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

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

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.

Answered by Dr. Vidya Ramasamy

Education:

MS

Professional Bio:

Dr. Vidya Ramasamy is an Obstetrician and Gynecologist specializing in infertility treatment. Her skills include managing complex infertility cases, performing assisted reproductive techniques such as IVF and IUI, evaluating hormonal and reproductive health, and providing preconception counseling. She is also experienced in managing high-risk pregnancies, gynecological surgeries, menstrual disorders, and hormonal therapies, offering personalized care to support women’s reproductive health and fertility goals.

This doctor is not available for online consultations on the platform anymore.

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.
Medically reviewed by Dr. Sneha Kannan
Published At May 15, 2020
Reviewed At December 10, 2025

Education:

MS

Professional Bio:

Dr. Vidya Ramasamy is an Obstetrician and Gynecologist specializing in infertility treatment. Her skills include managing complex infertility cases, performing assisted reproductive techniques such as IVF and IUI, evaluating hormonal and reproductive health, and providing preconception counseling. She is also experienced in managing high-risk pregnancies, gynecological surgeries, menstrual disorders, and hormonal therapies, offering personalized care to support women’s reproductive health and fertility goals.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

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

Education:

MS

Professional Bio:

Dr. Vidya Ramasamy is an Obstetrician and Gynecologist specializing in infertility treatment. Her skills include managing complex infertility cases, performing assisted reproductive techniques such as IVF and IUI, evaluating hormonal and reproductive health, and providing preconception counseling. She is also experienced in managing high-risk pregnancies, gynecological surgeries, menstrual disorders, and hormonal therapies, offering personalized care to support women’s reproductive health and fertility goals.

This doctor is not available for online consultations on the platform anymore.

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