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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does The Absence Of Yolk Sac During 7 Weeks Of Pregnancy Indicate?

I was seen at the er and was told that I was 7 week pregnant and that my hcg levels was at 7000 but there was no baby or yolk sac so he informed me that he was pretty sure I would have a misscarrage and he did a biopsy of my uterus to make sure that I wasn t pregnant in my tubes well he said I wasnt . But he called in three pills to take so I can go ahead and start the misscarge but I m not comfortable with that cause I wasn t having any signs or symptoms of miscarriage should I wait to see if baby pops up? Oh and that biopsy made me bleed a whole lot please help
Fri, 1 Apr 2022
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General & Family Physician,  's  Response
Hi,

Absence of fetal pole and yolk sac at 7 weeks with hCG count 7000 indicates a chemical pregnancy without growth of baby. It can wait for a week and rescan with USG (for your satisfaction) but that would increase the bleeding due to biopsy, with possibility of infection too. So it's better to go for surgical evacuation &have antibiotic course to prevent infection.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Vasudha Jayant Athavale, General & Family Physician
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What Does The Absence Of Yolk Sac During 7 Weeks Of Pregnancy Indicate?

Hi, Absence of fetal pole and yolk sac at 7 weeks with hCG count 7000 indicates a chemical pregnancy without growth of baby. It can wait for a week and rescan with USG (for your satisfaction) but that would increase the bleeding due to biopsy, with possibility of infection too. So it s better to go for surgical evacuation &have antibiotic course to prevent infection. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Vasudha Jayant Athavale, General & Family Physician