Doctor insights on:
No Fetal Pole 6 Weeks
Is it possible to measure close to 3 weeks behind on transvaginal ultrasound? U/s showed fetal pole measuring 6 weeks w/ no heartbeat yet.
Transvaginal USG: Transvaginal ultrasound is most accurate duringvthe first trimester by 5-7 days. If >than 1 week off then your dating may be off because of ovulation etc. Your period also plays a role in this. If your cycles are irregular then ultrasound dates may be off. Would considerva repest ultasound in a week to evaluate and see if pregnancy is progressing. Good luck. ...Read more
Worrisome: Normally a fetal heatbeat can be detected by a good machine at about 5 weeks. Sometimes technical difficulties make this harder. The absence od a heartbeat at six weeks could be technical or could indicate a nonviable fetus/ missed abortion. Suggest rescanning in 5-7 days to look again for the heartbeat ...Read more
More like 5weeks: At 6 weeks the fetal pole would typically be about 5mm. You may be asked to repeat the sono in 1-2 weeks to confirm fetal life. Good luck. ...Read more
Normal: Heart activity usually starts about half way through the 6th week. ...Read more
Went in and measured 6 weeks and 3 days but no fetal pole or heartbeat but we see a sac and a yoke sac should I be worried?
Stay calm: I'm sure a follow up ultrasound has been scheduled ...Read more
I am 6 weeks and 1 day and my beta is 4556.00 they seen the sac and the yolk but no fetal pole. Is this a possible Blighted oviam?
Too early to know: Traditionally the level of hormone above which we should be able to reliably detect an embryo in the uterus is quoted as 3600 -6000 (depending on which study you read). So it is quite probable that this is still a normal pregnancy. You will have to wait a few days and get another scan to be sure. The wait can be agonising! I wish you well. ...Read more
Had my first u/s today measured 6 weeks...The tech only saw a gestatbional sac. No yolk or fetal pole. Said everything looked ok. I'm still worried???
Repeat US in 1 week: It's not uncommon for a US at 6 weeks to show only a gestational sac. It's possibly that the fetal pole is lagging and it just needs a little more time. Be patient. There is not much you can do but think positive. Getting a measurement of the gestational sac size can be helpful as well for us to guide expectations. ...Read more
Early embryo body:
Its the embryo body usually seen as a small dot next to a small circle, the yolk sac, during earliest stages of pregnancy.
The first structure visible is the yolk sac. The fetal pole is then seen as a small bump on the yolk sack wall. If you think of a chicken's egg, it is the small white thickening next to the yolk that develops into the chicken. The yolk sac dissapears as the embryo grows. ...Read more
Tough question...: I imagine you are aching to know if everything's ok with your pregnancy. While it is generally possible to see the heart beating at about that time, the problem may be dates: if you are three weeks rather than seven, for example, you won't see much on ultrasound. Please talk with your doctor. They may repeat the ultrasound and check blood. Pain or bleeding must be evaluated. Good luck. Lgromkomd. ...Read more
About 7 weeks: By 7 weeks I would expect to see a fetal pole with fetal heart activity on transvaginal sono. A tiny fetal pole may be resolvable at 6-6.5 weeks but fetal heart activity is often not apparent at that stage. ...Read more
I'm 5w6d in scan. I've ben spoting, still no fetal pole and ges sac has grown fr 1.0cm- 1.6cm n 6dys. What are my chances n seeing my baby there soon?
Week 6-7: One does not expect to see a fetal pole until week 6-7 weeks. You can schedule a follow up visit for that time period ...Read more
If no fetal pole is seen at 7 weeks, and we are certain the date is accurate, is there still a possibility that it can develop in the coming weeks?
Depends: It depends on how sure you are. You should see a fetal pole by US by seven weeks. Probably best to see your doctor and check serial lab work. May need to repeat the ultrasound depending on the clinicl scenario. Hope this helps. ...Read more
Repeat study.: Measurements may be off slightly. Best bet is to repeat study in 2 weeks before any other considerations. ...Read more
Hi I had ultrasound done can see fetal pole and yoke sac but no heatbeat baby is 6 weeks is this normal?
Maybe: By 6 weeks you usually see a heart beat but you may not be quite that far along in which case just seeing the fetal pole and yolk sac is completely normal. Hope all goes well. ...Read more
I had us at 6 weeks no fetal pole just debris. Is it possible that embryo was too small to see? I had mc 6 months ago and very worried.
No way to know for:
Sure. Unfortunately, no fetal pole at 6 weeks is unusual.
Please see your ob/gyn about followup us and/or repeated beta HCG hormone measurements to try to verify situation.
There are no medical options to improve embryo survival at this early stage, only time will tell. ...Read more
No: A regular stethoscope can pick up the fetal heart beat but that is about it. When I was a young medical student with better hearing I was able to pick up my first child's heartbeat during the early second trimester. He'll be 41 later this year! ...Read more
Lmp aug 26. Consistently measuring 6days behind at u/s. 7w4d 8mm fetal pole. Hr 131 bpm. Is the hr consistent with fetal pole measurement? Healthy?
Yes: Sounds totally unremarkable. Fetal heart rate will typically peak at about 170 BPM at 9-10 weeks then slowly drop to 130 BPM at term. Good luck. ...Read more
By LMP I am 7w4d today. U/s 2 weeks ago told me turning 5w. Only sac, baby barely visible. Today, fetal pole and hb but baby measuring 5w6d. Problem?
Very early US dating:
Not as good as us between 7-13 weeks. Measuring the fetal length (called a crown rump measurement) is the most accurate.
The good news is interval growth, including a fetal pole with cardiac activity.
Another followup us in 3-5 weeks could confirm additional interval growth and measure the crown-rump distance to re-evaluate dates. ...Read more
Hi my LMP was on 14th June 2014. I had slight bleeding on 11th and 12th july. My scan (tvs) sac:6.5mm, yolk:2.3mm and no fetal pole. Is that normal?
Patience is Key: It is best to repeat the ultrasound in 1 week to look for fetal pole. It I best to wait till 7 weeks before making any decisions. Ovulation day may change. You are only about 6 weeks now. I am not sure when you did the ultrasound. You can also do HCG levels 48 hours apart. So, please just wait. Good Luck! ...Read more
There was a little sac and fetal pole but no heartbeat yet. Possibly too early they think I'm less than 6 weeks. Feeling sick has stopped for 2 days.
No heart beat on U/S: Seeing a sac with fetal pole at 6 weeks is normal and I would have expected cardiac activity. Possibly it's somewhat delayed. Recheck in 2 weeks, no activity would be an ominous sign. ...Read more
Will fetal pole be visible during 8th week? . 7.3 today based on scan but LMP june 22. which shud I follow?
The fetus: Should definitely be visible in the 8th week under normal circumstances. ...Read more
Is it possible to not have fetal pole with a 13mm gestational sac and within a weeks time a fetal pole is seen?
Pregnancy: You shouls see a fetal pole when the gestational sac measures 18-20 mm. With a sac of 13 mm you should see a yolk sac. ...Read more
Is it still normal not to see a fetal pole nor a heartbeat in 5w6d (based on scan age) preg? I'm irregular evrsince.
It is: Possible under normal circumstances to not see the fetal pole during the 5th week. It should be visualized within the next week or so. ...Read more
Docs think my baby stopped growing long ago (dates don't match) fetal pole seen - no yolk, can this b mistaken for the yolk?
the only advise I can give you is that you need to get in to see your obstetrician and have an ultra sound. If your baby is viable they will be able to reassure you or explain any concerns they have.
I know this is a very scary time and I send you my good wishes as you get through this. ...Read more
Is it normal to see a fetus on the u/s but no gestional sac and no fetal pole, even if I measure right at 6wk. When I'm 6wk by my last peroid.
I'm not sure: I understand the question. The fetal pole is the fetus at an early stage, and it would be impossible to see a fetus without a gestational sac except possibly with fetal demise/abortion. At 6 weeks in a normal pregnancy, the gestational sac and yolk sac should be visible, and the fetal pole may or may not be visible. ...Read more
5w3d saw a fetal pole no hb but was do 5w5d and found no yolk sac. My levels went from 2000 to 3435 in twodays go back in two weeks is this normal
Sounds ok: One would not expect to see a fetus until at least 6 weeks. ...Read more
My hgc was 600 then 2days later 1626, then 3days later it was 4000. The doc didn't see a fetal pole but saw what looks like a sac. Is this normal?
Could be: The test should be repeated now that more time has passed as well as repeat us. ...Read more
On 21 april ther was nthng shown in my US and not even on the upt on 20 may the US showd 7w2d gestatnal sac, wth fetal pole but no FCA doc said to w8?
Maybe a problem: It sounds like it could be a miscarriage but the only way to know is to repeat the ultrasound in 7-10 days. Best of luck ...Read more
9/28/15 no fetal pole 10/4/15 its a fetal pole 6wks in 1 dy said I conceived on the 29th aug due date is may 28th how the heck is that don't make sense?
Repeat US: Technology has come a long way and ultrasounds can detect early components of pregnancy even before the fetus can be visualized. There are different values that a early pregnancy (gestational sac) needs to be in order for it to be diagnosed with an abnormal pregnancy/missed abortion etc. Please be patient and speak to your ObGyn for further information. You can also make a virtual appt with me ...Read more
Depends.: This depends on your gestational age (true, not just menstrual dates). It may mean three things: early normal pregnancy, ectopic pregnancy, blighted ovum/miscarriage. Talk to your gynecologist to determine your particulars, including your beta HCG and serial pelvic ultrasound views. Good luck! ...Read more
Dr found a fetal pole and cardiac activity. How ever she did find another irregular sac below it filled with blood. Should I be concerned?
Twin Pregnancy? .: Ultrasound exams routinely done for pregnancy evaluation may find a second sac that is irregular and this may be due to a twin pregnancy that has undergone demise or lack of viability. The first sac if contains a fetus with heart rate and normal in appearance usually goes on to full term delivery. ...Read more
5 1/2 week ultrasound 2 sack could only find one tinny fetal pole and heartbeat. Told we needed to wait 2weeks can second sack still be a baby?
Pregnancy: Yes, that is a possibility. You are so early at this point that it is difficult to see anything meaningful on ultrasound. A recheck in 2 weeks should help sort everything out. Good luck! ...Read more
At 5 weeks I had a 13000 hCG reading no fetal pole. 4 days later 21000 hCG still no fetal pole. Dr recommended a dc. Posts say no fp now is ok help?
If you are concerned you can always have the BHCG checked again. It should double every 48 hours if the pregnancy is developing properly. It is important to know if a pregnancy is seen in the uterus and not in the tubes.
If in the uterus and not progressing your options could be waiting to see if you will pass it on your own or having a D&C.
Review details with your doctor ...Read more
Should be 8-9wks preg. But U/S shows only Yolk sac without fetal pole & measures 7w4d. Last wk it measured 6w so it's growing. Is viability possible?
Possible: Still possible but worrisome if no fetal pole ...Read more
Hi. I have brown discharge. Had exam and u/s. No fetal pole was found anf turns out im only 5 weeks not eleven. They told me threatened m/c.Worry orno?
Yes: A threatened miscarriage is simply bleeding in early pregnancy and the chance of a miscarriage is about 50%. The question you need answered is are your dates simply misleading or did the pregnancy stop growing (as long as 6 weeks ago)? This is normally answered by following your hormone levels every 2 to 3 days and/or repeating the ultrasound weekly. ...Read more
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