The Cause Of Pregnancy Is Empty Even Though The Pregnancy Sac Was Previously Seen?

… I want to ask … I’m pregnant with my first child, when I am late for menstruation, I tested positive, then I brought an ultrasound, and he said that he was about 6 weeks. Do you still have big hopes to get pregnant again?

1 Answer:

Good morning, thanks for the question

An empty pregnancy or called a blighted ovum is an egg that has been fertilized by sperm cells and is implanted in the uterine wall, but does not develop. The pregnancy sac is present but the embryo inside does not develop. Although there is no embryo in it, the placenta still produces the hormone HCG. This hormone works to support pregnancy. Pregnancy checks will remain positive even though the actual pregnancy process did not occur. Complaints related to pregnancy can still be felt like nausea and pain in the breast.

Blighted ovum is the most common cause of spontaneous miscarriage. The cause of the condition of blighted ovum is mainly due to genetic abnormalities in egg cells or sperm cells so that the formation of the fetus does not form early after fertilization occurs. Blighted ovum is commonly found during the initial antenatal ultrasound examination. An ultrasound examination will show the placenta with an empty pregnancy sac. Blighted ovum is generally seen at 8-13 weeks of gestation.

Treatment options that can be done in cases of blighted ovum include:
1. Expectant management
Wait until the pregnancy sac tissue is removed from the uterus by itself if there are complaints of blood spots. Or you can wait up to 9 weeks later to reassess whether there is fetal development.
2. Drug therapy
Use certain types of drugs that function as triggers for uterine contractions and cervical dams. However, this method takes several weeks for the body to spontaneously release the remaining tissue in the uterus. This action is more at risk of causing bleeding and other side effects.
3. Evacuate the remaining conceptions
Performed by widening the cervix and then evacuating the rest of the conception by means of a sharp curette or suction curette.

The possibility to get pregnant again remains, because this blighted ovum case is not associated with abnormalities in the uterine organs. It is best to consult with an obstetrician for your condition. Each of the methods above is applied to different patient medical conditions based on symptoms and physical examination results.

That's all, hope you can help
Wassalam.

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