PREGNANCY-BIRTH Messages for December, 2000: Re: How early can an u/s determine -Dr Mcintosh please elaborate

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Re: How early can an u/s determine -Dr Mcintosh please elaborate

From: jhc (anonymous@obgyn.net)
Wed, 13 Dec 2000 19:22:29 -0600 (CST)

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In reply to: anonymous@obgyn.net: "Re: How early can an u/s determine if a PG is a blighted ovum or not?"

Dr. Mcintosh could you please elaborate on the part of your answer to this message regarding HCG levels may not be useful this early in a pregnancy. I have wondered how accurate HCG levels are in very early pregnancies. I had a slowing in HCG rise at 10 days post embryo transfer and then they began to rise at a rapid rate. I had an ultrasound at 5wks and it showed a gestational sac that measured to be accurate for dates, however, there was no cardiac motion. I will go back in a week for a follow up. I have it in my mind that this is not going to pan out to be a normal pregnancy because of the slowing of the HCG's over the course of a 48 hour period. When I read this answer it has made me wonder, again, if you can rely on HCG levels in a 5-7 day old pregnancy??? Any information is helpful.

At Tue, 12 Dec 2000, anonymous@obgyn.net wrote:

>At Tue, 12 Dec 2000, Jennifer wrote:
>>
>>I had a blighted ovum in August and had a d&c. Now I am 4w2d PG again
>>and have my 1st OB appt today. Im concerened about having another
>>blighted ovum. Could an u/s tell anything if I were to get one today?
>>Last time there was no sign of a yolk sac.......it was just and empty
>>gestational sac. Also, how likely would it be to have two blighted ovum
>>PG's in a row?
>>
>>Thanks for any info!!!!
>>
>>Jenn
>
>There is no way to tell by U/S this early. The normal U/S findings at
>4w2d is nothing, or perhaps a very, very small gestational sac. Serial
>HCG levels might be useful, but even that may be too early.
>
>--
>William D. McIntosh, MD, FACOG
>
>This is for educational purposes only, and is not a substitute for consultation
>with, and examination by, a qualified medical professional.
>
>Due to time and energy constraints, I will be unable to answer any personal
>e-mails. Thank you for your consideration in this matter.
>

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