Was transvaginal scan missed at 10 weeks showing only gestational sac? Seeking OB/GYN opinions on clinical decisions during our missed miscarriage journey.

By <name>/u/SABB_M1</name><uri>https://old.reddit.com/user/SABB_M1</uri>

Patient Details: Patient: Female, 20s No chronic medical conditions No regular medications prior to this Complete Timeline: April 2nd 2026: Wife's last menstrual period (LMP) began. April 11th 2026: First intercourse. Continued having regular unprotected intercourse after this date. May 2nd 2026: Wife missed her expected period — confirming conception occurred in April. May 23rd 2026: Home pregnancy test positive. Visited qualified laboratory — confirmed positive via urine test. May 25th 2026: Visited OB/GYN (Associate Professor, MBBS, FCPS, MRCOG London, FACOG USA — experienced senior gynecologist). Doctor confirmed pregnancy via urine test. Prescribed medications and asked to return after 20 days. June 15th 2026: Returned to doctor. By LMP this was approximately 10 weeks 2 days gestation. Doctor performed abdominal ultrasound only. Findings: Only gestational sac visible. No fetal pole detected. No cardiac activity. Doctor's action: Told us to come back after 2 weeks Prescribed progesterone injections and tablets Did NOT order transvaginal ultrasound June 29th 2026: Returned to doctor. By LMP this was approximately 12 weeks 4 days gestation. Doctor again performed abdominal scan — no cardiac activity found. Doctor then referred wife to specialist radiologist for transvaginal ultrasound. Transvaginal Ultrasound Results (June 29th): Intrauterine gestation: Single Fetal pole: Present Yolk sac: Present Crown Rump Length (CRL): 6.2mm Period of Gestation (POG): 6 weeks 3 days Fetal cardiac activity: Absent Right adnexa: Normal Left adnexa: Normal Impression: Missed Abortion Doctor confirmed non-viable pregnancy. Prescribed Rotec 50 (Diclofenac Sodium 50mg / Misoprostol 200mcg) — 4 tablets three times as medical management. July 1st 2026: Wife took prescribed medication (Rotec 50). July 12th 2026: Bleeding completely stopped — 11 days after medication. Follow up scan: Transvaginal scan confirmed uterus completely empty. Full recovery confirmed. August 2nd 2026: First peri

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