Contrary to my LMP, why does the scan show only 4.4 weeks gestation?

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.

Contrary to my LMP, why does the scan show only 4.4 weeks gestation?

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