Patient's question:
I had my period on February 19th and it ended on February 27th. My menstrual cycle is 36 days long. I only got into bed with my husband after March 5th. On April 7th, I had an ultrasound, and the gestational sac was 1.30.5cm, with no visible fetal heartbeat. On April 19th, I had another ultrasound, and the gestational sac was 1.71.2cm, with no visible heartbeat: the embryonic tissue was not, and the diagnosis was possible miscarriage. On April 29th, I had another ultrasound, and the gestational sac was 3.3cm, with no visible heartbeat: it was still not possible to see a embryonic tissue.Doctor's answer:
Analysis of the condition: Hello. A gestational sac of 3.3 cm in size has not yet shown fetal heartbeat, which can be diagnosed as embryonic arrest. After embryonic arrest, the gestational sac may still grow for a period of time, but it will not grow indefinitely. Therefore, in this case, it is not a misdiagnosis. A gestational sac of this size indicates the issue of arrest.Advice: In early pregnancy, the majority of cases of embryonic arrest (over 65%) are caused by poor fetal development, which is akin to a natural selection process. Since the diagnosis is now confirmed, it is not advisable to continue observing and waiting. Given the size of the gestational sac, the possibility of natural expulsion is very low. If left for too long, it may lead to impaired blood coagulation function, excessive bleeding, and other complications. Therefore, it is recommended to undergo an abortion procedure to remove the gestational sac as soon as possible. Afterward, take some rest, and both of you should check your health. It is advisable to wait for at least six months before attempting to conceive again, as having pregnancies too close together increases the risk of similar issues occurring.