Post # 1
Ladies, I don’t know what to think. I went in on Friday for my first ultrasound thinking I was 7w1d (based on LMP – EDD 12/25). They do a transvaginal ultrasound and see an abdominal sac and a yolk sac but no fetal pole or heartbeat. My doctor says I’m wrong about my conception date and that I’m really 5w4d (EDD 1/1) and therefore, he’s not surprised we’re not seeing the fetal pole or HB. He makes me promise to try to not worry because he says both sacs look “picture perfect” and that he’s very confident that in a week, we’ll see a heartbeat flickering on the screen. He does blood work anyway and says he wants to see my HCG at or above 1,000 and progesterone above 10. Then he sends my husband and I on our merry way.
Fast forward to yesterday morning, he calls and says that my HCG is at 9,000 and my progesterone is at 9. He sounds really worried and says he doesn’t want to give me “false hope”. I thought the results were good but he says he’s worried about the progesterone result being under 10. I ended up doing another round of blood work yesterday to test HCG again and it came back at 13,000. So in 72 hours, it didn’t double. He said those results are inconclusive because HCG doesn’t really double when numbers are that high and 33% of women’s bodies don’t work according to the 48-72 hours doubling time rule of thumb.
Okay, so where does that leave us? I’m shaken by the fact that the doctor went from being super confident on Friday to wishy-washy on Monday. I know whatever happens isn’t his fault but the wait REALLY SUCKS. I asked if I could take progesterone suppositories to boost my levels. He was on the fence about it, but then said I could if I wanted to, but that it wouldn’t influence things at this point.
I guess I just want to know if others have been through something similar and how it worked out for you. I’ve already told myself that I’ll likely miscarry so I’m researching stuff about miscarriages and when we can try again. I’m probably giving up too soon but I just feel like everything is out of my control at this point. Can anyone relate? I want to hear positive or negative stories – I don’t mind either really, I just want to be realistic.
Post # 2
I’m really sorry you’re going through this. I’ll share my story, though it doesn’t have a happy ending.
I went in for my first ultrasound at 7 weeks, and there was a fetal pole with a heartbeat, but it was only measuring 5w5d. I went in again the next day, and it was 6w1d with a hb of 115. My doctor blew an awful lot of smoke up my ass and said that I was probably just wrong about my dates. I was positive about my dates, though. Went back at 9w5d and baby was measuring 8w1d with a hb of 111. Then I went back at 11 weeks and the baby no longer had a heartbeat. We found out later that he had triploidy.
If you were charting your cycles and are pretty sure about when you ovulated and conceived, I have to say I don’t think this is a good sign. (I’m not a doctor, just someone who did a shitload of research when this was happening to me.) If you aren’t sure about your dates, there’s definitely a chance that you just ovulated late. I’ve definitely read that HCG doesn’t double every 48 hours after a certain point, so I wouldn’t worry just based on those numbers. But to be realistic, if your doctor is concerned about your progesterone number, then it’s probably reasonable to be concerned.
There’s also a possibility that you just have a retroverted uterus and he just can’t get a good read on the measurements or visualize the fetal pole. I have my fingers crossed that this is just a fluke and your next appointment shows a perfect, healthy baby measuring on track.
Post # 3
mojitolady: Unfortunately early pregnancy is a lot of wait and see. I’ve had two miscarriages, one at about 5.5 weeks, one at 9. The first one it was a lot of what you’re going through, keep testing numbers, (which were super low) and go for an ultrasound once i started spotting, saw no sack. The second was a dating ultrasound at 9 weeks where the babies had stopped growing at 8w6d, that one ended with a d&c.
The only thing that you can do is try not to stress (i know pretty much impossible, I found the limbo periods super hard and frustrating) and wait and see what your next ultrasound is. I’ve never been on progesterone, but I’ve seen many bee’s be put on it for low levels to help the pregnancy, it may or may not help but might make you feel less helpless.
There’s quite a few people who have had miscarriages here and a few boards dedicated to them, take a look at them, the stories on there are helpful to get an idea of what you might go through and different options out there. I’ve found them really helpful.
FX that everything is ok next week.
Post # 4
KatieBklyn: Thank you for sharing your story and I’m sorry for your loss. The doctor seems to be sending mixed messages so I don’t really know what to think; but naturally, I’m concerned. I wasn’t charting so I don’t know when I O’d. I was using OPKs however, which indicated a probability of O around CD17-18. Doctor is saying I’m a few days behind that. Also interesting that you mention a retroverted uterus. At my last annual checkup, he randomly told me I have a tilted uterus and that it was nothing to worry about. When I asked him yesterday if that has any effect on what he saw in the sonogram, he said that a tilted uterus doesn’t affect the sonogram. Hard to know what to think. I keep thinking in terms of all the things I want to do differently “next time”. I don’t want to give up but it’s hard not to.
Post # 5
I had a pregnancy that stopped devoping around 8-9 weeks. I had to have a D&C because I did not miscarry naturally. That was my second pregnancy. I already had a healthy son. I conceived about 6-8 weeks after my D&C.
Hopefully your pregnancy will continue to progress. If it doesn’t, there is hope. It is very sad to miscarry.
Post # 6
banana330: Thank you for the advice. I will start searching for miscarriage boards so I can better prepare myself emotionally.
Mrs.Sawyertobe: Thank you for sharing your story and for your support.
Post # 7
mojitolady: Well, if you ovulated on CD 18 then you’re already making up four of the days between what you expect to be based on your period (7w1d) and where your scan showed you to be (5w4d). Ultrasounds do have a margin of error of at least 2 to 3 days, and some are more like 6 days. So you might not be as far off from where you should be as it might seem.
I’ve also read a lot of positive stories on http://www.misdiagnosedmiscarriage.com from women with tilted uteri who thought they were going to have a miscarriage but turned out to be fine.
This limbo is just incredibly tough. To be honest, I felt some level of relief when I knew my pregnancy was over for sure – I was devastated, of course, but at least I wasn’t just WAITING anymore. It’s just torture, and I’m so sorry you have to go through it.
It’s tough to stay positive while being realistic at the same time, but I hope you can try to think positively for now.