Ask A Doctor - Empty tiny gest sack in ultrasound on wed ,neg home preg test,clearish gooey discharge ...does this mean anything - DesiMD Healthcare Services


Empty tiny gest sack in ultrasound on wed ,neg home preg test,clearish gooey discharge ...does this mean anything - Asked by S M on 03-Nov-2014 04:14:43

Answer Count: 1    Disorder Type: Pregnancy & child birth

  • Internal Medicine

    Answered by Dr. Suneel Vallabhaneni on 03-Nov-2014 05:05:04

    Hi, gestational sac starts appearing at the 4.5 to 5 wk gestational age (i.e 4.5 to 5 wks from your last menstrual period). Usually home pregnancy test should be turning positive by then but these tests are not 100 % sensitive in picking up early positive pregnancy. What's recommended is to repeat the home pregnancy test 1-2 wks later as the chances of the test coming positive is higher. Gestational sac can be empty at this gestational age, fetal pole and heart beat start appearing in the 6 th week onward. At this early age of gestation, vaginal ultrasounds are more sensitive than in picking up the findings better than the abdominal ultrasounds. Miscarriages are also quite common in the first trimester (first 3 months), home pregnancy tests can be negative if that is the case. If you did this test around the 4 th week from your last menstrual period, repeating the home pregnancy test and US in another 2 wks would be helpful to differentiate conception from miscarriage. If you can not wait and want immediate answer, you need to speak to your OBGYN doctor or primary care doctor to get a serum beta HCG (blood test) done as soon as you can. Thank you.
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