Why?

[Northern_Shutterbug]

I knew we shouldn't have told anyone or got excited or even bought anything, we've jinxed it. Well, I have. I wanted to tell everyone, I bought stuff, I got cocky because my tests were getting darker.

Now I'm stuck in the hospital, having been here for 10 hours already, staying the night because they think its ectopic or a miscarriage.

I came for a scan because of pain in my right side and a pressure feeling going down the right leg and radiating to my lower back. I was sure it would be a cyst, as I get them in pregnancy. They saw a sac in my uterus, so said it was in the right place, but they didn't see a yolk sac. They then found a cyst on my right ovary but a lot if fluid round it too.

So, they took bloods and did an internal. Cervix closed but the bloods are 7000miu. Yes, that's great for 5 weeks but at that amount there should be a yolk sac.

I am here overnight, nil by mouth from midnight, with a cannula in my hand because they want to do a larascocopy (sp?) in the morning.

So, best scenario, its not an ectopic, and I'm miscarrying. Worst scenario, its an ectopic, and they remove the tube and the sac in the uterus will carry on to a miscarriage. They think its going to be the worst, so not only am I reducing my fertility, I'll be having my third miscarriage in 5 months.

I said months ago that someone hated me.

[cravingsalt]

Oh, no. Northern. I hope they are wrong, I truly do. Big hugs to you, so sorry you are having to go through this, whatever it turns out to be.

[Dreamofpink]

Oh my goodness, Northern. Sending you a huge hug, you poor poor thing. :hugs:
What an awful thing to face, I just hope that they look after you very well in the hospital and it's the better of the two outcomes for you. I'll be thinking of you and hope you'll be home safe with your precious boys tomorrow. x x

[Pumpkin2011]

I've been exactly where you are two weeks ago. At 5w3d nothing could be seen on the scan, same thing for 6w3d.
Then I suddenly had pain on the left side so I went to the hospital. They have seen something in my left ovar and told me that I was going to have surgery right away they just wanted to wait for blood results. I was so devastated I never thought I would ever consider natural miscarriage as best scenario but this time I definitely did. I was afraid of having my tube removed or scares that would up my chances of another ectopic pregnancy. When the results were in they told me to go home because the HCG fell from 350 to 120 in just one day so they were hoping my body would deal with it on it's own. 2 days later they checked the hormones again and HCG was at 49 and I started bleeding that night. It was terrible for me, I was so excited about beeing pregnant and told friends and family and then this happened...

I am so very sorry for your losses this is really not fair. I know exactly what your going through and i wish you all the best! You should consider getting checked on why this happend so often so you can prevent another miscarriage. I would love to bit they don't do it unless I miscarried 3 times in a row :sigh:.

[Mum23boys]

could your dates be wrong and you be further behind than you think and hence no yolk Sac ?

[nuthinbutpink]

At 5 weeks, it is normal to only see a sac. If they see a sac, it doesn't make sense that there is an ectopic unless you ovulated 2 eggs and one is in the uterus and one is in the tube...I am not following.

The pain is the only thing that seems abnormal to me at this point. You levels, u/s sound just fine.

[nuthinbutpink]

This is not correct at all-

So, best scenario, its not an ectopic, and I'm miscarrying. Worst scenario, its an ectopic, and they remove the tube and the sac in the uterus will carry on to a miscarriage.

Best case is there is a baby in there and it's WAY too early to see anything on u/s- they don't let us come in at all with HT until 6 weeks MINIMUM. 5 weeks is too early to tell anything but it's not ectopic. There's nothing in the uterus when it's ectopic!

[Pumpkin2011]

At 5 weeks, it is normal to only see a sac. If they see a sac, it doesn't make sense that there is an ectopic unless you ovulated 2 eggs and one is in the uterus and one is in the tube...I am not following.

The pain is the only thing that seems abnormal to me at this point. You levels, u/s sound just fine.

I've been told at the hospital that there is such a thing as a "phantom sac" possible with an ectopic pregnancy. Also her blood levels were at 7000 you should definitely see more than a sac at this amount.

[Northern_Shutterbug]

Thank you all. As Pumpkin has said, my levels mean that there should be a yolk sac and trust my I've tried to find as much positive information as I can, but its all pointing to a miscarriage if it was a proper sac, or nothing real and I've got an eptopic in there.

[Mrs_P]

I don't get that either, i had a scan at 6 weeks with ds2 as i had some spotting and all they could see was a sack, they didn't seem bothered it measured about right and i went back a week later to see if it had developed (he was fine).

I also had a scan with this one at 7 weeks due to the really sharp pains i'd been getting, once they saw everything was where it was mean't to be again they weren't bothered.

I hope there wrong and everything is fine

[WantingPink]

So are they going to keep you there? Are they going to run another Hcg in 48 hours to see if it doubles?? If it is an ectopic pregnancy you SHOULD be able to keep your tube this early in the pregnancy. I have had a couple friends with ectopics and they only one who lost her tube did so because it ruptured because her OB is an idiot.

Don't be afraid to ask for a second opinion. At this point you should be seeing a specialist and not just a regular OB. I will be thinking about you and looking for your updates!!

[Northern_Shutterbug]

I've asked hubby to phone our insurance and see if I can go to a private hospital. I've also asked the nurse if there's someone who can do a scan in the morning.

As levels are above 2000miu I'm not a candidate for the medicated treatment if they decide its ectopic. I've told them i want to wait it out and can be monitored incase of rupture. I'm scared stiff of general anaesthetic so want to avoid it at all costs.

[The Anchor]

Northern I am so, so sorry. Nobody should have to go through this, it's so unfair.

[OneLastDream]

I am so sorry you are going through this. I had a situation earlier this year where I had a sac but no yolk sac and they kept an eye because of ectopic - I was scanned early because of bleeding though. They did say to me though that I had a cyst on my ovary - think left - but she said that was really common and prob meant I ovulated from that side. Unfortunately I didn't have a happy ending (but i was bleeding) but a yolk sac did appear in my next scan so am really really hoping its goodness for you. I don't know enough about what levels I had back then though. Sending hugs

[Esskal]

I am so sorry about your situation. Hope everything gets better for you soon!

[WantingPink]

It is really weird?? 7000 is a strong Hcg for 5 weeks which you wouldn't expect with an ectopic pregnancy (but can happen). How about a blighted ovum... have they ruled that out?

Be very careful about an ectopic pregnancy... waiting it out (if that is for sure what it is) can be very dangerous and life threatening. That being said, don't let someone cut you open because they don't know what else it could be.

If you decide to wait it out make sure they continue to do your Hcg every 48 hours. That might give you a clue as to what is going on. Good luck and hang in there!!

[Northern_Shutterbug]

Can anyone here think of any questions I could be asking? I'm still waiting for a doctor, been nil by mouth for 15 hours so feeling rather fatigued after that and only 4 hours sleep, and no liquid for 6 hours.

[Northern_Shutterbug]

Well, I've discharged myself for tonight. My stats were staying steady, and the nurses were happy with the fact I wasn't in pain, it was just the dr that wasn't happy with me leaving. It was causing me more stress staying there waiting for tomorrow afternoon just so they could monitor my blood pressure and pulse every 5 hours and wait for 1pm tomorrow where they'll repeat the blood test.

So, I'm on strict orders to go back IMMEDIATELY if I present certain symptoms, but its difficult because I'm running a fever from a cold virus, so feel bad anyway.

So tomorrow I have a million and one questions but here are my main ones.

1, the pain in my side was worse on the 2nd and then eased in the evening, becoming a full pressure ache that radiated round the right side of my pelvis to my lower back and down my right leg, this has eased considerably since with only 4 small episodes today. Surely if it was ectopic the pain would be getting worse?

2, I have had a very small amount of fresh blood on wiping, didn't even stain knickers, on the 3rd, nothing else, would this not get worse?

3, the sonographer said she had seen a large amount of fluid NEXT to my right ovary, as well as a cyst on the ovary. She did not see or mention anything in the tube, so surely if the fluid was blood from the tube I would be in agony as it means its ruptured.

4, there was a sac in the uterus measuring 5 weeks, which I know I am dead on, so could this just be too early to see a yolk? Could it take a few more days to develop? How easy would it be to miss? Could the sonographer have just misses it? The drs are basically saying because there's no yolk its either an ectopic or a miscarriage.

5, my HCG level was 7000miu which the dr said means that there SHOULD be a yolk sac as after 7200miu there is ALWAYS a yolk sac. Is there any movement in this? Could the 200miu make a difference?

6, they are doing a repeat blood test tomorrow to see what it's doing. If it doubles (I hope it does!) then what will this actually tell us as I've read that it can do this with ectopics anyway. He doesn't think a scan will be done as no-one is available at weekends (!!), so surely just bloods isn't going to give us a clear picture.

If any of you could answer some if these I'd be grateful. My dr is just the registrar, the consultant never seems to be available, and he doesn't seem to be the most positive or forthwith with information.

Anyway, like I said, I'm home, resting. I had 18 hours nil by mouth, hooked up to a saline drip and just constantly being to from 7am that the registrar would see me to decide if I needed a larascocopy, and he didn't show up til 3pm. So I thought they couldn't be that worried or it be presenting as urgent.

[WantingPink]

I am so sorry you are going through this. This is what my thoughts are (for what it is worth)...

The Hcg level is going to be telling as to what is going on. If it doubles you need to see a specialist who knows what the heck is going on. If it doesn't double but rises slightly you may very well be dealing with an ectopic. If it lowers then you might be dealing with an ectopic/miscarriage. This is just what is most likely but really anything is possible and that is why you need to be seeing a doctor that deals with high risk pregnancies.

You need to get to the bottom of the fluid around your ovary. Have another scan done to see if the fluid is increasing or decreasing. There have also been instances when a fetus attaches outside the tube right at the ovary in which case it is an ectopic but the baby will grow normal and your Hcg can double.

Have another scan done preferably by a radiologist (physician) who specializes in high risk pregnancy. These people are much more likely to pick up on a sac and yolk sac (this is what they do for a living). I wouldn't doubt if the first person you saw missed it if they aren't properly trained in early pregnancy/transvag ultrasound.

Monitor your pain and bleeding very closely. Take notes if you have to. This will give your doctor a better idea as to what is going on. Ask lots of questions and don't let them push you around or push you into something that doesn't feel right. Make them tell you exactly why they are doing what they are doing.

Let us know what you find out!