Fetal Pole

The earliest visual evidence of a developing fetus with the help of a vaginal ultrasound is called fetal pole. The thickening of the margin of the yolk sac of a fetus is looked for at the 6 to 8 week.

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Why had my doctor suggested Dydrogesterone tablet for a month?

Query: Hi doctor, I did not get my periods last month. The actual due date was 15, but on the 22nd I got spotted. Then, I had a strip test, which came as positive. After four days, I went to my doctor for spotting and pain. My ultrasound report showed less than 5 weeks of pregnancy. There is no fetal sac a...  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. The absence of fetal pole and irregular sac on ultrasound are an indicative of a chemical pregnancy. But, less than 5 weeks gestation is not to be considered as definite time to decide chemical pregnancy. Fetal heart rate and fetal pole have been seen arriving ev...  Read Full »

My wife is pregnant, and her ultrasound report is attached. How likely is a healthy pregnancy?

Query: Hi doctor,My wife is pregnant. The fetal pole and heartbeat were not visible at six weeks and three days in the first ultrasound report. The doctor stated that at this time, everything should be visible in the scan for a normal pregnancy and that she should also wait ten days before retaking the ult...  Read Full »


Dr. Reetika

Answer: Hello, Welcome to icliniq.com. I understand your concern. I looked over the image (attachment removed to protect the patient's identity). Your wife is taking all the proper medications, and the doctor is correct in recommending a follow-up after ten days because it is a very early pregnancy. Yes,...  Read Full »

My wife is 2 months pregnant, but no heartbeat seen in the scan. What to do?

Query: Hi doctor, My wife is 2 months pregnant. On ultrasound, no growth and heartbeat is seen. What can we do? Please help.  Read Full »


Dr. Radhakrishnan Nair Bhaskaran

Answer: Hi, Welcome to icliniq.com. I am very sorry for both of you and I understand your concern. If there is no heart beat after two months, then the baby will not be alive. Consult a gynecologist at the earliest and take medicines to abort.   Read Full »

An ultrasound after IVF has no signs of a fetal pole. Why?

Query: Hello doctor, I have a question about my pregnancy and my IVF transfer. I had an ultrasound five days back with my IVF doctor. They are calculating my pregnancy at seven weeks. I had a five-day embryo transfer last month and found out that I am pregnant. However, after my fourth ultrasound yesterday...  Read Full »


Dr. Uzma Arqam

Answer: Hi, Welcome to icliniq.com. It seems it was anembryonic pregnancy means the sac was formed but without a fetal pole. Sac is not growing inside to have a fetal pole and gradually towards further stages of pregnancy even after hormonal support. It is a bit depressing but if you want to wait for some...  Read Full »

We found our fetus with no heartbeat in the first trimester and worried about the consequences. Please help.

Query: Hi doctor, My wife is now 8 weeks and 5 days pregnant. She started to bleed three days back and felt little cramps. We had our first early trimester scan and they said that they are unable to detect fetus heartbeat. They arranged for another scan in some 15 days. She is taking Pregnacare Folic acid....  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. If she is 8 weeks and 5 days gestation as of today and still there has been no heartbeat or a fetal pole, then it is likely to be an anembryonic gestation or a chemical pregnancy with just the gestational sac. If the fetal pole and the heartbeat have not arrived t...  Read Full »

How long should I wait before terminating the pregnancy for a 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. Balakrishnan R

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 »

What ranges of beta hCG indicate a healthy pregnancy?

Query: Hello doctor, My wife had two serum beta hCG tests at a 48 hours interval, and the results were for 13936 mIU/mL and 21552 mIU/mL, respectively. Her last period was 15 days ago. In her previous periods, she had clots along with spotting. Kindly help.  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. Thanks for the query. You are in six weeks of gestation today. Beta hCG (human chorionic gonadotropin) levels show a rise of only 55%, which is below the expected range. So, it is likely a failing pregnancy. If the bleeding has not stopped with the Pr...  Read Full »

I am bleeding during pregnancy. Could it be due to sexual intercourse?

Query: Hi doctor, I am a 27 year old woman. I am 5 weeks 2 days pregnant as per USG report. Four days ago, I have had a little bleeding with pain. It was mucus type blood and dark brown colored. I went to a local gynecologist for seeking medical treatment. He advised me to take Duphaston 10 mg tablet twi...  Read Full »


Dr. Sanjay Kumar Bhattacharyya

Answer: Hello, Welcome to icliniq.com. Truly speaking, any form of bleeding in pregnant state is risky and needs consultation. An ultrasonography is appropriate here, but you need another scan at 7 weeks or 2 weeks later to know whether you are having any viable fetus or not.  Absence of fetal heartbeat or...  Read Full »

Based on the scan report, is my baby fine?

Query: Hi doctor, I am 46 days pregnant. I am 29 years old. My weight is 5'8" and weight is 78 kg. I was on Clomid 50 mg and conceived in the first cycle. I am taking MCBM 69, Nutragest 200, Thyronorm 25 as my thyroid is on the border and Ecosprin. I am also taking Infertigin 5000 injections every week....  Read Full »


Dr. Neha Rathod

Answer: Hi, Welcome to icliniq.com. I have gone through your scan report (attachment removed to protect patient identity). You are 5 weeks 1 day pregnant and usually the heartbeat is seen only after 6 weeks. So, there is nothing to worry. You need not keep your fingers crossed as well. Definitely, the heart...  Read Full »

My LMP is 6 weeks, then why does the scan show only 4.4 weeks gestation?

Query: Hi doctor,I am 26 year old female. I had my last periods one and a half months back. In between I had Regestrone tablets thrice daily for 3 days and Meprate 10 mg tablets thrice daily for 2 days. Today, I had spotting of reddish brown color. A transvaginal and transabdominal ultrasound was done. It ...  Read Full »


Dr. Sanjay Kumar Bhattacharyya

Answer: Hi, Welcome to icliniq.com. I must tell you that those reports are not very convincing for a healthy pregnancy (attachment removed to protect patient identity). Though fetal pole could not be visualized, the beta HCG level should be more in this gestational age. Size is also 2 weeks less, which sign...  Read Full »

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