3 Treatment Options For A Blighted Ovum

Nothing beats the joy of a woman feeling the movement of life in her womb. While it can be one of the most fulfilling experiences, it also comes along with its peaks and troughs. Sometimes, a woman may not carry her pregnancy to term because of unavoidable reasons, causing either a miscarriage or termination. An excellent example of the unfathomable circumstances is a blighted ovum. So what does this

3 Treatment Options For A Blighted Ovum

lso referred to as anembryonic pregnancy, a blighted ovum is a type of pregnancy in which a viable embryo does not develop after a sperm fertilizes an ovum. It simply attaches itself to the uterus wall. 

The embryonic sac forms, but here, there is no embryo in it. There is nothing inside.

It is therefore advisable to conduct an ultrasound in the first trimester. By doing so, you will find out whether you are carrying a viable pregnancy or it is just an empty embryonic sac.


Scientists have not yet established the primary cause of a blighted ovum. However, they believe chromosomal abnormalities cause the same. And it could also be a low-quality sperm or ovum.

Symptoms Of A Blighted Ovum

The symptoms of a blighted ovum are the same as those of someone having a miscarriage. These include: –

  • Pain-A blighted ovum will often result in pain around the pelvic and the abdominal region followed by bleeding.
  • Cramps-The pain brought about by the blighted ovum may cause cramps. The critical parts affected are the pelvic region and the lower back. However, a pregnant woman may also experience cramps because of the expansion of the uterus during pregnancy.
  • Decrease fetal movements-A pregnant woman will experience less or no fetal movements at all. This is because the ovum gets destroyed during the first trimester.
  • Bleeding and vaginal Discharge-Bleeding is among the very first symptoms in a woman with a blighted ovum. However, a woman carrying a healthy pregnancy may also experience bleeding; a doctor’s consultation is recommended.

There are three primary treatment options for a blighted ovum, namely:-

  • Medical management-This constitutes vaginal and sublingual administering of misoprostol, a drug that induces miscarriage. It works by binding itself to myometrial cells (muscle cells of the uterus), which brings about muscular contractions that expel the pregnancy.
  • Surgical treatment- A gynecologist carries out a surgical procedure known as dilation and curettage. It involves the removal of tissues from the uterus out. 

          He widens the cervix to allow easy scraping of the uterine contents using a curate (a long spoon-                    shaped instrument). He frequently carries this procedure out on patients with hemodynamic instability.

  • Expectant management- A gynecologist closely monitors the patient without having to go through any medication or procedure. The patient will wait until the natural expulsion of the tissue takes place. This takes about two weeks. 

Gynecologists recommend repeat ultrasounds to confirm complete tissue expulsion.

While all the three named methods of blighted ovum treatment apply, your medical history, emotional state, and pregnancy length will determine which option that will work best for you. 

Discuss with your doctor and use the treatment option suitable for you.

 Miscarriages can be incredibly painful, and you will need time to heal both emotionally and physically. Doctors recommend you wait for three menstrual cycles so that your body recuperates fully, ready to support another pregnancy.

During this time, focus on healthy physical and emotional lifestyle habits such as eating well, exercising, and keeping stress at bay. Also, seek support from your close friends and family.

Doctors cannot prevent or save a blighted ovum. 

It is not something you can prevent either. However, there is hope for you to carry a successful pregnancy in the future.