I am pregnant and had a USG. Why can’t I see the sacs clearly?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

If I explain the picture from the ultrasound report to you, it shows a single gestational sac (attachment removed to protect the patient's identity) because we can see only a single gestational sac with decidua capsularis and decidua basalis.

Suppose if it were two gestational sacs, we would have seen two hyperdense spots, that is, a gestational sac with above decidua capsularis and decidua basalis.

However, I want to confirm with you that this is a single intrauterine pregnancy.

You need to follow the following management.

1. You should book an antenatal follow-up check with a senior obstetrician and gynecologist.

2. Start taking a tablet of Folic acid 5 mg, one tablet at night, until the completion of the first trimester.

3. Start taking the tablet Cholecalciferol 2000 IU, one tablet, in the morning until the end of pregnancy.

4. You should repeat the obstetric scan.

   1. Seven to nine weeks for a dating scan.

   2. 11 to 13 weeks for nuchal translucency.

   3. 18 to 20 weeks for an anomaly scan.

   4. 28 weeks for the growth scan.

   5. 34 weeks for the growth scan.

   6. 36 weeks for the growth scan.

You should do the baseline investigations.

1. Blood group and Rh (rhesus) factor.

2. CBC (complete blood count).

3. Urine complete examination.

4. Viral markers HBsAg (hepatitis B surface antigen), anti-HCV (antibody to hepatitis C virus), HIV (human immunodeficiency virus)

5. Random blood sugar.

After doing all the baselines, you can share the reports with me.

I hope I have made it clear about your query. If you have any further queries, please do not hesitate to contact me at any time.

Thank you and take care.

Regards.

Hello,

Welcome back to icliniq.com.

I am deeply concerned about your worries.

I can clearly see one gestational sac; however, the small circular area in the left upper region could be another gestational sac. It is still unclear whether the decidua capsularis and decidua basalis are the same.

Since the pregnancy is at a very early stage, I recommend repeating the ultrasound in a few weeks to confirm these findings.

I truly appreciate how actively you are taking an interest in understanding your diagnosis and treatment. Your thoughtful questions and eagerness to learn more show great responsibility and commitment to your health.

Please do not hesitate to reach out if you have any further questions.

Take care.

Regards.