Early pregnancy at 50 days, ultrasound did not detect fetal heartbeat and embryonic germ, is it normal?

Patient's question:

My last menstrual period was on November 2nd. Today, if it were early pregnancy, it would be 50 days. At 39 days, I had blood tests at the provincial maternity and child health hospital, and both progesterone and luteinizing hormone levels were within the normal range. After 40 days, I did not experience any symptoms of nausea or vomiting. At 46 days, I felt uncomfortable in my stomach and often had a feeling of hunger, even after just eating, but I couldn't eat when it was time to. Occasionally, I had slight nausea, but I never vomited. At 50 days, I had an ultrasound at the provincial maternity and child health hospital. The uterus size was 515040mm, the gestational sac size was 1782010mm, but the embryonic sac was not visible, and fetal vessel was not detected. The periphery of the gestational sac was smooth, and both ovaries were of normal size. I am very

Doctor's answer:

Hello: Generally, a gestational sac is visible at 42 days of amenorrhea, and a fetal heartbeat can be seen at 49 days. Currently, you do not have a gestational sac, which may be a sign of fetal demise. There are many factors or causes that can lead to fetal demise, including immunological factors, genetic factors, infectious factors, endocrine factors, anatomical factors, etc. In most cases, if fetal demise occurs during the first pregnancy and the cause cannot be identified, subsequent pregnancies may not be successful with blind bed rest. Moreover, multiple miscarriages can cause significant harm to your body. It is recommended that you visit a specialized hospital for a detailed examination, to obtain a clear diagnosis and receive targeted treatment. Do not miss the best time for treatment. Wishing you health!

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