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 You may see the gestational sac in an ultrasound as early as 4 1/2 to 5 weeks The gestational sac increases in diameter by 113 mm per day and initially measures 2 to 3 mm in diameter, accordingThe same thing happened to me at 6 weeks 3 days, only a sac was showing on an internal ultrasound I was terrified because I already saw my daughters heartbeat by that time I now have an almost 8 month old baby boy who is in the 95th percentile )  This is our rainbow baby after 5 years of trying after our loss I've had all the symptoms, which is reassuring with no spotting Going into the 2nd trimester and I am less nauseous which makes me nervous The lack of ultrasound also makes me super anxious (only had one at 6 weeks and heard heartbeat 5 Week Pregnancy Ultrasound What To Expect In An Ultrasound Baby 5 weeks 3 days ultrasound