What is the reason for having a gestational sac without a fetal heartbeat?

Patient's question:

I have an itchy lower body, and my underwear is always yellow. What's going on? What is the situation where there is an embryonic sac but no fetal heartbeat?

Doctor's answer:

Hello, this is an early pregnancy embryonic arrest. It is recommended to use an external abortion treatment, as progesterone support is ineffective. Your condition may be caused by cold deficiency, leading to menstrual pain. During the menstrual period and its surrounding days, pain in the lower abdomen or waist may occur, sometimes extending to the lumbar-sacral region. The pain recurs with each menstrual cycle. In severe cases, it may be accompanied by nausea, vomiting, profuse cold sweat, cold hands and feet, or even fainting. Acupuncture, physiotherapy, and massage can be considered for treatment.

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