HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Ultrasound Showed Gestational Sac But No Yolk Sac. HCG Level Is Also Low. Is It Viable Pregnancy?

default
Posted on Mon, 9 Dec 2013
Question: I'd like my ob to be honest with me. I feel like we're holding out hope for nothing :( 6 wk 1 day ultrasound showed gestational sac, no yolk sac. 7 wk 1 day ultrasound showed 1.2 cm gestational sac, still no yolk sac. HCG level at 7 wk 2 day showed 15000. My prior pregnancy I was 26000+ at 5w 2 day and 40000 2 days later. I feel like the HCG level this time is very low and lack of yolk sac concerns me. She is waiting one more week to see. I want a "realistic" answer....how viable is this pregnancy, what are the odds. Thank you.
doctor
Answered by Dr. Kulsoom Qureshi (36 minutes later)
Brief Answer: This is a viable pregnancy but we have to wait! Detailed Answer: Hi, Thanks for consulting us. I would like to share some facts with you: 1. An hCG level of less than 5mIU/ml is considered negative for pregnancy, and anything above 25mIU/ml is considered positive for pregnancy. So, you are still pregnant. 2. Normal levels of hCG at 7 – 8 weeks LMP is 7, 650 – 229,000 mIU/ml. So, your levels are well within normal range. 3. The yolk sac should be seen by transvaginal ultrasound when the mean sac diameter is 5-6mm. This is a point of concern as in your case it is not visible even at 1.2cm size. There could be 2 possibilities: 1. Either you are carrying a Blighted ovum ( that is an empty sac or a missed miscarriage). 2. Or, it is an early pregnancy grey area, or limitations of ultrasound machine or sonographer. No Gynecologist would make a quick decision at this stage. Your doctor has made a good decision to wait for 7-10 days & repeat a trans-vaginal ultrasound to see if a fetal pole has appeared or not. If yes, it is a good news for you, if no ( God forbid), we will not give you false hope!. Odds depend upon the reliability of your sonographer & the type of ultrasound you had. No one can give exact figures. I think, I have given you the clearest possible picture at this stage. Rest will appear with time. Wish you best of luck.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Kulsoom Qureshi (23 minutes later)
Thank you so much :)
doctor
Answered by Dr. Kulsoom Qureshi (21 hours later)
Brief Answer: Wish you all the best Detailed Answer: You are always welcome here with all your health related concerns. Best regards.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Kulsoom Qureshi

OBGYN

Practicing since :1997

Answered : 1042 Questions

Ask a specialist now
premium_optimized

The User accepted the expert's answer

Ask a Gynecologic Oncologist
Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2
Ultrasound Showed Gestational Sac But No Yolk Sac. HCG Level Is Also Low. Is It Viable Pregnancy?

Brief Answer: This is a viable pregnancy but we have to wait! Detailed Answer: Hi, Thanks for consulting us. I would like to share some facts with you: 1. An hCG level of less than 5mIU/ml is considered negative for pregnancy, and anything above 25mIU/ml is considered positive for pregnancy. So, you are still pregnant. 2. Normal levels of hCG at 7 – 8 weeks LMP is 7, 650 – 229,000 mIU/ml. So, your levels are well within normal range. 3. The yolk sac should be seen by transvaginal ultrasound when the mean sac diameter is 5-6mm. This is a point of concern as in your case it is not visible even at 1.2cm size. There could be 2 possibilities: 1. Either you are carrying a Blighted ovum ( that is an empty sac or a missed miscarriage). 2. Or, it is an early pregnancy grey area, or limitations of ultrasound machine or sonographer. No Gynecologist would make a quick decision at this stage. Your doctor has made a good decision to wait for 7-10 days & repeat a trans-vaginal ultrasound to see if a fetal pole has appeared or not. If yes, it is a good news for you, if no ( God forbid), we will not give you false hope!. Odds depend upon the reliability of your sonographer & the type of ultrasound you had. No one can give exact figures. I think, I have given you the clearest possible picture at this stage. Rest will appear with time. Wish you best of luck.