Dear Ms Ultrasound,
I am 6 weeks pregnant today. My last menstrual cycle ended on March 24th. We have used Clomid to aid in our conception, and have already suffered 3 previous miscarriages. Today during an ultra sound, my doctor thought something may have been the fetal pole, but was uncertain. There was no heartbeat present. I am absolutely accurate on my dates, should I be concerned?
Early ultrasound can cause some gray areas when it comes to seeing a heartbeat or early fetal pole. The only alternative is to keep in a positive frame of mind until you have a second ultrasound in a week to ten days. If at the second ultrasound there has been no growth or there is no sign of a heartbeat, then you'll know the pregnancy stopped growing.
Please keep in mind that even if you were on Clomid, no one really ever knows the exact date they conceived. You may be in the five week range of growth and this would explain why a heartbeat was not seen.
Hang in there, and know that I personally feel strongly about staying mentally healthy, with all the hope in the world, while you are in this waiting period between ultrasounds. I feel it helps significantly with development.
-- Jane, RDMS