High HCG but nothing seen on ultrasound

posted 1 month ago in TTC
Post # 2
Member
2179 posts
Buzzing bee

Obviously I’m not a doctor but if you ovulated 8/27 then you likely didn’t implant until 9-12 days later, which would mean you’re barely pregnant.  From my understanding is not unusual to not see anything at this stage if you’re as early as it sounds.  Did you ask your doctor about it once you got the HCG numbers back?  Try not to worry!

Post # 3
Member
2797 posts
Sugar bee
  • Wedding: August 2017

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@leahm08:  1) trans abdominal ultrasound is not reliable in early pregnancy (transvaginal should be done); 2) yolk sac isn’t usually seen until hcg is 8000+

 

with an hcg of 3600 chances are that it’s not ectopic (most ectopic are sluggish rising/not doubling properly). 

Post # 4
Member
1393 posts
Bumble bee

You’d only be five weeks pregnant, so a trans abdominal ultrasound is useless. I’m surprised your doctor did one. A single HCG reading is also pretty useless because what matters at your stage is doubling time, not a single reading. If you’re concerned, have another blood draw two days after the first. 

Post # 6
Member
2179 posts
Buzzing bee

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@leahm08:  I think I had transvaginal ultrasounds almost up until like, 12 weeks to be honest.  For sure my first ultrasound was, and that was like – 7 weeks?  Something like that?  My second was too.

Post # 7
Member
9227 posts
Buzzing Beekeeper

I did IVF and so I got all the early scans – every single one was transvaginal. Abdominals weren’t done until after 8 weeks and even then they sometimes still switched to vaginal. Are you doing fertility treatments? History of ectopic? Bleeding? I’m not sure why a doctor even agreed to see you yet let alone do a scan this early. 

Post # 8
Member
2797 posts
Sugar bee
  • Wedding: August 2017

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@LilliV:  agreed.  Most of the time these early scans do more harm than good (by dr’s who apparently have no idea what they are doing with a trans-A scan this early)

*not actual harm, but in the sense of unnecessary stress and worry

Post # 9
Member
1439 posts
Bumble bee
  • Wedding: June 2016

I would not be worried at all about HCG levels and not seeing anything trans-abdominally. You are on track for a very healthy and normal pregnancy with those levels and scan results. 

I would be aggravated at a doctor doing a trans-abdominal ultrasound when you are likely only ~5 weeks pregnant (at which point even in a transvaginal you would probably only see a yolk sac!)

Post # 10
Member
186 posts
Blushing bee
  • Wedding: April 2012

You won’t see anything on transabdominal at that hcg level. It should have been transvaginal and even then, at that level and GA it’s likely to just see a thickened lining or tiny sac.

Post # 11
Member
8466 posts
Bumble Beekeeper
  • Wedding: August 2012

Do you have a history of miscarriages or other health conditions? If not I think it’s very odd he would have you come in for all this testing so early.

Since you already had the one blood draw, I would request a second at 48 hours to see if it’s rising appropriately. But as pp said an abdominal ultrasound at 5 weeks is pretty useless.

Is this doctor an actual OB??

Post # 12
Member
3981 posts
Honey bee
  • Wedding: October 2015

View original reply
@leahm08:  I’m incredibly surprised that he did an abdominal scan that early. You won’t see anything for a while that way. I did a transvaginal ultrasound at 5 weeks and 9 weeks and then did the abominal moving forward at 12w6d. 

In this regard, I hope it can ease your worry just a bit. I would call the office and see if they will schedule a transvaginal ultrasound. 

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