Blighted Ovum

A blighted ovum, otherwise called anembryonic pregnancy or anembryonic gestation, is when the embryo in the early stages stops growing and gets resorbed, leaving the gestational sac empty. It usually occurs between week 8 and 13.

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Can I still be pregnant if my hCG levels dropped?

Query: Hi doctor, I had a positive pregnancy test, and my hCG was 130. Then, I bled with small clots and had cramps for about an hour. When I went for blood work again, the hCG level came down to 9. They said I am either miscarrying or has lost it. I was about 3 to 4 weeks pregnant. The bleeding was not he...  Read Full »


Dr. R Balakrishnan Menon

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. Let me put forth a few facts. Beta hCG (human chorionic gonadotropin) is a hormone produced by the fetal cells. The level of hCG doubles every 48 hours. So, if the level was 130 mIU/mL, after 48 hours, it should be more than 260 mIU/mL. If the level falls, then it just m...  Read Full »

What is the chance of nonviable pregnancy with positive HCG?

Query: Hello doctor, I am a 42-year-old female with no known health conditions. I recently became pregnant (spontaneous conception). I approximate that I conceived on 19th June. I had a transvaginal ultrasound done on 23rd that only revealed an empty gestational sac measuring 6 weeks and 4 days. I was ...  Read Full »


Dr. Ridhi Narang

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. I would advise you to repeat your scan after one week as your beta HCG has been progressively increasing. If you still have just the sac and no pain or bleeding, you can go for medical management to terminate. Then it will be a missed abortion. TVS (transvaginal scan...  Read Full »

Is D and C procedure necessary for blighted ovum?

Query: Hi doctor, According to my LMP now I am 9 weeks pregnant. I went for USG TV 20 days back and it showed that I was 7 weeks and 2 days and now it would be 8 weeks. USG shown gestational sac with no yolk sac and fetal pole. They said it is BO and to go through D&C. I am confused what to do now. Sha...  Read Full »


Dr. Vidya

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. At 6 weeks and beyond we expect a fetal pole or yolk sac to be visualized on USG. By 7 weeks, we must see the cardiac activity. If there is no embryo and no heart beat even beyond 7 weeks, we call it a blighted ovum (BO) with only a sac and no contents inside. It can happ...  Read Full »

My pregnancy is not viable and scheduled to have a D and C after 5 days. Is that fine?

Query: Hi doctor,I have not had a period and have been testing positive for pregnancy. I went to Urgent Care this week and got a blood test. The doctor called me to confirm that I should be 8-10 weeks pregnant. I went to Planned Parenthood for an ultrasound yesterday, and we only saw a gestational sac and ...  Read Full »


Dr. R Balakrishnan Menon

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi,Welcome to icliniq.com.I understand your concern.The diagnosis of a blighted ovum or molar pregnancy can get easily confirmed on the scan. If in doubt, MRI can confirm the diagnosis. It is not a healthy pregnancy as by 5-6 weeks any pregnancy will be seen and also the cardiac pulsation. So at HCG...  Read Full »

Had Positive Pregnancy test & then bled heavily. Was it indicates miscarriage?

Query: Hi doctor, I did a pregnancy test last week, and it was positive. The next day at work I notice pinkish spots when I wipe. The next morning I started heavy bleeding with small clots, but I had no pain. The bleeding only lasted for three days. I need help. I am not sure if I am still pregnant or if ...  Read Full »


Dr. R Balakrishnan Menon

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. Sorry to hear about that and it sounds like a miscarriage. That day when urine was tested, mostly the second line was not as dark as the first. It means the hormone level was not high enough. Once you have heavy bleeding, it means the inner lining of the uterus has gon...  Read Full »

My ultrasound showed no fetus pole and yolk sac. Is it blighted ovum?

Query: Hi doctor, I am 7 weeks pregnant according to my last LMP. I got a scan on the sixth of this month, which showed 5 weeks and 5 days pregnancy, gestational sac 8.5mm, no fetus pole, and yolk sac. My doctor said we will repeat the scan after a week and will terminate the pregnancy. This is my second...  Read Full »


Dr. R Balakrishnan Menon

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. How are you doing? I am sorry for the previous loss. This time again it does not look very promising. Usually, by six weeks of pregnancy, fetal heart beat should be seen on the scan. Either the baby is not yet 6 weeks, so what the doctor said is right, you wait for a week...  Read Full »

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