Yolk sac but no fetal pole

[Fleur828815]

Hi everyone!

I'll try to make this short. My last AF was on August 12, got a BFP on September 13. Average cycle is 29 days. I've got a tilted uterus.

September 14, 4W4D : 1st scan (abdominal). Thickened endometrium lining seen but nothing else.

Didn't have many symptoms, mainly very sore boobs especially in the morning, exhaustion and bloating/intestinal issues. These faded out over a week and I was left with only sore boobs until all of a sudden that also disappeared almost completely at 6W1D.

September 27, 6W3D : 2nd scan. Abdominal scan, sac seen (24.4 mm), as well as yolk sac but no fetal pole. The OB/Gyn did a vaginal scan and didn't see more. Only thing is on my notes, he wrote down sac size as 20 mm, only noticed that when I got back home so couldn't ask. He said there's no point getting my HCG levels tested because they won't mean anything one way or the other. He did say that they usually wait till the sac is 25mm before making a formal miscarriage diagnosis.

He asked to me come back for another scan in 1 week, when I'll be 7W4D, just in case there's something there by then. If I haven't miscarried by then he'll induce it.

Now I'm just in limbo, feeling completely normal, no symptoms at all. A friend (who's a pharmacist) had the same thing happen to her, no fetal pole seen around 6W, and she advised me to ask about Utrogestan (progesterone supplements), because it seemed to help her and she did end up with a healthy baby.

Given that I have NO symptoms anymore, and that I have no idea if my progesterone levels are OK, do you think I should take the Utrogestan or should I just wait to miscarry? I'm not feeling optimistic but there's still that tiny bit of hope...

Thanks for any advice or opinions

 

[caz_hills]

Hi Hun,
I'm not sure it helps but I bled at 6.5 weeks ish and had a scan and same as you I had a sac and a tiny feral pole. They told us to expect the worst. Week later though the baby had grown and the HB was there. So it can be ok. Unfortunately for us though I miscarried last week but not because of the first scan - they don't know what went wrong but unfortunately something did.

But lots of women on here seemed to have similar and went onto have healthy babies so good luck x

 

[Fleur828815]

Thank you caz_hills but the scan detected only the gestational sac and the yolk sac, no fetal pole. I'm feeling completely normal now, so there's no point in getting my hopes up.
Am sorry about your miscarriage, hope you'll have a healthy baby soon.

 

[caz_hills]

Sorry I misunderstood hun - my fault, not thinking straight.
I hope things work out for you xxx Take care xxx

 

[calliebaby]

Around here, they won't even do an ultrasound until seven weeks, because there is a high chance you won't see a heartbeat until then. Just keep praying, there is still hope.

 

[Fleur828815]

Thank you calliebaby. Unfortunately I feel completely normal now, so I know it's over. I'm just hoping I won't have to take medication or go through a D&C

 

[lindblum]

https://americanpregnancy.org/pregnancy-complications/early-fetal-development/

According to this site, an accurate diagnosis can't be made until after 7weeks.

I don't want to get your hopes up, but it's possible to lose symptoms and everything be ok. With my 3rd child, I lost all symptoms after 10 weeks and bled for two weeks after that. I was told by my midwives that i was miscarrying. I didn't. She'll be two yrs next month.

Also i had a completely empty sac, no yolk or anything, at 5 and half weeks with my current pg, i was told it may not be viable. The baby was measuring a day ahead at my 12 week scan.

It's not over yet. good luck, i hope everything works out for you xx

 

[Fleur828815]

https://americanpregnancy.org/pregnancy-complications/early-fetal-development/

According to this site, an accurate diagnosis can't be made until after 7weeks.

I don't want to get your hopes up, but it's possible to lose symptoms and everything be ok. With my 3rd child, I lost all symptoms after 10 weeks and bled for two weeks after that. I was told by my midwives that i was miscarrying. I didn't. She'll be two yrs next month.

Also i had a completely empty sac, no yolk or anything, at 5 and half weeks with my current pg, i was told it may not be viable. The baby was measuring a day ahead at my 12 week scan.

It's not over yet. good luck, i hope everything works out for you xx

Thanks lindblum. The new UK guidelines advise to wait till the gestational sac measures 25mm before diagnosing a blighted ovum, and I was almost 25 mm last week. Coupled with all my symptoms disappearing overnight at only 6 weeks, I just know / feel it's over. My OB/GYN was also pessimistic about my chances.

I've sort of come to terms with it but I hate being in limbo, I wish my body would realise and start miscarrying on its own, I'd rather avoid intervention if possible.

Got a scan tomorrow so will know what the OB/GYN suggests and if he'll let me carry on like this for a couple of weeks or just try to do something straight away

 

[caz_hills]

Good luck for your scan tomorrow x

 

[calliebaby]

Thinking of you.

 

[lindblum]

hope you're ok x

 

[Fleur828815]

Thanks for your concern ladies, that's really sweet.

Had the scan and there is an embryo (3.8 mm with a heartbeat of 115 bpm). The OB/gyn said I probably ovulated really late and pushed back my due date by 9 days! My sac is also very large for 6 weeks instead of 7.5 weeks as I thought as I was (38 mm).

So good news overall but I'm still really worried because of the discrepancy in dates. I know when we last "tried", and I've never ovulated so late before, and it would mean my DH's sperm was just hanging around for 5 days??? Also it means I had lots of symptoms between weeks 3-4 and they then petered out.

I'm happy there's an embryo of course but not yet ready to tell everyone yet till the next scan.

Thanks again, I hope you'll all be blessed with a healthy pregnancy/baby soon.

 

[caz_hills]

Thanks for the update. Wishing you all the best x

 

[calliebaby]

I conceived my second 5 days before ovulation. So very possible.
I'm happy to hear of your good news.

 

[Fleur828815]

Thank you

 

[nadinek]

oh hon, I'm going through exactly the same thing now. first scan nothing, 2nd scan at 6w3d (v sure of dates, last had sex at 2w 1d) showed fetal pole only, sac measuring 6 weeks.

very glad your second scan was better, fingers tightly crossed for you and the little bean. xx

 

[lindblum]

lovely update, hope the rest of your pregnancy is stress free x

good luck nadinek x

 

[melfy77]

We DD1 we had intercourse 4 days before O. Sperm can live 5 days in the tubes, waiting for the egg Also don`t forget that implantation can take place anywhere from 5 to 11 days or so

 

[SweetV]

Fleur, May I ask what kind of ultrasound was done. I'm in a very similar situation and am waiting for tomorrow. Our dates line up my lmp was Aug 10th and test Sept 10th but I am measuring behind with no heartbeat on my last ultrasound at 7 weeks. They did a vaginal and found a flicker that could not be measured but nothing on the abdominal. I'm very glad it worked out for you!

 

[Fleur828815]

Thank you lindblum and melfy. Have managed to stay off the Internet but the stress is creeping back in.

nadinek and SweetV, am sorry I didn't repy earlier. Am hoping that your scans had positive outcomes, I know how difficult this all is