Resulting from the fertilization of an egg by a sperm, the clear egg does not start the process of cell division leading to the formation of the baby. On ultrasound, the gestational sac is "empty", there is no embryo. The clear egg leads to miscarriage.
Definition
The clear egg or "white egg" refers to an egg fertilized by a spermatozoon, which is also normally implanted in the uterine wall but which does not start the complex process of cell division which must lead to the formation of the embryo. . In other words, the egg is "empty". It does not contain an embryo.
Causes
The causes are poorly understood. The clear egg abortion is often spontaneous, but can also be caused by the use of drugs or by surgical curettage depending on the progress of the pregnancy. Fairly frequent, this phenomenon does not prevent having other children afterwards.
Symptoms
All the symptoms of pregnancy, such as missed periods, are present.
Can we know before an ultrasound?
No, only an ultrasound can see the anomaly.
Diagnostic
Ultrasound is the only way to detect the clear egg, as normal signs of pregnancy are all present. The clear egg is usually evacuated during a spontaneous abortion. Having a clear egg problem does not preclude having normal pregnancies later.
Clear egg and beta-HCG levels
The dosage of beta-HCG may be requested by the doctor to see if the pregnancy is progressive or not. In the case of an active pregnancy, the rate should double every 48 hours. However, in the case of a clear egg, the rate stagnates and no longer increases. "In all cases, the dosage of beta-HCG is not a reliable diagnosis of the presence of a clear egg", warned Dr. Philippe Mironneau, obstetrician gynecologist in Dijon.
Clear egg and suction
When the egg does not disappear on its own, it is necessary to evacuate it with medical help. Surgery under general anesthesia then takes place to completely remove the clear egg. "Today, we do almost nothing more than aspirations. Curettage is too aggressive for the uterine lining" specifies the gynecologist. In some cases, the doctor may also decide to prescribe a medication that triggers the contractions and promotes the natural expulsion of the clear egg.
In some cases, the clear egg evacuates on its own. Bleeding, comparable to that of a period, then signals the early miscarriage.
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