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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does this uterine Ultrasound Scan Result Mean?

A scan shows uterus is bulky, gravid and anteverted in position with homogenous myometrial echotexture. Uterine cavity harbours two well defined gestational sacs with fetal poles but no cardiac activity noted in the two sacs not consistent with the LMP of 3rd february 2016. GS - 13.4mm and GA - 7 weeks. bothe adnexae are free. No ovarian mass seen No fluid collection is noted in the pouch of Douglas. Dr, please what do all these means?
Sat, 7 Mar 2020
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General Surgeon,  's  Response
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.

* As per my surgical experience, the two gestational sac with well
defined borders at fetal poles without cardiac activity can be related
to different conditions as
- early twin pregnancy still not showing up organifications
- blighted ovum with two separate sperms penetrating separate
ovum or
- other rare issues

It would be better to wait for a couple of days and take a repeat scan for better evaluation and co relation on clinical grounds.

Till that time, it is advisable to avoid sexual intercourse ( if active ) and weight lifting if applicable.

wish you best health.
Thanks.
Dr Bhagyesh ( MS consultant surgeon )
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What Does this uterine Ultrasound Scan Result Mean?

Hello and welcome to Ask A Doctor services. I have read your query and here is my advise. * As per my surgical experience, the two gestational sac with well defined borders at fetal poles without cardiac activity can be related to different conditions as - early twin pregnancy still not showing up organifications - blighted ovum with two separate sperms penetrating separate ovum or - other rare issues It would be better to wait for a couple of days and take a repeat scan for better evaluation and co relation on clinical grounds. Till that time, it is advisable to avoid sexual intercourse ( if active ) and weight lifting if applicable. wish you best health. Thanks. Dr Bhagyesh ( MS consultant surgeon )