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Bellflower, CA
A 33-year-old female asked:

Went for an 8 week vaginal ultrasound after spotting doctor found no baby in sac my hcg levels were 21000 i will be going back in three days to re tes?

2 doctor answers2 doctors weighed in
Dr. A. Jay Staub
Obstetrics and Gynecology 43 years experience
Blighted Ovum: Unfortunately, this is one of the most common causes of miscarriage. During the very early stages of pregnancy, some cells become the fetus and others the placenta and membranes. When this differentiation doesn't occur, the sac is empty, as no fetus ever developed. More than likely, you will need a d & c. So sorry.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Eric Stansby
Emergency Medicine 27 years experience
Follow up imperative: You have either had a complete miscarriage, or more seriously an ectopic pregnancy. You need to follow-up with your doctor without fail. He/she will re-check b-hcg level, and probably order another ultrasound. With your b-hcg levels that high, a fetus should be seen in the uterus. Consultation with your ob/gyn is mandatory. Go to er for any abdominal pain, or significant vaginal bleeding.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. A. Jay Staub
Obstetrics and Gynecology 43 years experience
Not sure I agree. If there is an empty sac in the uterus, it is likely a blighted ovum, not an ectopic pregnancy.
Dec 9, 2012
Dr. Eric Stansby
Emergency Medicine 27 years experience
Provided original answer
True, that is also on the differential list
Dec 9, 2012
Last updated Jul 4, 2013

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