Patient's question:
What should I do if there is no fetal pole and fetal heartbeat? At 49 days, the ultrasound showed no fetal pole, fetal heartbeat, or yolk sac. Can the baby still be saved? I initially had low progesterone and kept getting progesterone shots. Before, I had a pregnancy where there was also no fetal pole or fetal heartbeat, and it ended in a miscarriage.Doctor's answer:
Hello, your situation is considered to be a case of embryonic arrest. There are many reasons for embryonic arrest, such as genetic factors, insufficient hormone secretion, uterine cavity abnormalities, viral infections during pregnancy, exposure to radioactive substances, toxic chemical agents, taking medications that are prohibited during pregnancy, high temperatures, microwaves, noise, excessive stimulation, and more, all of which can lead to embryonic arrest. Additionally, a large number of bacteria in the semen or a high rate of abnormal sperm may also cause embryonic arrest. Generally, an occasional case of embryonic arrest does not affect normal fertility. If you are concerned, you can visit the hospital together with your partner for pre-pregnancy genetic health checks before planning to conceive.