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What Does The Following Ultrasound Report Indicate?
Question: Hi.I am XXXX age 33 years old.I am pregnant and consulted with doctor.My HCG level was 818.2 in first test then after 2 days it was 936 only.Doctors wewr suspecting for ectopic pregnancy.They suggested me an ultrasound again and here what the report says~
single intrauterine sac measuring approx 3.5 mm seen,no embryonic node or yolk sac seen,deciduql reaction is normal in thickness and echogenicity,no subchorinic bleed seen,internal os closed,left ovary id normal in size and echotexture,free fluid is seen.
Advice-follow up scan after 2 weeks.
Can you tell me the terms and clear condition?We both husband and wife are much worried.kindly help.
Thank you.
single intrauterine sac measuring approx 3.5 mm seen,no embryonic node or yolk sac seen,deciduql reaction is normal in thickness and echogenicity,no subchorinic bleed seen,internal os closed,left ovary id normal in size and echotexture,free fluid is seen.
Advice-follow up scan after 2 weeks.
Can you tell me the terms and clear condition?We both husband and wife are much worried.kindly help.
Thank you.
Brief Answer:
No need to worry
Detailed Answer:
Hi XXXXXXX I have gone through your question and understand your concerns. In a normal intrauterine pregnancy, the blood hCG levels double every 48 hours. Decreased hCG is present in ectopic pregnancy or abortion.
However, your ultrasound shows a pregnancy inside uterus, hence ectopic pregnancy is ruled out. The ultrasound shows a normal intrauterine gestation sac with good decidual reaction, which is a sign of a healthy pregnancy.Sometimes the ovulation is delayed, and hence the conception is delayed, and therefore the gestational age by ultrasound do not corresponds to the gestational age calculated by last menstrual period. Embryonic node usually develops when the gestational sac reaches a size of 18-20 mm. Fetal cardiac activity appears after it. There is no evidence of subchorionic haemorrhage which is bleeding around the sac, which is a good sign.
In short, your ultrasound is completely normal.
I suggest you not to worry and get a repeat ultrasound after2 weeks to assess the fetal well being.
Hope you found the answer helpful.
Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma
No need to worry
Detailed Answer:
Hi XXXXXXX I have gone through your question and understand your concerns. In a normal intrauterine pregnancy, the blood hCG levels double every 48 hours. Decreased hCG is present in ectopic pregnancy or abortion.
However, your ultrasound shows a pregnancy inside uterus, hence ectopic pregnancy is ruled out. The ultrasound shows a normal intrauterine gestation sac with good decidual reaction, which is a sign of a healthy pregnancy.Sometimes the ovulation is delayed, and hence the conception is delayed, and therefore the gestational age by ultrasound do not corresponds to the gestational age calculated by last menstrual period. Embryonic node usually develops when the gestational sac reaches a size of 18-20 mm. Fetal cardiac activity appears after it. There is no evidence of subchorionic haemorrhage which is bleeding around the sac, which is a good sign.
In short, your ultrasound is completely normal.
I suggest you not to worry and get a repeat ultrasound after2 weeks to assess the fetal well being.
Hope you found the answer helpful.
Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma
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
Answered by
Dr. Deepti Verma
OBGYN, Maternal and Fetal Medicine
Practicing since :2009
Answered : 5064 Questions
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