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Re: 12.5 mm gestational sac and no yolk seen

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 20 Feb 2002 09:49:07 -0600 (CST)


At Tue, 19 Feb 2002, Maria wrote: >
>I have been going through IVF (this cycle was a frozen transfer). My LMP
>was on 12/31/01 - My transfer was on 1/22 (the embryos were only 2 days old
>then). It is now 2/19/02.. Which would put me at 6 weeks to the day.. by my
>count. My ultrasound yesterday (at 5wks6days) showed a 12.5mm gestational
>sac but no yolk sac. The doctor measured it at 5weeks3days. My beta number
>yesterday (5w6d) was 15,952 which seems rather high. My first beta on
>2/4/02 was 58 and two days later was 158, so it tripled. Seems like it has
>been doing that ever since. Is this good or bad? I have seen some posts on
>bulletin boards about people who had ultrasounds at 5w6days also and came
>back a week later and saw the yolk sac, baby and heartbeat? Is this
>unrealistic to think it could be a viable pregnancy? Or should I continue
>to hold out hope. I have read that a yolk sac should appear on a
>transvaginal u/s at 10mm otherwise it is considered a non-viable pregnancy.
>My numbers don't seem to jive with eachother, gestational age, size of sac,
>beta numbers. I also had some brown spotting two days ago that only lasted
>1 day (not even the size of a quarter). What do you think?
>
>Maria

While your findings are a bit confusing, and not as reassuring as we might hope, there is hope still. It is going to take a bit more time to know what is going on for sure. Good luck.

--
William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.






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