Missed period, what's wrong with uterine ultrasound?

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Question
Hello doctor,
Currently, I am 5 days late for my period, but I tested 2 lines, each day getting darker. On April 29, after 5 days of delay, I had a transvaginal ultrasound, the doctor concluded that the uterine cavity had a negative drum with an increased echo around 4.5mmx2.4mm. The doctor told me that my period is delayed, what is the ultrasound of the uterus with negative drum nodules? Am I pregnant? Is that negative drum note considered a gestational sac? Thank you doctor.
Tran Thi Huyen Trang (1996)
Answer
Answered by Master, Doctor Vu Thi Hong Chinh - Obstetrician and Gynecologist - Obstetrics Department, Vinmec Times City International General Hospital.
Hello,
With the question "What's wrong with a missed period, what's wrong with ultrasound of the uterus? ”, the doctor would like to answer as follows:
If you are late for your period 5 days, test with 2 bars, ultrasound results: If your uterus has a negative 4.5x2.4mm nodule, there is a big chance that you are pregnant. But for an accurate diagnosis, you need to have a blood test to measure pregnancy hormone levels: Beta hCG levels.
As for ultrasound, only clearly identify the gestational sac in the uterus by transvaginal ultrasound when the beta hCG level is from 1500 mIU/mL, abdominal ultrasound when the beta hCG level is from 3000 mIU/mL or more . If you have no abnormal symptoms at the moment, you should return in 1 week for an ultrasound, blood test and pregnancy counseling.
If you still have questions about your period delay, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!

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