My wife and I visited the doctor for her second U/S today. She is currently (12/27/2012) 8 weeks since her last monthly period. At her first U/S, which was done just shy of 6 weeks since LMP, the nurse could not find a gestational sac. At today's ultrasound, which took place 2 weeks since the previous one, the gestational sac was clearly visible, but it *appears* to be empty. After the U/S, the tech had us then go (drive across town!) to meet with the doctor--who was not in the room while the U/S was being done. the doctor told us to expect a miscarriage. My wife (and I, of course) are devastated, but I have lots of questions.
1) I watched the tech do the entire U/S, and, although there clearly was not a large fetus inside the sac, I could not conclude clearly that it was empty. Is it not possible that the tech simply did not see it because it is still small?
2) Given that the sac was not visible 2 weeks ago, and is now visible, might this simply suggest that the pregnancy is progressing slowly--or that our dates were simply off? My wife's HGC levels have been progressing normally...
3) My wife is very petite (under 5 ft tall, and 94 lbs). Couldn't this also make it slightly more difficult to detect things at this point in the pregnancy?
4) The doctor recommend that my wife stop taking prometrium and wait to miscarry. Am I right to doubt that this is good advice at this point? Why not just continue taking it and see what happens in the next week or so? What is the rush?
Any insight would be enormously appreciated! Thank you for your time!!!
Sorry to hear you are going through this.
I know how difficult it can be.
Did the doctor use the term belighted ovum? Did they offer another us verify? If not it might
be worth it to ask them or a verification us for peice of mind.
Hope everything works out for you two.
sorry u and ur wife are going through this
From the sounds of it ur wife may have ovulated later in her cycle than you both think so your dates will be slightly off. If you have seen a progression in development between the two u/s then i would think things are progressing normally, If I were in that position I would continue to take any meds up until I got a follow up u/s from the one where it showed a sac. Push for another u/s if you can. Best of luck to you both
I would just hang tight and not do anything. In a week or two have another ultrasound and this will help determine whats going on.
It is possible that dates are wrong and a baby might have grown by the next scan. But it is also possible the sac genuinely is empty and its a blighted ovum.
I'm sorry your in limbo land but I wish you the best of luck for a positive outcome!
I had a blighted ovum in Aug of 2011. My Dr. diagnosed based on Hcg levels (mine were over 20,000 the day of my ultrasound) and and empty sac. I also had other symptoms of miscarriage (bleeding and cramping and low progesterone). Was the ultrasound transvaginal? While it is possible that your dates are off some, even if you were off by a week, you should see something in the sac by 7weeks. But Doctors are only human and can make mistakes. I would say that if you are unsure get one more ultrasound to make sure.
Sorry you are going through this. I too was given bad new up until 11 weeks along. Turns out I just ovulated later than expected. My HCG had dropped and then slowly risen back up. I'm now almost 34 weeks along.
definately with the second opinion!! any news on your wife? i am under the impression your wife ovulated later than thought but baffled why a doctor would not explain this... sometimes they can be so unhelpful! xxxx
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