TTC After a Loss

Scared given new findings

It's been 2 months since my D&C, 3.5 months since my miscarriage. I haven't had a normal AF. My HCG has been tracking down - last week it was 16.

This week I went in for my first follow-up since the D&C because I'm concerned. The OB I saw came into the room and was all reassuring that everything was fine, but agreed to ultrasound me just to be sure. Turns out I have some mass in my uterus that seems to be arising from the wall of my uterus that is very hard for me to describe, and the wall of my uterus also looks abnormal. The OB basically said it could be anything - scar tissue, polyp, fibroid, etc, but she wanted me to get another HCG check to make sure it was still going down. Turns out it went up, slightly, to 20. (I'm definitely not pregnant - my temps are back down to normal.)

Now they want me to do another HCG on Monday, but they aren't providing me much insight into what the mass is and what we need to do about it. As a result, I'm honestly freaking out and unable to function. All I can think about is how this is going to make it even harder, if not impossible, to have kids.
*TW*

TTC#1 - 6.3.16
BFP#1 - 7.1.16, (mo-di twins + singleton) due 3.15.17
MC singleton - 7.13.16 - 5w
MMC identical twins - 8.5.16 - 8w+2d
Misoprostol 4x
D&C - 9.12.16
Hysteroscopy - 11.21.16 - Retained tissue filling half of uterus removed, blocked left tube, benched for 2 cycles, on estrogen/progesterone for 30 days
HSG - 2.7.17 - Asherman's Syndrome. Both tubes open.
Hysteroscopy 2.13.17 - Incomplete adhesiolysis for Asherman's, benched & on estrogen/progesterone for 30 days. At least two more surgeries needed...
Hysteroscopy 3.21.17 - Adhesiolysis for Asherman's, benched & on estrogen/progesterone for 30 days.
TTCAL #1: 4.24.17
Hysteroscopy 5.23.17 - Scars reformed. Adhesiolysis. Unsure what to do next...
Fertility acupuncture - started 6.13.17
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Re: Scared given new findings

  • @weareturtles I'm so sorry. I hope you get some answers soon.
    Me: 39 DH: 39
    CP 1/25/16 4.5 weeks, developed Graves' disease
  • I'm so so sorry @weareturtles. I have no answers or advice, but just wanted to send hugs.
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  • @weareturtles I'm so sorry, I can't imagine how difficult this must be for you. 

    A little insight from working in the medical field. Your doctor likely isn't sure what is happening and doesn't want to give you the wrong information and then lose your trust if he/she is wrong. I know it's frustrating to wait but try to stay calm and let your OB run the tests that need to be done. Don't lose hope. So far you have survived 100% of your worst days, only two more till Monday. Anytime you think of a question for your doctor write it down, it will help you feel like you have gotten your questions answered. It may also help you feel more in control. 

    Big hugs
    **TW** Loss mentioned
    Me:35 DH:35
    Married 9/2013
    BFP#1 1/28/2014 DS born 10/21/2014
    BFP#2 7/4/2016 , MC at 7w5d on 7/27
    BFP#3 1/5/2017
    flipflopped
  • I'm so sorry.  I have no words of wisdom but am thinking of you 
  • So sorry you have to go through this with everything else.   The waiting and unknowing is the worse.   Monday is just another wake up.  
    ***TW***
    Me: 36  DH:35
    Married: 7/10/2016
    TTC#1 - May 2016
    BFP 9/6/2016 - Missed MC 10/20/2016  
    BFP 5/5/2017  - CP
    IVF #1 - June 2017  - Transferred 1 fresh 4 AA embryo.  7/9 Beta #1 - 161 
    <3 Adam <3 Born on 3/18/18




     
  • I'm sorry. I hope you get some answers soon
  • @weareturtles very sorry you are going through this. I have read that sometimes after D&C some tissue remains and this might be the reason your body still has leftover HCG and hasnt been able to regulate itself. Now that they are looking into it, they will find a way to remove it and allow the body can get back on track. Sending you positive thoughts and hoping you find an answer soon. 
    Me 29, DH 32
    Married: 03/2014
    BFP: 08/20/16, Blighted ovum 9/26/16 (8 weeks 4 days), D&C 9/28/16 (8 weeks 6 days)
    BFP: 12/16/16  => DD born 08/27/2017
  • @weareturtles so sorry you're going through this. The waiting is the worst part. Hopefully they have some answers for you tomorrow with an end game in sight! Thinking of you. 
  • @weareturtles I had a similar thing happen to me. My hcg wouldn't go down to zero. When they did my ultrasound they found a "mass" of retained tissue. They did a d&c with hysteroscopy. Turned out to be a fibroid and some retained tissue. They removed both. I am very thankful that my body retained tissue because if it hadn't I would have not known about the fibroid. I am hopeful that now that it is gone I will have a successful pregnancy next time around.
    I hope you get answers soon!
    *** TW ***
    Me 31, DH 30
    Married: 07/2014, TTC since 12/2015
    BFP #1: 1/1/16, MC 1/14/16 (6 weeks), D&C 2/5/16 (9 weeks)
    BFP #2: 5/25/16, MC 6/23/16 (8 weeks), D&C 6/24/16, 2nd D&C for retained tissue and fibroid removal 9/1/16
    BFP #3: 12/24/16  EDD 09/04/2017
    Pregnancy Ticker
    weareturtles
  • @stephann85 - thank you so much for commenting! Please tell me more! What happened with your HCG specifically? Did it go down slow or just didn't drop? Did it ever go up? I am hoping to push them to do hysteroscopy. I'm also scared of developing scar tissue (if I haven't developed it already).

    @SierraFoxtrot - Thanks for commenting! I realize that they have no idea what's going on, which is what makes me nervous. I am also a doctor (veterinarian), so I definitely get concerned when my doctors don't have a clue or aren't communicative about next steps. This is one situation where I hate being a doctor - I think my training makes it worse (mentally) for me.  :/
    *TW*

    TTC#1 - 6.3.16
    BFP#1 - 7.1.16, (mo-di twins + singleton) due 3.15.17
    MC singleton - 7.13.16 - 5w
    MMC identical twins - 8.5.16 - 8w+2d
    Misoprostol 4x
    D&C - 9.12.16
    Hysteroscopy - 11.21.16 - Retained tissue filling half of uterus removed, blocked left tube, benched for 2 cycles, on estrogen/progesterone for 30 days
    HSG - 2.7.17 - Asherman's Syndrome. Both tubes open.
    Hysteroscopy 2.13.17 - Incomplete adhesiolysis for Asherman's, benched & on estrogen/progesterone for 30 days. At least two more surgeries needed...
    Hysteroscopy 3.21.17 - Adhesiolysis for Asherman's, benched & on estrogen/progesterone for 30 days.
    TTCAL #1: 4.24.17
    Hysteroscopy 5.23.17 - Scars reformed. Adhesiolysis. Unsure what to do next...
    Fertility acupuncture - started 6.13.17
  • @weareturtles  Following my loss I had what I thought was a period, at about 3 weeks, but I am now convinced it was my body trying to get rid of the retained tissue because the cramps were similar to a MC and I had a lot of clots pass. As for my hcg, it went down into double digits, around 50, after about 4 weeks and then after another 2ish weeks it was down to 10. I did have a few times where it didn't move at all, once it was down into double digits. I never had my levels go up but my understanding is that the hcg can go up a couple points if there is retained tissue. They did the hysteroscopy because they wanted to make sure that they got everything. I am really grateful that my insurance covered everything.
    Scar tissue was a concern of mine as well. I'm just glad they did the hysteroscopy so I had some definitive answers. 
    I hope this helped. let me know if you have any other questions.
    *** TW ***
    Me 31, DH 30
    Married: 07/2014, TTC since 12/2015
    BFP #1: 1/1/16, MC 1/14/16 (6 weeks), D&C 2/5/16 (9 weeks)
    BFP #2: 5/25/16, MC 6/23/16 (8 weeks), D&C 6/24/16, 2nd D&C for retained tissue and fibroid removal 9/1/16
    BFP #3: 12/24/16  EDD 09/04/2017
    Pregnancy Ticker
  • @stephann85 - Very helpful information! I am definitely having to be my own advocate because every time I go in they always reassure me that everything is fine - until they scan me. Hopefully I'll get this sorted out with them sooner rather than later and with my fertility intact!
    *TW*

    TTC#1 - 6.3.16
    BFP#1 - 7.1.16, (mo-di twins + singleton) due 3.15.17
    MC singleton - 7.13.16 - 5w
    MMC identical twins - 8.5.16 - 8w+2d
    Misoprostol 4x
    D&C - 9.12.16
    Hysteroscopy - 11.21.16 - Retained tissue filling half of uterus removed, blocked left tube, benched for 2 cycles, on estrogen/progesterone for 30 days
    HSG - 2.7.17 - Asherman's Syndrome. Both tubes open.
    Hysteroscopy 2.13.17 - Incomplete adhesiolysis for Asherman's, benched & on estrogen/progesterone for 30 days. At least two more surgeries needed...
    Hysteroscopy 3.21.17 - Adhesiolysis for Asherman's, benched & on estrogen/progesterone for 30 days.
    TTCAL #1: 4.24.17
    Hysteroscopy 5.23.17 - Scars reformed. Adhesiolysis. Unsure what to do next...
    Fertility acupuncture - started 6.13.17
  • I know my OB kept reassuring me for about a month and a half that everything was fine and that it was just taking longer. That was until my numbers started stalling out. I hope you are able to get the hysteroscopy so that you can get some answers.
    *** TW ***
    Me 31, DH 30
    Married: 07/2014, TTC since 12/2015
    BFP #1: 1/1/16, MC 1/14/16 (6 weeks), D&C 2/5/16 (9 weeks)
    BFP #2: 5/25/16, MC 6/23/16 (8 weeks), D&C 6/24/16, 2nd D&C for retained tissue and fibroid removal 9/1/16
    BFP #3: 12/24/16  EDD 09/04/2017
    Pregnancy Ticker
    weareturtlesHopefulmommy1980
  • I am sorry! Sending my positive thoughts your way. The not knowing is very scary..hoping they can give you an answer. 

    Me.30 DH.31 
    Est.8.2006
    BFP 8/28/15 mmc @ 11 weeks (d&c)
    BFP 9/28/16 mmc @ 8 weeks (d&c) - trisomy 5
    BFP 2/3/17...edd 10/13/17 <3

  • @weareturtles So sorry to hear!! Hope the last two days you were able to occupy yourself. Waiting and the time to think are absolutely the worst. Hugs!!
  • @weareturtles I am so sorry this is happening, but I hope it is not serious and they can do something quickly to get your body back on track. Keep us updated. Sending positive thoughts your way!
    **TW - Loss & Child mentioned**
    Me: 40  DH: 47
    Married: 10/2015
    DSD: 17
    BFP #1: 6/2/15, ectopic, metho 7/15
    BFP #2: 12/4/15, cp 12/7/15
    BFP #3: 8/5/16, MMC discovered 9/1, Misoprostol 9/19
    BFP #4: 5/10/17, EDD 1/20/2018
    Baby boy born January 12, 2018, 6 lbs 3.3 oz, 20.5 in.

  • @weareturtles this is so scary! I would be in a state of total panic in your shoes. I also had a "mass" after my MC. I went in after naturally MC'ing. They performed a scan to make sure there was no tissue remaining and saw what they thought was tissue. After every doctor in the practice had taken a turn at trying to remove it, it was determined the mass had to be something else. Off I went to a specialist for additional scans to identify the mass. It was determined to be one of several fibroids. Thankfully nothing more serious than that and thankfully they were able to offer a quick answer. For the weeks I waited for the specialist, I was dying. Totally the worst feeling to not have any idea what is happening. I'm so sorry you have to go through this. 
  • @weareturtles  That's super stressful.  Try not to web md anything.  There's nothing you can do right now.  It's hard not to stress out, I know.  Best of luck to you.  If you feel like the dr you go to now isn't taking it very serious, then, maybe get a second opinion.
  • @weareturtles I was just thinking of you the other day. I'm so sorry you're going through this. I'm trusting that they will figure this out. xoxoxo

    ****TW Signature****
    BabyFruit Ticker
    DD born 04/28/2002
    Married DH 03/25/2017
    1st MMC 08/13/2016 2nd MMC 02/14/2017
    BFP 06/16/17 Rainbow DS Born 02/05/2018


  • HCG is static. I need another procedure. Hysteroscopy. They want to do it as an office procedure with me awake. I am concerned because for the D&C I did awake, they did not give me sufficient pain control. Still waiting to hear whether they have a better plan for analgesia or whether I should plan to go under general anesthesia. Also waiting to hear about scheduling. Ugh...
    *TW*

    TTC#1 - 6.3.16
    BFP#1 - 7.1.16, (mo-di twins + singleton) due 3.15.17
    MC singleton - 7.13.16 - 5w
    MMC identical twins - 8.5.16 - 8w+2d
    Misoprostol 4x
    D&C - 9.12.16
    Hysteroscopy - 11.21.16 - Retained tissue filling half of uterus removed, blocked left tube, benched for 2 cycles, on estrogen/progesterone for 30 days
    HSG - 2.7.17 - Asherman's Syndrome. Both tubes open.
    Hysteroscopy 2.13.17 - Incomplete adhesiolysis for Asherman's, benched & on estrogen/progesterone for 30 days. At least two more surgeries needed...
    Hysteroscopy 3.21.17 - Adhesiolysis for Asherman's, benched & on estrogen/progesterone for 30 days.
    TTCAL #1: 4.24.17
    Hysteroscopy 5.23.17 - Scars reformed. Adhesiolysis. Unsure what to do next...
    Fertility acupuncture - started 6.13.17
  • I didn't even know they did awake ones. All mine have been under conscious sedation. I love that I don't remember anything. 
    I am so happy for you that you will be getting some answers. 
    *** TW ***
    Me 31, DH 30
    Married: 07/2014, TTC since 12/2015
    BFP #1: 1/1/16, MC 1/14/16 (6 weeks), D&C 2/5/16 (9 weeks)
    BFP #2: 5/25/16, MC 6/23/16 (8 weeks), D&C 6/24/16, 2nd D&C for retained tissue and fibroid removal 9/1/16
    BFP #3: 12/24/16  EDD 09/04/2017
    Pregnancy Ticker
  • After all the pain you went through with the d&c I wouldn't trust them to provide enough pain relief this time. I'd insist on a general this time.

    ****TW Signature****
    BabyFruit Ticker
    DD born 04/28/2002
    Married DH 03/25/2017
    1st MMC 08/13/2016 2nd MMC 02/14/2017
    BFP 06/16/17 Rainbow DS Born 02/05/2018


  • @weareturtles I am so sorry you are still having to deal with this. I hope they can get you in soon and get you the answers you need.
    **TW - Loss & Child mentioned**
    Me: 40  DH: 47
    Married: 10/2015
    DSD: 17
    BFP #1: 6/2/15, ectopic, metho 7/15
    BFP #2: 12/4/15, cp 12/7/15
    BFP #3: 8/5/16, MMC discovered 9/1, Misoprostol 9/19
    BFP #4: 5/10/17, EDD 1/20/2018
    Baby boy born January 12, 2018, 6 lbs 3.3 oz, 20.5 in.

  • So sorry you are going through this.  Praying everything goes well and you get answers 
  • @weareturtles I am so sorry you are going through all this. If you do not want to be awake then I would push for that and explain your reasons. I hope you are able to schedule quickly and get everything resolved!  <3
    Me: 32 DH: 36
    Married 5/08
    BFP #1: 1/27/13 DS #1 born 10/16/13
    BFP #2: 1/20/16, ectopic discovered 1/23/16
    Surgery 1/23/16 to remove ruptured tube
    TTCAL 3/16
    BFP #3: 3/24/17 EDD 12/5/17
    DS #2 born 12/11/17



  • so sorry @weareturtles. Hope you get some answers soon <3
    DH - 34, Me - 32
    Married 7/13
    TTC #1 since 10/13
    BFP 2/4/15, MC twin boys at 18w3d 5/15
    IUI #1 2/25/16

  • @weareturtles I'm so sorry you are going through this. Just know we are all holding your hand. Don't hesitate to vent here when you need it. 



  • I'm so sorry @weareturtles. Sending good thoughts your way.
  • They're okay with doing general. Said that someone would call to schedule, but I waited all day without a call. I even called them, but didn't get a call back to schedule. Hopefully tomorrow I will get a call and can get scheduled for Friday.
    *TW*

    TTC#1 - 6.3.16
    BFP#1 - 7.1.16, (mo-di twins + singleton) due 3.15.17
    MC singleton - 7.13.16 - 5w
    MMC identical twins - 8.5.16 - 8w+2d
    Misoprostol 4x
    D&C - 9.12.16
    Hysteroscopy - 11.21.16 - Retained tissue filling half of uterus removed, blocked left tube, benched for 2 cycles, on estrogen/progesterone for 30 days
    HSG - 2.7.17 - Asherman's Syndrome. Both tubes open.
    Hysteroscopy 2.13.17 - Incomplete adhesiolysis for Asherman's, benched & on estrogen/progesterone for 30 days. At least two more surgeries needed...
    Hysteroscopy 3.21.17 - Adhesiolysis for Asherman's, benched & on estrogen/progesterone for 30 days.
    TTCAL #1: 4.24.17
    Hysteroscopy 5.23.17 - Scars reformed. Adhesiolysis. Unsure what to do next...
    Fertility acupuncture - started 6.13.17
    stephann85Hopefulmommy1980
  • Ugh Im sorry you are going through all of this @weareturtles - I hope you will get some answers soon!
  • I'm sorry @weareturtles I'm just now seeing this thread. Wishing all the best for you. 
  • @weareturtles  So sorry you are kept waiting.  General is good.  I can't imagine not doing general for something like that.  Hope you already got that call!
    ***TW***
    Me: 36  DH:35
    Married: 7/10/2016
    TTC#1 - May 2016
    BFP 9/6/2016 - Missed MC 10/20/2016  
    BFP 5/5/2017  - CP
    IVF #1 - June 2017  - Transferred 1 fresh 4 AA embryo.  7/9 Beta #1 - 161 
    <3 Adam <3 Born on 3/18/18




     
  • @weareturtles Sorry this is happening to you. I hope they have gotten in touch with you to schedule the procedure. As a nurse, I know how tough it can be to have the medical knowledge and not know what's going on with your own body.  Thinking of you...
    BFP #1 9/2/16, MMC @ 8w5d, D&E 10/20/16
    BFP #2 12/17/16, EDD 8/26/17
    L born at 35+6 on 7/28/17 <3
  • Sending positive thoughts your way
  • Surgery tomorrow...wish me luck! (I'm scared!)
    *TW*

    TTC#1 - 6.3.16
    BFP#1 - 7.1.16, (mo-di twins + singleton) due 3.15.17
    MC singleton - 7.13.16 - 5w
    MMC identical twins - 8.5.16 - 8w+2d
    Misoprostol 4x
    D&C - 9.12.16
    Hysteroscopy - 11.21.16 - Retained tissue filling half of uterus removed, blocked left tube, benched for 2 cycles, on estrogen/progesterone for 30 days
    HSG - 2.7.17 - Asherman's Syndrome. Both tubes open.
    Hysteroscopy 2.13.17 - Incomplete adhesiolysis for Asherman's, benched & on estrogen/progesterone for 30 days. At least two more surgeries needed...
    Hysteroscopy 3.21.17 - Adhesiolysis for Asherman's, benched & on estrogen/progesterone for 30 days.
    TTCAL #1: 4.24.17
    Hysteroscopy 5.23.17 - Scars reformed. Adhesiolysis. Unsure what to do next...
    Fertility acupuncture - started 6.13.17
  • Good luck! I'll be thinking of you tomorrow & sending you good energy and positive thoughts.

    ****TW Signature****
    BabyFruit Ticker
    DD born 04/28/2002
    Married DH 03/25/2017
    1st MMC 08/13/2016 2nd MMC 02/14/2017
    BFP 06/16/17 Rainbow DS Born 02/05/2018


  • Thinking of you,@weareturtles. Sending good thoughts your way!
  • Good luck @weareturtles <3
    DH - 34, Me - 32
    Married 7/13
    TTC #1 since 10/13
    BFP 2/4/15, MC twin boys at 18w3d 5/15
    IUI #1 2/25/16

  • good luck @weareturtles!
    TW*** Child and loss mentioned
    Married 10/12
    DS 11/14
    Ectopic 2/16
    PCOS/Ovulation Dysfunction 11/16
    IUI x 3- BFN
    Laparoscopy 3/17 Endo and tubal damage
    IVF- 4/17- 40 eggs retrieved, 10 blasts, 7 pgs tested embryos
    FET- 6/17- BFP!
    Due Feb 15, 2017
  • Good luck @weareturtles!
    Me: 39 DH: 39
    CP 1/25/16 4.5 weeks, developed Graves' disease
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