###Human: Fetal heartbeat cannot be detected during 10 weeks of pregnancy. Do I need immediate help? ###Assistant: Hi. I understand your concern. The diagnosis of a blighted ovum or molar pregnancy can get easily confirmed on the scan. If in doubt, MRI can confirm the diagnosis. It is not a healthy pregnancy as by 5-6 weeks any pregnancy will be seen and also the cardiac pulsation. So at HCG of 32000, a sac with the fetal heart will be seen. If this is Blighted ovum, it is not an emergency. You can wait for five days and get it removed. But more natural method would be the use of Mifepristone 200 mg two tablets orally and vaginally and after 48 hours have four tablets of Misoprostol 200 mcg. You will bleed and have periods like a regular one. A surgical evacuation will not be needed. But if this is a molar pregnancy, it is like an emergency. As time passes, the beta hCG will raise. Your blood level of hCG will get increased and reduce the hemoglobin level, which will result in giddiness, vomiting, and nausea. You need to arrange the blood donor and have a vacuum evacuation under anesthesia. So I would advise, you should confirm the diagnosis and do the needful. Do not get stressed out; you will be fine. It is not a life-threatening condition.