Why does the sonogram not show a heartbeat when there was one two weeks ago would be any signs of cramping or bleeding?

Why there might not be a heartbeat:

- Dating discrepancy: The sonogram may have been performed earlier than expected based on the last menstrual period. Embryonic development varies, so a heartbeat may not be visible until a later gestational age.

- Early pregnancy loss: If the pregnancy is not viable, the embryo or fetus may have stopped developing, resulting in a missed miscarriage.

- Ectopic pregnancy: In rare cases, a pregnancy can develop outside the uterus, such as in the fallopian tubes. A sonogram may not be able to detect the pregnancy correctly in these situations.

Signs of Cramping or Bleeding

Cramping and bleeding can occur during early pregnancy due to various reasons:

Implantation bleeding: Mild bleeding or spotting can happen when the fertilized egg implants into the uterine wall. This usually occurs around the time of an expected period.

Period-like cramps: The uterus may undergo contractions similar to menstrual cramps as it grows to accommodate the pregnancy.

Ectopic pregnancy: In the case of an ectopic pregnancy, severe cramping and bleeding can occur as the pregnancy develops outside the uterus.

Miscarriage: If a miscarriage occurs, cramping and bleeding can accompany the loss of pregnancy tissue.

Other causes: Other underlying medical conditions, such as infections or hormonal imbalances, can also cause cramping and bleeding during pregnancy.

It is crucial to consult a healthcare professional to determine the cause of the missing heartbeat on the sonogram and address any signs of cramping or bleeding during pregnancy.