Patient's question:
I am 45 days pregnant with threatened miscarriage. The ultrasound shows something similar to a gestational sac inside the uterus, and I have some spotting when I go to the bathroom. These past few days, I have been taking medication to prevent miscarriage and have avoided strenuous exercise, just wanting to save this child. Hello, I have threatened miscarriage, and the ultrasound shows a gestational sac inside the uterus. Have I had a miscarriage?Doctor's answer:
You are currently 45 days pregnant and have experienced signs of miscarriage again. An ultrasound examination revealed that there is something similar to a gestational sac in the uterine cavity, indicating that your gestational sac is growing relatively small. This situation is most likely a manifestation of embryonic arrest. You will need to have blood tests for hCG and progesterone to further confirm the diagnosis. Additionally, an ultrasound follow-up can be performed after 50 days of pregnancy to assess whether there is a fetal pole and fetal heartbeat in the uterine cavity. If the embryo is developing normally, you can focus on pregnancy preservation treatment. However, if there is no fetal pole and fetal heartbeat, combined with the size of the gestational sac, it can be confirmed as embryonic arrest. In necessary cases, early pregnancy termination may be required.