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

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Vaginal Bleeding And Absent Yolk Sac On Scan During Pregnancy?

I am currently 5 w 3d. I have had some bleeding and had a few ultrasounds. They were concerned about my HCG numbers. 14, 000 3 days ago, 16, 000 yesterday and 18, 000 today. I saw a specialist and he could not find a yolk sac and thought the gest sac was really low. He thinks I will miscarry in the next few days or have to have the decision to have a d&C. what do you think my odds are? Obviously this is not a normal pregnancy.
Mon, 20 Jul 2015
Report Abuse
OBGYN,  's  Response
Well, at most normal pregnancies, you should see a fetus with a heartbeat if your HCG are over 5000, however it takes 48 hours for HCG to double. If you truly are only 5 weeks it could still be a normal early pregnancy. It also depends on the size of the gestational sac- if yours is over 2cm in size with no fetus or yolk sac seen that too is usually non-viable. However, with your HCG levels still going up, even at an abnormal rate, it cannot hurt to wait and see a while longer. It is actually unlikely you will pass the pregnancy soon with the levels still rising. If you really want this pregnancy, wait a week then repeat all the tests. If the sac doesn't grow at all or nothing develops further, it is more likely a non-viable pregnancy. There is no rush to make a decision to have a procedure- if you start to cramp and bleed, see your doctor, and you can have the procedure then if you need to.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Yolk sac


Loading Online Doctors....
What Causes Vaginal Bleeding And Absent Yolk Sac On Scan During Pregnancy?

Well, at most normal pregnancies, you should see a fetus with a heartbeat if your HCG are over 5000, however it takes 48 hours for HCG to double. If you truly are only 5 weeks it could still be a normal early pregnancy. It also depends on the size of the gestational sac- if yours is over 2cm in size with no fetus or yolk sac seen that too is usually non-viable. However, with your HCG levels still going up, even at an abnormal rate, it cannot hurt to wait and see a while longer. It is actually unlikely you will pass the pregnancy soon with the levels still rising. If you really want this pregnancy, wait a week then repeat all the tests. If the sac doesn t grow at all or nothing develops further, it is more likely a non-viable pregnancy. There is no rush to make a decision to have a procedure- if you start to cramp and bleed, see your doctor, and you can have the procedure then if you need to.