HomeAnswersObstetrics and Gynecologymissed abortionWhy did my second ultrasound show an empty embryonic sac?

My second ultrasound showed an empty embryonic sac. How is this possible?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At May 15, 2020
Reviewed AtJuly 5, 2023

Patient's Query

Hi doctor,

I am a mother of two kids. My last period was before 69 days. I am worried and I took a urine pregnancy test before 20 days. It showed me a positive result. I have my usual pregnancy symptoms. Last week, I had some spotting in chocolate color. I took my ultrasound before five days. The doctor told me that the baby is fine. But still, my spotting has not stopped and so I decided to consult another doctor. I took my second ultrasound before two days and I was able to see only an empty sac. How is this possible? The doctor suggested me to come after two weeks for taking another scan.

Hi,

Welcome to icliniq.com.

I understand your concern. You may have a missed miscarriage. This occurs due to defective embryogenesis. Due to your age, your ovum may have meiotic dysfunction causing multiplication errors. Just wait for a week and repeat your ultrasound scan.

The Probable causes

You seem to have a missed miscarriage.

Investigations to be done

Take a transvaginal scan (TVS) after a week.

Probable diagnosis

You seem to have a missed miscarriage.

Treatment plan

Take your decision according to the results of your scan reports.

Regarding follow up

Have a follow-up at any time.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vidya A Ramasamy
Dr. Vidya A Ramasamy

Obstetrics and Gynecology

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