anymore (no sore nipples and occasional feeling of nauseated).
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replied January 18th, 2012
Active User, very eHealthy
Absolutely not! I didn't even show a sac at 7 weeks pregnant! I did the following day, but barely. I went in at 8 weeks and they weren't certain they saw a heartbeat but it's still growing at the same pace, just 2 weeks behind. Wait 10 days and do another ultrasound! I have read many stories of women who were told to have a D&C and decided to wait and went on to have a healthy pregnancy!
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replied September 29th, 2019
Thank you for asking at Ehealth forum!

I read your question and i understand your concern. The heart starts beating 22 days after conception and should be visible via ultrasound during the 6th week of pregnancy, certainly by 7 weeks. Now that alone is not always reason for concern if you are not 100% on your dates. But the lack of heartbeat and spotting do suggest miscarriage. Repeat your ultrasound after 5-7 days and see the results.

I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor.
Take care
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