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

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Patient's Query

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.
Answered by Dr. Sanjay Kumar Bhattacharyya

Education:

MBBS

Professional Bio:

Dr. Sanjay Kumar Bhattacharyya is a trusted Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, childbirth, and postpartum management. His expertise covers the treatment of conditions related to the uterus, ovaries, breasts, and overall gynecological wellness. With a compassionate and patient-centered approach, Dr. Bhattacharyya provides personalized care and guidance, ensuring comprehensive solutions for maternal health and gynecological concerns across all stages of a woman’s life.

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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.

Medically reviewed by iCliniq medical review team
Published At August 20, 2016
Reviewed At April 23, 2024

Education:

MBBS

Professional Bio:

Dr. Sanjay Kumar Bhattacharyya is a trusted Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, childbirth, and postpartum management. His expertise covers the treatment of conditions related to the uterus, ovaries, breasts, and overall gynecological wellness. With a compassionate and patient-centered approach, Dr. Bhattacharyya provides personalized care and guidance, ensuring comprehensive solutions for maternal health and gynecological concerns across all stages of a woman’s life.

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

Consult other doctors in the same speciality

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Pregnancy Scan Dating Discrepancy Awareness Builder

Scan vs. LMP: Understand your pregnancy findings.

Five quick questions help you understand the significance of your pregnancy scan findings compared to your last menstrual period (LMP). Get clarity on what is typically expected, what to mention to your doctor, and what warrants a call today.

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Dr. Sanjay Kumar Bhattacharyya
Dr. Sanjay Kumar Bhattacharyya

Obstetrics and Gynecology

Education:

MBBS

Professional Bio:

Dr. Sanjay Kumar Bhattacharyya is a trusted Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, childbirth, and postpartum management. His expertise covers the treatment of conditions related to the uterus, ovaries, breasts, and overall gynecological wellness. With a compassionate and patient-centered approach, Dr. Bhattacharyya provides personalized care and guidance, ensuring comprehensive solutions for maternal health and gynecological concerns across all stages of a woman’s life.

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

Consult other doctors in the same speciality
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