Hi,

Thanks for writing to us.

If you have been regular (28-30 day cycles) with your periods and if you have been sexually active without any contraception, then you should have had a positive pregnancy test by now if you had conceived.

The serum beta-hCG titre is a better predictor of the diagnosis and the outcome, and serial titres are advised when the diagnosis is in doubt. Low titres suggest either wrong dates, blighted ovum or ectopic pregnancy.

I would ask you to repeat the sonogram after a few days preferably in the trans-vaginal route with an experienced sonologist along with serial serum beta-hCG titres after excluding an ectopic pregnancy.

The titre should be at least 1000 mIU/ml by now and should double every 48 hours. Even with low titres, doubling indicates good prognosis for the pregnancy. The sonogram should show a gestation sac, fetal pole and a fetal heart if resolution is good.

Fibroids do not cause missed periods and they are usually visible in a trans-vaginal sonogram. Most often, they are asymptomatic, otherwise they may cause pain, infertility or heavy bleeding.

Hope I have clarified your query. Please feel free to contact if you need further clarifications. I will be happy to help.

regards,
Shanti.V.

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Hi,

Thanks for writing back.

Since you have an inconclusive blood test and an ultrasound finding, in order to confirm or exclude pregnancy, you would need serial serum beta-hCG titres on alternate days along with serial trans-vaginal sonograms until the diagnosis is clear and further action can be taken. Please discuss with your consultant before you proceed further.

Hope I have clarified your doubt. Please get back if you need any more clarifications. I will be ready to help.

regards,
Shanti.V.

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