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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Missed Periods, Negative Beta HCG, TVS Scan Showed Gestation Sac Without Embryo. Pregnant?

My wife is missing her period , and her LMP is August 15th 2012 .First Beta HCG taken at August 25th ( 40days ) .Its negative 1.40 ( 5) . We took TVS scan on 60th Day and found Gestation Sac formed less than 5 weeks ( 5 weeks) and there is no embryo .IS she pregnant .? if yes will the baby get good health .? do we need to abort this .?
Thu, 20 Sep 2012
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General & Family Physician 's  Response
Hello
The gestational sac is the earliest sonographic finding in pregnancy. The gestational sac appears as an  ring surrounding a clear center. The gestational sac  is an ultrasonic finding characteristic of early pregnancy. 

The gestational sac first appears at about 4 weeks gestational age, and grows at a rate of about 1 mm a day through the 9th week of pregnancy. 

As the pregnancy advances, the next structure to become visible to ultrasound is the yolk sac. This is a round, sonolucent structure with a bright rim. 

The yolk sac first appears during the fifth week of pregnancy and grows to be no larger than 6 mm.  Failure to identify  a yolk sac when the gestational sac has grown to 12 mm is also usually indicative of a failed pregnancy.
Absence of yolk sac along with absence of beta HCG denotes a failed pregnancy.

Consult your doctor for further advise and management.
Thanks
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Missed Periods, Negative Beta HCG, TVS Scan Showed Gestation Sac Without Embryo. Pregnant?

Hello The gestational sac is the earliest sonographic finding in pregnancy. The gestational sac appears as an  ring surrounding a clear center. The gestational sac  is an ultrasonic finding characteristic of early pregnancy.  The gestational sac first appears at about 4 weeks gestational age, and grows at a rate of about 1 mm a day through the 9th week of pregnancy.  As the pregnancy advances, the next structure to become visible to ultrasound is the yolk sac. This is a round, sonolucent structure with a bright rim.  The yolk sac first appears during the fifth week of pregnancy and grows to be no larger than 6 mm.  Failure to identify  a yolk sac when the gestational sac has grown to 12 mm is also usually indicative of a failed pregnancy. Absence of yolk sac along with absence of beta HCG denotes a failed pregnancy. Consult your doctor for further advise and management. Thanks