Patient's question:
The ultrasound findings are as follows: The length of the uterine body is 64mm, the anteroposterior diameter is 45mm, and the transverse diameter is 57mm. The position of the uterus is anterior, with a clear contour and uniform muscle layer echoes. A round gestational sac halo is visible within the uterine cavity, with uniform high echoes. The size of the gestational sac is 24mm16mm, with a relatively regular shape. The gestational sac contains an inner yolk sac, but no visible embryo is seen. A liquid dark area is observed between the gestational sac and the uterine wall, with a range of 10mm4mm. No obvious mass echoes are seen in the bilateral adnexal regions. MRI findings suggest intrauterine early pregnancy, with no visible embryo. There is some fluid accumulation in the uterine cavity.After the morning ultrasound, I went home and experienced significant bleeding. I’m unsure if this is what the doctor referred to as threatened miscarriage. Does bleeding mean it has already started? Should I still go to the hospital for treatment? The ultrasound shows intrauterine early pregnancy but mentions no visible embryo. So, is there actually a pregnancy inside the uterus?
Doctor's answer:
Under normal circumstances, a 7-8 week ultrasound can clearly show the fetal pole and fetal heartbeat. From the ultrasound results, if the gestational sac size is larger than that of the 6th week, without the presence of a fetal pole, and accompanied by vaginal bleeding, it suggests a high possibility of missed abortion, also known as embryonic arrest. It is recommended to rest in bed and receive progesterone treatment for fetal preservation under anesthesia. If vaginal bleeding gradually increases, a re-examination should be conducted after 10 days. If the vaginal bleeding continues to be significant, it indicates an inevitable miscarriage, and an abortion procedure is necessary.