Why does the scan show 4.4 weeks gestation, despite my LMP?

Question

Hi doctor,

I am 26 year old female. I had my last periods one and a half months back. In between I had Regestrone tablets thrice daily for 3 days and Meprate 10 mg tablets thrice daily for 2 days. Today, I had spotting of reddish brown color. A transvaginal and transabdominal ultrasound was done. It has been 6 weeks since my LMP, but why does the scan show only 4.4 weeks gestation? I have enclosed the report herewith. I have been prescribed with Duphaston tablets. Also, fetal pole is not seen. Is it fine at this stage? Before 10 days my beta hCG was 127.7.

Answer 1

Hi,

Welcome to icliniq.com.

I must tell you that those reports are not very convincing for a healthy pregnancy (attachment removed to protect patient identity). Though fetal pole could not be visualized, the beta HCG level should be more in this gestational age. Size is also 2 weeks less, which signifies a possibility of a poor outcome. This is the reason for your bleeding. You need a repeat scan after two weeks. Just continue the Duphaston (Dydrogesterone) and avoid all forms of activities from now.