Update: Hcg 15,600 5w+4days empty sac:(

Hi everyone,

I've been a nervous wreck the past 2 weeks not knowing where this pregnancy is heading. I had an internal ultrasound at 5 weeks 4 days (25 dpo) which showed a gestational sac with no yolk sac or baby. My hcg levels that day were 15,600 and my progesterone 26. Everywhere I read online says a heartbeat should show up when your levels are above 10,000. I'm so worried!

Have any of you had levels this high and not seen a baby yet?
I nearly cried when the doctor brought up having a simple d&c if they don't see anything next time.

When is your next u/s? I'm so sorry you must be going batty, I don't have any experience with this but I didn't want to read and run...

Hi anchor,

My next ultrasound is not for another 13 days!! :(
I have blood work tomorrow to see if hcg levels are doubling.

No way. 5+4 is really early to see much of anything. Sure, a sac, but even a fetal pole is really hit or miss at that stage.

I hate that whole "when betas are xx,xxx" thing because women have SUCH variable betas. Case in point, there is a lady in my DDC who has a beta of 90 at 4 weeks. My beta at 4 weeks is 368. That is a HUGE difference for the same gestation and our doubling times will be rather different as well. I just don't buy that a certain number is going to be the magic bullet for a heartbeat.

Don't panic about it. A sac is good. It means things are in the right place. At this stage, a day or two makes a HUGE difference in what you can see. Heck, if your uterus is tipped even the slightest bit the "wrong" way, you can see nothing even at later gestations. I'd be content to think that your pregnancy tests looked good, your beta rose well, you have a sac in the right location. I do think you stand a fine chance at seeing a heartbeat in 13 days.

(I refuse ultrasounds this early for this very reason. I want to be at least 6.5 weeks so I can see a heartbeat. Early ultrasounds tend to cause more stress than they are worth).

I hope you get good results. Ill be thinking of you!

I know exactly how you feel. My wife and I went through this exact same issue. She had a bout of uncontrollable itching. We went to the doctor they did a blood test to confirm pregnancy and they said numbers were too high for gestational age. Ultrasound showed and empty sac. We were In our 5th week. Went back two days later. And out numbers doubled. And saw a yolk sac but no fetal pole. We now know there were originally two babies. But had a vanishing twin very early in the pg. We are now at 13 week mark. Your baby will be fine! Prayers and thoughts are with you. Stay positive!


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Thank u so much for sharing that guys! I am now more hopeful than when I left the doctors office a couple of days ago. I have blood work today for hcg and am hoping n praying that they r rising! I really dread the doctor bringing up d&c again :(

I"m sorry. I do think it's still absolutely too early to see anything. Don't read too much into when you should see a heartbeat, that is just an average

Us hi-techers don't usually see a HB until 6wks plus, hang in there hun, next US could well show a healthy HB :-) x

Drs mention D&c far too quickly, imo. I know so many stories of women told to have one who waited a few weeks or saw a different dr & ended up having a healthy baby. My personal feeling is to always wait at least 2 more weeks & check again.

Personally, I don't do early ultrasounds. There are a lot of questions about ultrasound safety & a lot of studies showing a number of increased risks.

Anyway, hopefully everything will be fine when you go back!

5w3d with ds1, ultrasound showed gestational sac. 6w4d sting heartbeat. Please breathe. I'm sure your babbys heart will be beating away very soon!

Hugs!