Dotted germ echo is a description of fewer and smaller germs within the gestational sac under ultrasound, and attention should be paid to regular review of ultrasound. Dotted germ echo is the description of embryonic development under ultrasound, generally in early pregnancy there may be a small number of germs in the gestational sac, at this time the germs are relatively small and can be in the form of dots, generally around the dotted germs can be seen rich blood flow signals, which indicates that the growth of the gestational sac is good. At the same time, as the embryo grows and develops, the embryonic buds will gradually increase and the fetal heart will gradually appear. Generally, ultrasound review is needed after 1 to 2 weeks to observe the growth of the embryonic buds and the presence or absence of fetal heart. Dotted germ echo is the description of early embryo by ultrasound examination. If there is any abnormal problem, you should go to the hospital for examination and treatment under the doctor’s guidance.