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I am 5 weeks pregnant
I consulted a gynaecologist. My first B-hcg level was 1785 and after 48 hours it was 2521. Prior to the blood test there was no gestational sac. But after the blood tests I did another USG which showed a tiny intrauterine gestational sac which was empty with size 5.47mm. I requested for termination. Initially the doctor said that if there was a gestational sac then she will proceed with MTP kit. But now she is telling me to wait for 2 weeks and do another USG because it's too early and there is no baby's heartbeat. She also suspected ectopic prior to the blood tests and second USG scan. Is there any chance of it being ectopic? And should I wait for another 2 weeks to hear baby's heartbeat after proceeding with MTP?
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Your BHCG has not doubled This sac could be a pseudosac or false sac In my opinion you can repeat BHCG n USG in one week If the sac is growing it means its intrauterine pregnancy n in that case you can take pills for MTP 2 weeks maybe too long If u don’t want pregnancy u don’t need to wait to hear heartbeats
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Your doctor is absolutely correct In an intrauterine pregnancy Bhcg titers  should double in 48 hours This is indicative of an ectopic pregnancy Medical termination cannot be offered before localization of a pregnancy It should be confirmed that the pregnancy is intrauterine before you proceed with termination A waiting period of 2 weeks Is not advisable you can repeat ultrasound after 7 days from the first
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Better understanding of your condition will be required in this case. Waiting will help if the tubal ectopic pregnancy is implanted into the uterus
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.