Oh no :( Oh pet, I am so sorry. I hope its almost at the end of your work day and you can get a much needed hug IRL asap. Sending heaps of virtual hugs xxQuote:
Originally Posted by twointow83
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Oh no :( Oh pet, I am so sorry. I hope its almost at the end of your work day and you can get a much needed hug IRL asap. Sending heaps of virtual hugs xxQuote:
Originally Posted by twointow83
:( so so sorry two.
Hugs two. I'm so very sorry :( always here if you need to talk
Take it easy two
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I'm so sorry. Thinking of you xxQuote:
Originally Posted by Boyzmommy
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Doc says I should stop prog... but I am afraid to trust anything at this point. I'm afraid if I stop and the bw was a lab error I could lose my baby because of that... BUT if I stay on it I'm afraid that I'll just be postponing the inevitable. I have an u/s tomorrow but with my current level of distrust I honestly don't know what I'll have to see... or not see to get me to believe 200% that it's over. It's not a factor of denial, but that I've already been told this preg was doomed (and gonna kill me) once and they were wrong. Who's to say they aren't this time?!? Not a fan of being drunk, but I have never wanted to escape reality more than I have this last week... and I can't even drink because I am scared. I am cramping so hard it feels like back-labor and all I can take is Tylenol because I am scared... I f'ing hate this. Sorry, vent over :( Back to my original intent for this post- Does anyone happen to know what impact taking progesterone has on an "inevitable" miscarriage????
I am confused. I read your threads and I am uncertain 1. How an ectopic was diagnosed and 2. Did you OB do a follow up scan after the ER visit? Who diagnosed an ectopic? What gestation were you? I am having a very hard time following all this information.
The prog can extend the time till miscarriage but it will happen eventually if not working out.
You aren't the only one a little lost... going to have plenty of questions on my appt on Fri. but doubt I'll see him tomorrow. To answer your questions... as best I can anyway..Quote:
Originally Posted by nuthinbutpink
I answer to your 1st question- I don't know. That is among the questions I intend to ask on Friday... this is what I DO know:
I went to the ER with severe abdominal pains on my left side. After 6 hours, blood work and an u/s *I* was not allowed to see, I was told I was being admitted for suspected ectopic. The next morning they ran more bloodwork and my HCG went down like 40-something (in hindsight I think this was because of the IV but I don't know). My regular OB came in in the AM during rounds, told me about the bw and said he wasn't optimistic but that we'd get more bw the next morning. Later that day, after I regained my composure I asked the nurse to let my OB know that I'd like a repeat u/s and asked her to stress that I really wanted to see it for myself. An hour or so later the nurse came back in and said that he'd said that it wasn't necessary but that I could have copies of the still screen shots from the first. So the nurse went down to records and got a disk that *I* had nothing to play it on. So she said she'd open the disk on the ward laptop and show me but when she finally got it open there were only 2 pics and neither were of what I needed to see. So I again requested a second ultrasound and was told that I could have the u/s report (which I couldn't really understand. I planned to have my OB explain it to me in the AM when I saw him again. The next morning the pains were soooooo much worse, morphine did nothing more for my pain that a tic tac would have.... Anyway, when my OB came in he told me that my HCG had slightly increased but not nearly enough (from 5,008 on Thursday night to 6,000(I was later, as n after everything was said and done that it was "about 6,000" and told the actual HIGHER #.. but not by much... can't remember what it was) on Saturday morning... according to betabase calculator a doubling time of 115 hours). Given the news and the pain I forgot about the u/s report and stupidly decided to blindly trust my doc. and consented to treatment. 4 days later the pain returned so I went to my OBs office and they did another u/s where the bean was discovered to still be hanging on, small for dates, and no visible hb... but there. Before the u/s, my OB said that they weren't able to find the pregnancy and "barely got any tissue from the D&C" so they had given me methotrexate to try to ensure preg termination because according to him ectopic pregnancies can attach and grow in places they can't always see easily. After the u/s all he could say was that he didn't know what to say, that he was baffled and that this had never happened before, but not to get my hopes up. So he told me to restart taking my vits (I was told to stop taking them as they can interfere with the methotrexate) and progesterone. I had blood work done Saturday and from Tuesday of last week to this past Saturday my HCG only increased by 535.
2. Did you OB do a follow up scan after the ER visit? already answered
Who diagnosed an ectopic? Some random shmo from joe blow town?? I honestly don't know. Among my questions for Friday is finding out if MY OB EVER *SAW* with his own two eyes the images from the first u/s or if he just took some random doctor who reads ultrasounds in the middle of the night for the hospital, whoever that was.
What gestation were you? by ovulation, (determined with OPK's, a follicle study 2 days before O showing TWO ripe mature follicles, and charting) I was 5 weeks exactly the day I went to the ER.
Thanks atomic. I was kinda hoping it wouldn't even delay it, but I guess it is what it is. I am hoping tomorrow's ultrasound shows SOMETHING that I can't deny... I have no clue what that would be but a girl can dream :/Quote:
Originally Posted by atomic sagebrush
I thought you had surgery to remove an ectopic? What treatment did you consent to?
I did. They did laproscopic surgery but "couldn't find the pregnancy". I signed a release/consent for "surgical treatment of ectopic pregnancy" that had multiple procedures listed. They did the lapro surgery, a D&C and later that day, after I got out of recovery, I got two shots, one on each side (hip area), of the methotrexate.Quote:
Originally Posted by nuthinbutpink
two, thank you SO much for putting it all together for us, I know it is unbelievably painful to go over it but it really helps us help others in the future.
Oh two. Can't say I'm sorry enough. :(
It's no problem... stating facts isn't what hurts... it's the emotion I get when I think of the hell Avery (we named bean) has gone through when he or she may well have been completely viable, and the the mind games that tear my heart apart and make me feel like I aborted my baby. Facts are just facts.Quote:
Originally Posted by atomic sagebrush
With a HCG of 2,000, you can see evidence of a pregnancy. At 5,000-6,000, there would be a yolk sac and possible fetal pole.
There is a defined manner for diagnosing an ectopic pregnancy. They would do a D & C to test to see if you have pregnancy tissue in your uterus. It is almost always safer to have your doctor do a D & C to confirm the location of the pregnancy tissue rather than waiting to see what will happen. If there is no evidence of pregnancy tissue in the uterus, then they know you have an ectopic pregnancy and can treat it either using medication or surgery.
With that high of a HCG level, they can't NOT see something that was there in your uterus all along. If they did the laparoscopy, the ectopic would have been seen and they would have confirmed it was there....the pregnancy has to be somewhere that it can grow and produce that much HCG. If it was that high, it would be seen on u/s somewhere- either in the tube or in the uterus.
The D&C is done first to check for pregnancy tissue. If pregnancy tissue is found, you do not have an ectopic.
Seems kinda bass-ackwards to do a D&C to CHECK for an ectopic... *scratching head*Quote:
Originally Posted by nuthinbutpink
I've read and re-read the report at least a dozen times and the terminology makes me seriously doubt what I *THINK* I'm reading so DON'T take this as gospel but it looks *to me* as if it's saying the preg was ALWAYS inutero because it says there is a sac measuring such and such but then starts taking about my ovary and an ectopic... I really don't know...
.
A D&C is really just a cavity evaluation. They don't actually have to go in and do anything other than take a tissue sample. If there are measurements present, I am not sure why there was ever a doubt about a uterine pregnancy.
If you had two eggs, it is possible one went in the tube BUT, they would have to 110% verify that it was in the tube before they did anything if a pregnancy was seen in your uterus. The pain could have simply been a cyst, especially after clomid. You can also rarely have an ectopic in your ovary...that would be seen on u/s though.
I don't know. If this all happened, it seems odd that nothing was verified before they just went in. There is a reason we have procedures that are followed, tests that are run. I would have a lot of questions for your doctor.
Trust me. I do. and my best friend is coming with me in case I get too upset to continue asking questions. I'm going to have them wrote down and she'll finish asking and I'm going to record it so that no matter my emotional state I get the answers I want.Quote:
Originally Posted by nuthinbutpink
That would suggest there was a possible ovarian ectopic in the left ovary and a simple fluid filled cyst in the right. There was also a pregnancy in the uterus.
See... the ER doc said there were two but my OB said there was only one... *confusion* :(Quote:
Originally Posted by nuthinbutpink
On my u/s last Wen. there was a spot on my left ovary that they said was a hemorragic (sp?) cyst?!? On my right was a corpus luteum cyst.
An ovarian mass which appears hypoechoic on ultrasound could be a tumor known as a fibroma. This is a benign, solid growth which can grow quite large, sometimes becoming bigger than a grapefruit. An ovarian fibroma is usually removed surgically and the ovary may be preserved if possible.
Or it was an ectopic pregnancy in your ovary. There had to be tissue of some sort there! There was a mass on your ovary. That's what that report says so you need to know was it an ectopic or is there some sort of mass still there and possibly a tumor.
I get that they thought the sac could have been a pseudo one but if you now have a heartbeat, clearly that was wrong and it was simply too early for anything to be there yet on u/s in regards to fetal pole, etc.
Intrauterine Pregnancy
The first question to ask when evaluating a patient with pain or bleeding in their first trimester of pregnancy is “Is there evidence of a definitive intrauterine pregnancy on ultrasound?” The earliest sign of pregnancy seen with transvaginal ultrasound is the intradecidual sign, an anechoic sac without a distinct chorionic ring. This may be seen as early as four weeks of gestation. However, a thin walled sac within the uterus is not definitive evidence of an intrauterine pregnancy and could also represent a decidual cyst or endometrial breakdown during an ectopic pregnancy (the pseudogestational sac). Definitive sonographic evidence of an intrauterine pregnancy is established when a gestational sac containing a yolk sac is identified in two planes within the endometrium. This occurs around the fifth week of gestation.
So, depending on what gestation you were, it may have been too early to see clear evidence of a viable pregnancy in your uterus and they should have proceeded with great caution.
I've never seen a hb. On the u/s on Wen. there was a gest sac with yolk sac, measuring 5 weeks 2 day, and no fetal pole or HB.Quote:
Originally Posted by nuthinbutpink
At 5 weeks 2 days, it is simply too early. 6 weeks is really the earliest they first try to see a HB.
There should not be a mass of any kind on your ovary. A cyst, any cyst, will appear black on an u/s. A mass is bright white. Any mass should have been seen at your u/s during monitoring when they saw two follicles. So, if there is/was a mass now, that was either the ectopic OR you have developed a mass in this short time that still needs to be explained. Solid masses are not good and need to be diagnosed.
Based on O I should be 7 weeks on Thursday. Based on last weeks measurements baby should measure 6 weeks 1 day today... we shall see...Quote:
Originally Posted by nuthinbutpink
🙏 for a healthy PINK 🌈 🚼
🏃I'm mobile! 🚗 TwoInTow83 Ovulation charts on FertilityFriend.com
I forget exactly how he put it but he told me last week, before the u/s, that my ovary was like hanging or twisted or something(like a weight turned it upside down is what I envision) and that he tried to fix it but it wouldn't. He said it sometimes happens with a cyst or endometriosis, etc. but he really didn't go any deeper into explanation. Whatever the case, apparently my ovary has at least started to turn back right side because it appeared normal... at least to me, on u/s except for the big white spot that the called the hemmoragic cyst...Quote:
Originally Posted by nuthinbutpink
Good grief! This saga does not want to come to an end. Ultrasound says bean is growing appropriately now has a fetal pole and a flicker that looked like it could have been a heartbeat but was only 59 beats per minute so she wasn't sure about it. So again more questions but hopefully the outcome will be determined soon. Hoping for good news as always, but bracing for bad as always. But hopefully the outcome will be determined soon. Hoping for good news as always, but bracing for bad as always. Hoping doctor wants to do another ultrasound when I see him Friday.
🙏 for a healthy PINK 🌈 🚼
🏃I'm mobile! 🚗 TwoInTow83 Ovulation charts on FertilityFriend.com
Wow! But I don't quite understand how it could survive a d&c and the drug you were taking?Quote:
Originally Posted by twointow83
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Oh wow! I am hoping and praying that your little beans sticks and remains healthy!
I hope they repeat blood work to check you HCG levels too.
I'm praying for you and your bean!!!
DS1[emoji125]🏼, DS2[emoji577], DS3[emoji170][emoji577][emoji843][emoji602][emoji170] Jan. '16 I'll sway for a DD[emoji166][emoji171][emoji166] for my DH!!
It's a miracle as far as I am concerned. *shrug*Quote:
Originally Posted by Dreamofpink
🙏 for a healthy PINK 🌈 🚼
🏃I'm mobile! 🚗 TwoInTow83 Ovulation charts on FertilityFriend.com
Doing bloodwork again Monday... I think?Quote:
Originally Posted by XXforhubby
🙏 for a healthy PINK 🌈 🚼
🏃I'm mobile! 🚗 TwoInTow83 Ovulation charts on FertilityFriend.com
I hope your miracle bean makes it two.Quote:
Originally Posted by twointow83
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Quite miraculous, two! I hope you get more good news at your next appointment. You always hear about the babies that still survive through early abortion, so this little one surely has a chance as well.
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Wow two!!! That is amazing! So how many weeks are you?
By O, 6 weeks 5 days. By ultrasound, 6 weeks.Quote:
Originally Posted by Boysboys
🙏 for a healthy PINK 🌈 🚼
🏃I'm mobile! 🚗 TwoInTow83 Ovulation charts on FertilityFriend.com
I am going to start posting my updates exclusively on my TTC thread. I feel like this back and forth with this bean is dominating this thread. Who knows how this will play out but if I get to a point where I feel like this pregnancy has a real shot at going all the way I'll start posting in here again. But really, those of you with normal pregs should be able to post happy updates, vents about preg symptoms, etc. without me coming on and posting my back and forth, or making anyone feel bad for venting, celebrating, etc. I wish you all well in your preg and I will be following this thread... just not posting about this pregs back and forth. [emoji171]
🙏 for a healthy PINK 🌈 🚼
🏃I'm mobile! 🚗 TwoInTow83 Ovulation charts on FertilityFriend.com
Wow all the best two. It just sicks there is more waiting but I guess thats all you can do for now
Mum to 4 Boys awaiting her Princess