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Women's Health: Postpartum Community
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Avatar universal

5 week 1 day ultrasound

I was having some major side pain so i went to the ER (was advised by on call nurse to do so). I was at 5 weeks and 1 day pregnant. My HcG levels were 1500 (around there). The ER doctor and the OB doctor did seperate ultrasounds to check for ectopic pregnancy.. Neither one of them could find ANYTHING. Not a sac not nothing. I am to go back in two more days for blood work and another ultrasound but is this normal to not find anything at all? They said my ovaires looked good my tubes looked good my uterus looked good and my cervix looked good to. The only thing the OB doctor did say he found was a bit of fluid near one of my ovaries, which he thought to have been a burst cyst. Could that have been my baby? Should they have found SOMETHING?
Please  help!
5 Responses
Avatar universal
come on someone answer my question!
134578 tn?1546634665
Ultrasounds magnify things a bit, but they don't see at a cellular level.  The fifth week is always an iffy and unnecessarily alarming time to have an ultrasound.  (Especially this is true since the embryo could have implanted a couple of days later than normal and you would really be still in your 4th week, when nothing is visible on ultrasounds on any pregnancy).  You're probably just too early for an ultrasound to see the tiny embryo forming.  Not seeing anything in the ultrasound is certainly consistent with hCG being at 1500.
134578 tn?1546634665
Try not to stress, everything sounds normal for early in the fifth week. Ultrasounds don't magnify much, certainly not to a cellular level.  At this early stage, you have to just rely on hCG tests to tell you what is going on.  (All that ultrasounds done this early do is scare the heck out of people.  Especially this is true since the embryo could have implanted just two days later than the average and you would really be still in your 4th week, when nothing is ever seen.)  Not seeing anything in the ultrasound is certainly consistent with hCG being at 1500; it all just sounds like you're really, really early.
134578 tn?1546634665
Sorry, didn't know the first version posted (it came back to me as though it didn't) so I edited it and sent it, only to find it doubled up!  
202436 tn?1326477933
Several scenarios could be playing out here.  If your dates are off by even a couple of days it may be too early to see anything.  On the other hand you may have what is known as a chemical pregnancy.   I would give it atleast a week and insist on another u/s to see if they see a gestational sac.  The repeat bloodwork should be able to tell you if your HCG levels are doubling as they should.
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