I'm a bit worried about my recent ultrasound report: USG shows 8 weeks 4 days, with a single intrauterine gestational sac and yolk sac visible, but no fetal pole is seen yet. The decidual reaction is described as moderate to good and the sac measures 2.2 cm. Is there still hope for continuing the pregnancy, or could this be an anembryonic gestation? The doctor has suggested a follow-up after a week. What should I expect?

Dr Dr Khaleel Ur Rahim

General Practitioner

• MBBS
• 1+ Yrs

Consult Now

1. Single intrauterine gestational sac: A sac is present in the uterus, indicating a pregnancy.
2. Yolk sac seen: The yolk sac is visible, which is a normal finding at this stage.
3. Fetal poles not seen: The fetal poles, which should be visible at this stage (8 weeks 4 days), are not seen.
4. Decidual reaction - moderate to good: The decidual reaction, which is the thickening of the uterine lining, is moderate to good.

Possible Diagnosis:

1. Anembryonic gestation (also known as a blighted ovum): This is a type of miscarriage where the embryo fails to develop or dies very early in pregnancy.
2. Missed abortion: This is a type of miscarriage where the embryo or fetus has died, but the body has not yet expelled the pregnancy tissue.

Next Steps:

1. Follow-up ultrasound: As suggested by your doctor, a follow-up ultrasound in 1-2 weeks will help determine if the pregnancy is viable or if it has failed.
2. Wait for further evaluation: It's essential to wait for further evaluation before making any conclusions about the pregnancy.

Emotional Support:

1. Seek support from loved ones: Talk to family and friends about your feelings and concerns.
2. Consider counseling: If you're feeling overwhelmed or anxious, consider seeking professional counseling

Answered 04/07/2025