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

Answered by
Dr. Vidyaprem
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on May 15, 2020

Hi.. Doctor, I'm having a situation here..

I am a mother with 2 kids, My last first period was 69 days back. I'm worried and made an UPT which shows positive 20 days back.(after 12 yrs I'm am pregnant). I do faces all the pregnancy symptoms as vomiting and so on..

Unfortunately I am spotting since last week (which comes in chocolate color upon ironing only which is not a heavy flow). And made my first ultrasound 5 days back. Doctor says baby is fine. Then the spotting still haven't stop; so I decide to refer another doctor since really worried. When I did 2nd ultrasound a couple of days back, i only can see my empty sac? How this possible?

The doctor request me to come over for another scan after 2 weeks. If still empty, then I have to abbot it.

I'm depressed & really not sure what happen Please advise


dear, welcome toiclinq. com

I can absolutely understand ur concern..

what u are going through must be missed miscarriage.. this is because of defective embryogenesis( the ovum , becos of ur age may have meitoic dysfunction .. resulting in multiplication errors) ... it's a waY of of natural selection in which only the good embryo moves forward...

just wait for a week, rpt USG, and decide as per reports.. Do not worry... u have 2 kids... we do come across such worse scenarios in women going through ivf pregnancies .... stay bold..., it shall pass by...

hope u find it useful regards

The Probable causes:

missed miscarriage

Investigations to be done:

tvs after a week

Probable diagnosis:

missed miscarriage

Treatment plan:

as per scan reports

Regarding follow up:

if any query

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