What should I do if I have no embryo for two months?

If your menstrual periods are usually regular, but there is no fetal bud or fetal heartbeat in the second month of pregnancy, it is an abnormal situation and you may have fetal arrest. If a woman's menstruation is irregular, especially if her menstruation is often delayed, and there is no fetal bud or fetal heartbeat in the second month of pregnancy, it is considered that it is caused by a short fertilization time. She can have a follow-up ultrasound in a few days to see if there is a fetal bud or fetal heartbeat. If there is still no embryonic bud or fetal heartbeat during the follow-up visit, consider fetal arrest. Once fetal arrest is diagnosed, the patient needs to promptly receive medical abortion followed by uterine curettage to avoid prolonged fetal arrest, which may affect blood coagulation and even seriously endanger life.

The patient was pregnant, with no fetal bud or fetal heartbeat, but her blood HCG and progesterone levels were normal. In this case, it is recommended to return for a gynecological ultrasound one week later to see if there is a fetal bud, fetal heart rate, or fetal heartbeat. If the patient does not have a fetal bud or fetal heartbeat during B-ultrasound, and the blood HCG value is reduced or the progesterone value is relatively low, in this case, the embryo may have stopped developing, and the patient can return for a gynecological color ultrasound in 3-5 days.

If the follow-up ultrasound still does not detect the embryonic bud or fetal heartbeat, and the blood HCG and progesterone levels continue to decrease, considering that the embryo has stopped developing, it is recommended to terminate the pregnancy as soon as possible. You can choose medical abortion or surgical abortion. After an abortion, it is strictly forbidden to have sexual intercourse or take a sitz bath. Pay attention to rest and avoid excessive exercise. Under normal circumstances, a gynecological ultrasound should be performed again one week after the abortion.

There are two reasons why there is no embryo or fetal heartbeat during pregnancy: the first is that the pregnancy is relatively short and cannot be detected by ultrasound; the second is that the test tube embryo has stopped developing. Therefore, if the pregnancy duration is relatively short, dynamic observation should be carried out, and the changes in blood chorionic estrogen and progesterone levels should be carefully checked. If you have been pregnant for nearly 2 months, but the ultrasound still cannot detect the embryonic bud, fetal heart rate and fetal heartbeat, it means that the test tube embryo has stopped growing. It is recommended to go to the hospital for medical abortion, and the test tube embryo should be sent for pathological examination after expulsion.