Is it normal to see a gestational sac of 16×9mm without a fetal pole echo?

Patient's question:

10.17 menstrual period, 11.15 menstrual period, 11.27 and 11.30 had sex with boyfriend! 12/4 and 12/7 had unprotected sex with another person. Whose child is more likely! 12/18 blood test showed hCG 51, 12/27 thorough check showed no implantation, no gestational sac, hCG over 800, low progesterone. 1/4 thorough check showed only a tiny gestational sac, 1/11 gestational sac was 16×9mm, but no embryonic echo was seen! Is it normal?

Doctor's answer:

According to the situation you described, we respond that your current gestational sac growth and development are abnormal. We suggest you relax your mind and consider a miscarriage. If there has been no sexual intercourse after December 7th, based on the timeline, the pregnancy was likely conceived in December. Additionally, pregnancy was confirmed on December 18th, but as of January 11th, there is still no fetal heartbeat or bud, which may indicate poor growth and development. The above is our advice on this matter, hoping it will be helpful to you. Wishing you a speedy recovery!

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