Q. I am pregnant with good hCG, but there is no sac in sonography. Why?

Hi,

Welcome to icliniq.com.

I can understand your concern. According to your statement, you have been suffering from amenorrhea and your last menstrual was 45 days ago. Your beta HCG count was 7290 and 8800 at a gap of five days but USG (ultrasound) of pregnancy profile or transvaginal sonography has shown no sign of sac.

If a gestational sac is not seen on transvaginal ultrasound by around six weeks gestational age, there are several things which can be happening such as the pregnancy is ectopic, or the pregnancy is a miscarriage, or it is too early in the pregnancy.

The ultrasound did not show a gestational sac that means the doctors are not sure whether it is ectopic pregnancy, miscarriage, or a very early but normal pregnancy due to incorrect timing. It is totally frustrating but sorry to say that you need to follow up. Ultrasound and repeat beta HCG levels after two to four weeks to exclude the causes for your present sufferings.

Hello,

Welcome back to icliniq.com.

Yes, you are right but your ultrasound report has also advised to undergo a repeat ultrasound after 7-10 days. So it depends on your decision.

A fetus in an ectopic pregnancy sometimes survives for several weeks. The structure containing the fetus usually ruptures after 6-12 weeks. An ectopic pregnancy may be located in a fallopian tube, an ovary, cervix, abdomen, etc. Laparoscopic examination can detect the exact location of ectopic pregnancy.

The later structure containing fetus ruptures, the worse the blood loss and the higher risk of death. If an ectopic pregnancy is treated before it ruptures, it can save the life of that woman. So consult with your current supervising gynecologist and do as needful according to her advice.

In case of any other query ask me.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zubayer Alam

Experience: 15 + Yrs

Pulmonology (Asthma Doctors)

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