What Does My Internal Ultrasound Scan Test Report Indicate?

Posted on Fri, 7 Aug 2015

Question: I was told im pregnant with positive test.. Then at week 6 (from first day of last period) i made internal ultrasound the doctor told me that the sack that carries the baby is in correct place and dimentions but he couldnt see any baby in it .. It is empty .. He said the baby might be small or it might be a false pregnancy he asked me to do blood test to test the hermon levels.. Plz help me is it too early to see the baby in ultrasound? Im 6 weeks and 2 days from first day of last period and 4 weeks 2 days since i got a positive ovulation home test

Answered by Dr. Deepti Verma (45 minutes later)

Brief Answer:
Repeat ultrasound after one week

Detailed Answer:
Hi Miss, I have gone through your question and understand your concerns. I have reviewed our previous conversation.
Usually, the fetus is visible in the ultrasound by 6 weeks of pregnancy. If the fetus is not visible in a transvaginal ultrasound at 6 weeks2 days gestational age, then everything might not be fine.
However, sometimes there is a delayed conception in the menstrual cycle, and hence the fetus appears a bit later in ultrasound.
Blood hCG hormone levels are done at the interval of48 hours to assess the viability of pregnancy. If it doubles in 48 hours, then the pregnancy is said to be normal.
I would suggest you to get a repeat ultrasound after one week, and continue folic acid tablet.
Be positive and hopeful.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Deepti Verma (23 hours later)

I will take my second blood test tomorrow..

And make ultrasound after 2 weeks

But i have a question

Is it safe to have internal ultrasound if im pregnant? A lot of people are being crazy when i say i had an internal ultrasound they are warning me that its not good for the baby

Answered by Dr. Deepti Verma (2 hours later)

Brief Answer:
Its completely safe

Detailed Answer:
Hi dear, internal ultrasound or transvaginal ultrasound is completely safe for the fetus. There is no need to worry at all.
I suggest you not to take stress as it has adverse effects on the fetus.
Be hopeful.
Wishing you good health.
Please do get back to me for further queries.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (7 hours later)

Ok thank u for the information..

I have one more question

Since i became pregnant i only felt very tired and want to sleep always and also some light cramps at night when i go to bed .. But nothing so serious.. But the first day i entered the seventh week which is 6 weeks one day i started feeling sick like i feel i want to faint but i dont faint its just a feeling that i need something sweet or something salty to keep me from falling .. Sometimes even if i dring or eat i still have that fainting feeling and i cant stand my husband perfume i feel i want to throw out..

Do these things happen also if i have empty sac and no baby ? I mean they are all pregnancy symptoms

And is it safe to take a pill for not feeling nausus like "navidoxine"

Every day i feel more sick than the day before and im always lying down on my bed i cant stand for a long time i feel very weak and want to faint

Answered by Dr. Deepti Verma (37 minutes later)

Brief Answer:
Due to hormonal changes

Detailed Answer:
Hi dear, yes all these are pregnancy changes and are due to hormonal changes in pregnancy. These hormonal changes are present if the gestation sac is present, whether the fetal pole is present or not. The nausea and vomiting are also due to hormonal changes, and so are fainting, not liking a particular smelled , tiredness and lethargy.
I suggest you not to worry and you can safely take navidoxine tablet.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (5 hours later)

Thank u doctor i took my first test result i attached it and my second i did it today i will get it in 2 hours to compare

Answered by Dr. Deepti Verma (3 hours later)

Brief Answer:
Normal range

Detailed Answer:
Hi, Your beta hCG levels is within normal range for your gestation period. Please attach the second report so that I can compare.
Please do get back with the report.
Regards,
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (54 minutes later)

Hi dr i took the result i attached it its high but not double that doctor told me u should do abortion tomorrow so i went out to another hospital that doctor made an outside sonogram not vaginal and he saw a small dot in the sac which wasnt available before two days when the other doctor do it inside sonogram.. When the new doctor saw the results of the second blood test he told me it didnt double but its normal range because it is already high so he said dont do any abortion operation unless u have bleeding and he said i will do again sonogram in 4 august because he did see a small dot in the sac which is a good sign as he said.. So i attached both results with sonogram photo that i did today plz tell me what u think :)
Thanks

Answered by Dr. Deepti Verma (5 hours later)

Brief Answer:
Wait for 2 weeks

Detailed Answer:
Hi dear, I have reviewed your reports. Your transabdominal ultrasound shows a gestation sac of 20.9 mm , however no fetal pole is seen in the film , yet it may be visible during doing ultrasound on the machine as all films are not given to the patient. Moreover, we generally wait till the gestation sac is 25 mm for the fetal pole to appear, if still do not appears, then it is known as the blighted ovum and is considered as a failed pregnancy and abortion is done. So, as your second doctor advised, it is advisable to wait for next2 weeks and get a repeat ultrasound to assess the appearance of the fetal pole when the gestation sac increases in size.
I suggest you to follow your second doctor' s advice and not to go for abortion now, as it is not appropriate at all now.
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (9 hours later)

Thank u doctor thats what i will do .. To wait and pray for the best.. Thanks :)

Answered by Dr. Deepti Verma (3 minutes later)

Brief Answer:
All the best

Detailed Answer:
Hi dear, hope for the best and be positive.
All the best.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar