Pregnant for 53 days with no abnormalities, but no fetal heartbeat is visible. Is this normal?

Patient's question:

Medical Description: 53 days pregnant, a little bleeding below, now gone. Went to the hospital for an examination and had an ultrasound. Saw a gestational sac, no abnormalities, but did not see a fetal heartbeat. My last menstrual period was on June 21st. Had intercourse with my husband on July 3rd, July 5th, and July 10th. Past Treatment and Effects: Had an ultrasound, saw a gestational sac, no abnormalities, but did not see a fetal heartbeat. Desired Help: Want to know if this is normal?

Doctor's answer:

Generally, a first ultrasound examination is performed at the hospital around 50 days after a missed period. If the menstrual cycle is regular, a gestational sac, primitive heart tube, and fetal bud can be observed. However, there may be differences due to variations in the menstrual cycle. For your situation, it is recommended to pay attention to prenatal examinations and follow up at the hospital in one week. If there is still no heartbeat, it may be considered as fetal demise. The fetal heartbeat may also appear relatively later, so it is advisable to wait for another week and have a follow-up ultrasound to check the fetal heartbeat. Rest and avoid overexertion.

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