Early Pregnancy Failure (Blighted Ovum): Understanding, Coping, and What Comes Next
11 Mar 2025
Discovering you're pregnant is often a moment filled with joy and excitement. However, early pregnancy failure, such as a blighted ovum, can be a deeply emotional and confusing experience. Understanding what a blighted ovum is and how to navigate the next steps may help you find clarity and healing.
What Is a Blighted Ovum?
A blighted ovum, also known as an anembryonic pregnancy, occurs when a fertilized egg attaches to the uterine wall but fails to develop into an embryo. The gestational sac continues to grow, but there is no baby inside. Blighted ovum is one of the most common causes of early pregnancy loss, often occurring before the 8th week of pregnancy.What Causes a Blighted Ovum?
In most cases, a blighted ovum is caused by chromosomal abnormalities during fertilization. The body recognizes these abnormalities and naturally stops the pregnancy from progressing. Factors that may contribute include:- Genetic issues in the egg or sperm
- Abnormal cell division
- Rarely, underlying maternal health conditions
Symptoms of a Blighted Ovum
In many cases, a blighted ovum may initially present as a normal pregnancy, with common symptoms such as:- Missed period
- Positive pregnancy test
- Breast tenderness
- Nausea
- Vaginal Bleeding: Light spotting to heavier bleeding
- Cramping: Similar to period cramps
- Loss of Pregnancy Symptoms: A sudden decrease in nausea or breast tenderness
Diagnosis
A blighted ovum is typically diagnosed through an ultrasound, which shows an empty gestational sac without a developing embryo. Blood tests may also reveal declining levels of pregnancy hormones (hCG).Treatment Options
Once a blighted ovum is diagnosed, your healthcare provider will discuss the best course of action based on your situation.1. Expectant Management (Natural Passing)
- Waiting for the body to naturally expel the pregnancy tissue
- May involve bleeding and cramping over several days
2. Medication (Medical Management)
- Medication to help the body pass the tissue more quickly
- Often prescribed if natural passing does not occur
3. Dilation and Curettage (D&C)
- A minor surgical procedure to remove pregnancy tissue
- Recommended if there are complications or if you prefer a more immediate resolution
