What is the reason for no embryonic echo in a 6-week pregnancy ultrasound?

Patient's question:

After taking birth control pills, I had my period for three days, then had sex and got pregnant. It's been six weeks now. The ultrasound didn't show a fetal pole echo. Should I recheck in a week? The ultrasound didn't show how many weeks it is! I'm so worried.

Doctor's answer:

Generally, the best time for an early pregnancy ultrasound to confirm a viable fetus is around 6-7 weeks. In the current situation, it is important to pay attention to a follow-up ultrasound, as well as check the levels of progesterone and HCG to see if they are low. For the gestational sac, reappearing after 40-50 days of pregnancy, and a fetal heartbeat appearing between 50-60 days, a B examination showing no fetal heartbeat or gestational sac before 60 days is abnormal. Wishing the patient a speedy recovery and good health!

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