Increasing high Hcg but measuring 2wks behind and not fetal pole

[signingmommyfor3]

HCG betas:

1/2 (Sat) 50,000
1/4 (Mon) 72,000
1/7 (Thur/today) 110,000

Went to ER on Saturday, which was 7wks based on LMP or 7w2d based on O', due to some pain and spotting. DX with 3 infections, dilated pelvic vessels, and cyst on right ovary. In ultrasound the ER dr said there was only a yolk sac and was measuring 6w0d. So they checked my betas and told me it was possible I was having miscarriage but was too early to tell and to get betas checked again on Monday.

Monday I went and betas increased. But Ob called and wanted to be cautious due to ERs finding and wanted me to come in on Thursday for scan and betas again. Today, Thursday, betas are still increasing and both the tech and dr said they were high. Today would be 7w5d based on LMP or 8w0d based on O'. But There was still only a yolk sac and no fetal pole still, yolk sac still measuring at 6w0d just like Saturday. There was second yolk sac in the same gestational sac right next to the first sac but it was lighter and looks like it is deteriorating (vanishing twin) which he said could be the reason my betas are high and that the other sac hasn't developed a fetal pole yet because my body was dealing with 2 yolk sacs. He said he can't say confirmed yet because no fetal pole and heart beat which again he said is weird because betas are high. Wants to do another scan in 2 weeks to see if I have progressed. If I have then all is good, if I haven't I have lost both babies and not just 1. I feel more discouraged now than before even though my Hcg levels are going up. Anyone know of a possible good outcome to measuring 2weeks behind and without fetal pole?

[maidentomother]

Oh hun. I'm so sorry to hear this, what an awful limbo to be in. I'm not very knowledgeable in this arena but I do think (and feel) that it's quite possible the one twin will be just fine. I hope you get more definitive answers soon and I'll be praying for you.

[nuthinbutpink]

If you are 7+ weeks and there is no change, that's a blighted ovum. I assume they checked your tubes? Could infection cause this?

[signingmommyfor3]

Dr said that it is not a blighted ovum because there is a yolk sac and it is in the uterus. He acted like the one would be fine but he did talk about options if I'm miscarrying. He didn't seem as concerned as I am because he wasn't at the ER to see their measurements. No change in size but a new yolk sac and not fetal poles yet.

[maidentomother]

What infections exactly, do you know? Where in the body was each?

[signingmommyfor3]

Yeast infection, pelvic infection, and UTI

[maidentomother]

Id be most concerned about the pelvic infection. Any idea how serious it is?

[signingmommyfor3]

It's not very serious, they said it was slight. Only one full blown is the UTI. The Ob didn't want to believe I have a pelvic infection. I'm just tying I grasp at straw that I don't lose both of my babies.

[maidentomother]

I'm so relieved to hear that. Fx for your bub and hoping you heal up quickly, UTIs are so awful.

[atomic sagebrush]

I think you're in good hands with your doctor being proactive. FX for happy outcome! I also had a vanishing twin that ended with a happy healthy baby.