Patient's question:
The last menstrual period was on November 18, 2018. The first ultrasound was at 6 weeks and 3 days, but there was no fetal pole or heartbeat. The doctor told me to come back in two weeks. Today, I came for a follow-up check, and there is still no fetal pole or heartbeat. On December 23, 2018, I went to the hospital for the first time to have my progesterone and HCG checked, and both were within the normal range. Moreover, I haven't experienced any bleeding or abdominal pain since becoming pregnant. Is it possible that this child has stopped growing and developing? Why is this happening? What should I do next?Doctor's answer:
I'm glad to clarify this for you. If your last menstrual period was on November 18th, it is normal to not see a fetal heartbeat or fetal pole six weeks plus three days. However, if you are more than fifty days pregnant, it should normally be possible to see a fetal heartbeat and fetal pole. If you're still not reassured, you can go to a higher-level hospital for another check-up. If it's confirmed that the fetus is not developing well, it might be best to have a miscarriage! There are many reasons that can lead to fetal demise. Chromosomal factors, endocrine factors, environmental pollution, and other factors can all contribute. If you plan to get pregnant again, you should undergo thorough chromosomal testing and the "Four" tests. Men should also have a semen analysis.