Common "Gestational Sac" queries answered by top doctors | iCliniq

Gestational Sac

The fluid-filled cavity surrounding the embryo is called a gestational sac. It is the first sign detected in an ultrasound during early pregnancy (around 3 to 5 weeks).

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No gestational sac on ultrasound. Should I abort?

Query: Hello doctor, I had LMP 40 days back and positive pregnancy report but after six weeks, ultrasound mass is there but no gestational sac. The doctor has advised to go for abortion. I am confused. Kindly help. Thank you.  Read Full »

Dr. Uzma Arqam

Answer: Hi, Welcome to There are many scenarios in addition to normal healthy pregnancy in early pregnancy like missed miscarriage (baby died or did not get heart beat), ectopic pregnancy (pregnancy growth outside normal location in female body where it is harmful to both mother and developin...  Read Full »

There is no yolk sac and fetal pole in gestational sac. Why?

Query: Hi doctor, I am six weeks and six days pregnant. My urine test is positive and beta hCG is also increasing but I am very upset about my ultrasound report. There is gestational sac in my uterus but from last week there is no yolk sac and fetal pole. I have a dark brownish discharge from six days wit...  Read Full »

Dr. Uzma Arqam

Answer: Hi, Welcome to You are receiving enough supportive treatment. In case of discrepancy between dates and scan, yolk sac and fetal pole could appear but there is continuous brown discharge which is risk actually. Have a complete avoidance of restricted activities that can trigger a misca...  Read Full »

I have pregestational hemorrhage. Please help.

Query: Hello doctor, I am a 10-week pregnant female. When I was seven weeks and six days pregnant, I had a dating scan. Due to my doctor's busy schedule, I still could not meet her and I can only meet her next week. Today I got the report and somewhere in it, it mentioned that there is a "pregestational he...  Read Full »

Dr. Vandana Andrews

Answer: Hello, Welcome to I can understand your concern. A pregestational hemorrhage, also known as a subchorionic hemorrhage, is a small bleed that occurs between the chorion (the outermost layer of the embryo) and uterine lining before the embryo has implanted. It is a common finding on ultra...  Read Full »

Please explain the normal features of early pregnancy.

Query: Hello doctor, Two weeks ago I had 10 positive home urine pregnancy tests. I consulted with my obstetrician and they sent me for two blood tests 48 hours apart. The blood test showed my hCG level more than doubled within 48 hours which the obstetrician said was great. Well because I have irregular pe...  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome to In early pregnancy, by six weeks of gestation, the gestational sac is often not seen and only decidual reaction can be appreciated in the uterus, but as the hCG levels are doubling, there is definitely a viable ongoing pregnancy either inside or outside uterus, so a ...  Read Full »

I am pregnant through IVF. Please review my fifth week scan.

Query: Hello doctor, I need advice on the week five ultrasound for IVF pregnancy. hCG has been doubling appropriately.  Read Full »

Dr. Chitrangada Jitendra

Answer: Hello, Welcome to The scan (attachment removed to protect patient identity) shows a single intrauterine gestational sac of about four to five weeks. However, the sac is a bit irregular. It could indicate early failure. A follow-up with transvaginal ultrasound is recommended at one-wee...  Read Full »

Is my pregnancy safe if the fetal pole is missing but the yolk sac and gestational sac are present?

Query: Hello doctor,The yolk sac and gestational sac are present in transvaginal sonography, but the fetal pole is missing. I am experiencing pregnancy-like symptoms. Is my pregnancy safe? I had severe cramps two weeks ago and visited the doctor. She denied the pregnancy. Last week, the pregnancy was confi...  Read Full »

Dr. Sanap Sneha Umrao

Answer: Hello,Welcome to understand your concern. In early pregnancy, locating the fetal pole and detecting a heartbeat can sometimes be difficult. This is often considered a technical error. Therefore, we usually suggest repeating the scan after two weeks. Right now, there is no need to worry...  Read Full »

I am five weeks pregnant, and the embryo was not seen on the scan. Why?

Query: Hello doctor, I am 29 years old. My last period was about two months back, and I had the bleeding for three days. I found out that I was pregnant about four weeks back. I had an ultrasound scan vaginally two days back, and the doctor did not find a fetus. She just found that I was five weeks and one...  Read Full »

Dr. Mavani Jimesh Himatbhai

Answer: Hi, Welcome to If she found that you are five plus one weeks pregnant, then that means she has found the gestational sac with some fetal tissue but no cardiac activity. I have to see the sonography report to comment on it. Usually, around four to five weeks, the fetal poles can be ...  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 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. If the baby is h...  Read Full »

Can I travel with little bleeding from a thick endometrium?

Query: Hello doctor, I took a home pregnancy test 44 days after my last LMP. I underwent my pelvic scan today and it says I have no gestational sac and have a thick endometrium. I have very mild bleeding for the past two days and slight press on my right lower abdomen. My doctor has suggested me to take hC...  Read Full »

Dr. Balakrishnan R

Answer: Hello, Welcome to You can definitely take a long flight. What you had was a biochemical pregnancy meaning pregnancy hormones only in blood and urine and not on the scan. Urine pregnancy is positive when the blood level of beta hCG (human chorionic gonadotropin) hormone is 25 IU/mL. ...  Read Full »

I had a chemical pregnancy last month. Is it normal to only see the gestational sac?

Query: Hello doctor,I had a chemical pregnancy last month. My hCG is 17070 mIU/mL, but there is only a sac visible so far. I believe I am about five to six weeks pregnant, but the doctor is unsure. We only saw a gestational sac this week. What could this be? Please help.Thank you.  Read Full »

Dr. Sanap Sneha Umrao

Answer: Hello,Welcome to read your query and understand your concern. According to the hCG (human chorionic gonadotropin) value, the pregnancy is around five to six weeks. At this stage, it might be difficult to see the sac and locate the heartbeat, and it is fine to consider it as a technical...  Read Full »

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