Could absence of cardiac activity at 5th week be a matter of concern?
Patient: Hi, Doc... Today I had to undergo sonography in my 5th week as yesterday i saw blood fr one minute as happen during periods. Although I am fine and have no pain n stomach or anywhere else. My report says:- Well defined round gestational sac is seen within uterine cavity, with good surrounding chorio decidual reaction. Gravid uterus with single intrauterine embryo of 5 weeks 6 days. Yolk sac is seen. No cardiac activity noted at present scan. Cervical length is normal and internal OS is closed. Both asnexae are clear. No e/o free fluid in cul-de-sac. Corpus Luteal cyst is noted in left ovry. Is everything normal with me??? Doctor: Hallow Dear,When you saw some amount of bleeding after missing period, it is but natural for you to get stressed. However, ultrasonography after the incidence of spotting has not revealed any bleeding from the chorionic tissue and the other findings are normal.It is good no note that the gestational sac is well defined and round, meaning there by that the embryo is viable. Even the embryo of about six weeks also is noted. 5+ weeks of pregnancy may be rather early for depicting cardiac activity. You need not infer any conclusion at this stage. The scan report is optimistic. Please repeat the scan after about a week or more. After 6 weeks duration of pregnancy, usually foetal cardiac activity is noted. With the current scan report, I feel you would have cardiac activity noted in scan after one week. Dr. Nishikant Shrotri