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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does'well Defined Gestational Sac With Yolk Sac Within It,no Fetal Pole Or Cardiac Activity Present'mean?

Its a Single Intrauterine early Pregnancy of 6 Weeks and 2 Days
Report Says Well defined gestational sac with Yolk Sac within it.
No Fetal Pole or Cardiac Activity present
Normal decidual reaction .No Perigestational sac collection at Present
Internal OS is Closed
MSD -15 mm. E/o 13* 13 mm sized right ovarian corpus luteal cyst.

Please doctor guide me above report is ok or not, it there is any complications.

Tue, 11 Feb 2014
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OBGYN 's  Response
Hi,
Thanks for the query.
The report suggests that there is a developing pregnancy inside the uterus.
The absence of cardiac activity and fetal pole suggest that it cannot be sure if the baby is alive or not and its heart is beating or not. This kind of report is seen in normal pregnancies when ultrasound is done too early, before development of the baby and its heart. Another condition is if the baby is not alive [missed abortion] similar findings are seen.

However, the presence of well defined sac, absence of collection and normal decidual reaction favor the chances that the baby is ok and this is simply an early report.

Confirmation needs to be done with a follow up scan after 10-14 days. If fetal pole and heart seen seen in that scan, no need to worry. Just take folic acid, rest and wait till next scan.

The corpus luteal cyst is not to be worried about. It will go away after some days.

Hope you find this useful.
Do post if you had a normal follow up scan as it is a source of joy to me too as a consultant.
Thanks for choosing HCM. Feel free to ask more.
Dr Madhuri Bagde
Consultant OBGY
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What Does'well Defined Gestational Sac With Yolk Sac Within It,no Fetal Pole Or Cardiac Activity Present'mean?

Hi, Thanks for the query. The report suggests that there is a developing pregnancy inside the uterus. The absence of cardiac activity and fetal pole suggest that it cannot be sure if the baby is alive or not and its heart is beating or not. This kind of report is seen in normal pregnancies when ultrasound is done too early, before development of the baby and its heart. Another condition is if the baby is not alive [missed abortion] similar findings are seen. However, the presence of well defined sac, absence of collection and normal decidual reaction favor the chances that the baby is ok and this is simply an early report. Confirmation needs to be done with a follow up scan after 10-14 days. If fetal pole and heart seen seen in that scan, no need to worry. Just take folic acid, rest and wait till next scan. The corpus luteal cyst is not to be worried about. It will go away after some days. Hope you find this useful. Do post if you had a normal follow up scan as it is a source of joy to me too as a consultant. Thanks for choosing HCM. Feel free to ask more. Dr Madhuri Bagde Consultant OBGY