Possible Ectopic-Advice?

posted 2 weeks ago in Pregnancy
Post # 2
Member
504 posts
Busy bee

I’m so sorry you’re going through this. I just wanted to share that I had a similar experience with slow rising HCG and it didn’t turn out to be ectopic – just a regular miscarriage that happened naturally around 7 weeks. Like you, my first draw was really low – it was in the 50s IIRC at like 18dpo or something…but then it started doubling appropriately from there so we all got optimistic, until I miscarried abruptly a couple weeks later. I had a feeling something was off the whole time, even when my numbers were doubling correctly. That slow start with the HCG was definitely a bad omen in my case. However, I never had an ultrasound before I miscarried, so not sure what we would have seen on there.

Are your doctors suggesting it might be ectopic? If that’s so, wouldn’t you be able to see something on the ultrasound in your tube? Not quite sure how that works.

Post # 4
Member
504 posts
Busy bee

BeepBopB00p :  ok that makes sense. But wouldn’t the fact that a “blip” was spotted in your uterus at your last scan make it unlikely this is ectopic?. I think it is highly possible that blip was the starting of the yolk sac or something, and the embryo just isn’t growing properly due to a chromosomal issue. It sounds like it could just be a chemical pregnancy. Still ..I’m holding out hope that you will see something clear at your next scan and that this could be viable after all.

Post # 5
Member
880 posts
Busy bee
  • Wedding: October 2013

BeepBopB00p :  I am so sorry your going through this. I had a suspected ectopic after an iui. My numbers were really low and slow rising so if it wasnt ectopic they said it was defiantly a miscarrage but they treated me for ectopic anyway with methotrexate. It made me sleepy but that may have been because I was crying so much and so devastated. But other then that I just had a normal period. My next one was a little heavier then usual. My numbers never even got close to 100 though so it may be a different experience the higher they are. I had really bad cramping in my back which makes me think mine was ectopic. I really hope yours is not ectopic. If they saw a blip in your uterus it makes me think it isnt unless they really weren’t sure what they saw. I agree with you though I thought your hcg needs to be in the 1000s before they could see anything. I really hope once they reach 1000 they can see!! Wish you the best of luck!! I know from experince all the waiting and not knowing is so awful! I hope all goes well!

Post # 7
Member
504 posts
Busy bee

So stressful …again I’m sorry you’re having to go through this. The one “good” thing is that if it is ectopic, they’re actively monitoring you and should be able to give you the treatment you need long before it would get to the point that your tube would rupture. My understanding is that by the time it gets to that point, the embryo would definitely be large enough to see clearly on an ultrasound, and HCG would be a lot higher. Very much hoping it’s not that though. 

Post # 8
Member
3801 posts
Honey bee

I have had two ectopics. My numbers never doubled, and the ectopic couldn’t be confirmed on an ultrasound with my first (HCG was in the 7,000’s and I was already bleeding internally). With my second, I had an intrauterine pregnancy and ectopic at the same time, twins. My numbers did double then, since the intrauterine pregnancy was healthy, but I felt the same exact “take my breath away” pain that I felt with the first ectopic. That time, the doctor was able to see the ectopic on ultrasound, but I was close to 7 weeks.

I have been exactly where you are…the limbo, not being able to see anything on the ultrasound, and the millions of betas. The difference is, my betas never looked like yours and I had physical pain associated with the ectopic.

I chose to not do methotrexate due to my higher HCG and I did not want to wait months to try again. With the second, the only way to save the intrauterine pregnancy was to give up my remaining tube.

I would not count yourself out, but I don’t think there’s anything anyone can tell you here that will give you closure. The wait and see is so so painful, so I hope you get answers soon. 

Post # 10
Member
608 posts
Busy bee
  • Wedding: September 2012

BeepBopB00p :  I had an ectopic pregnancy in November 2014. My story is similar to yours.  I got what I thought was my period (2-3 days of light bleeding) and a week or so later started doing OPKs again for my “new” cycle and they were blazing positive so I took a pregnancy test and it was positive!  When I should’ve been around 5.5 weeks I started having pain in the right side of my abdomen so I went in, got HCG tests that were way lower than they should be and not doubling. I just looked back in my online medical chart and I see that at one point my HCG was 1,076.  The next day I got an ultrasound and they were able to see a “mass” in my tube.  I got methotrexate the day after that.  It only took one dose for me, probably because it was caught early.   

I’m not familiar with IUI so I don’t know what your HCG “should” be at this point, but your numbers seem to be doubling!  I would be hesitant to do methotrexate without knowing for sure.  I would think you’d be able to see something on an ultrasound within a few days.  One thing I wanted to mention – I know people have different experiences with this, but my experience with methotrexate was extremely painful.  I was shocked because my doctor talked about it like it was no big deal and to expect mild discomfort.  About 4-6 hours after getting the shot I was in extreme pain.  The next morning I actually went to the ER because I thought for sure my tube had burst or something.  I would describe the pain as feeling like there were shards of glass inside me and every time I moved it felt like I was being stabbed from the inside.  This lasted for 2-3 days.  It was awful.  

Good luck, I’m wishing for the best for you!  

Post # 12
Member
3436 posts
Sugar bee

I’m sorry you are dealing with this. If you start to feel shoulder pain, go to the ER immediately. 

Post # 13
Member
34 posts
Newbee
  • Wedding: June 2018

I had a ‘pregnancy of unknown location’ and was about HCG1000 when they couldn’t see anything at all in my uterus. Went back in 48hrs and HCG has not quite doubled but nearly doubled. Went back in 10 days for scan and they found the little bean (sac, yolk and fetal pole) so it is possible that you’ve got the dates wrong!!

Post # 15
Member
34 posts
Newbee
  • Wedding: June 2018

BeepBopB00p :  fingers crossed for you and your little bean xxx the limbo sucks big time but I hope you’ll have a good outcome too. At least the doctors are keeping a watchful eye on you now xxx

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