<prompt> A lady presented with 7 weeks amenorrhea with slight vaginal spotting. CRL was 5 mm with well - formed gestational sac with calculated GA of 56 weeks on TVS. However cardiac activity could not be seen. Next line of management?Wait for another 1 week and repeat TVSSurgical or medical evacuationWait for another 4 weeksSerum hCG levels  <response>: Indications for non-ble pregnancy - G-sac 25 mm size with no Yolk sac or fetal pole CRL 7 mm with no cardiac activity G-sac is seen but fetal pole or cardiac activity are not seen even after 2 weeks G-sac and yolk sac are seen but fetal pole or cardiac activity are not seen even after 11 days Yolk sac 7 mm and no fetal pole or cardiac activity seen In this case the CRL measured was 5 mm and the Gestational age calculated was 56 weeks, therefore waiting for one week to ten days to repeat an USG to see for appearance of cardiac activity since it cannot be called a non ble pregnancy as yet. 