Heartbeat at 6 weeks. No heartbeat at 7 weeks. Miscarriage?

disneydoggo

I have had 3 previous miscarriages and no successful full term pregnancies.

I went for my first ultrasound at about 6 weeks 4 days. They said everything looks great and they found a strong heartbeat and said everything looked great. Even got some pictures to take home with me.

At 7 weeks 3 days I got my next ultrasound. (It was trans vaginal) They found no heartbeat and baby was measuring 7 weeks 1 day. They said it may take a few weeks but that I should miscarry.

I am still super nauseous so I got a second opinion from another ultrasound tech three days later.

Still no heartbeat, and still measuring at 7 weeks 1 day. This ultrasound was not trans vaginal.


I have still yet to start spotting and am still super nauseous. I know this isn’t a place for medical advice, but wanted to ask other people’s opinions and maybe see if anyone else has had any similar experiences.

Thanks in advance to anyone who gives their input! :)

stormageddon-darklordofall

@disneydoggo I'm sorry for your previous losses.  Unfortunately, it does not sound good for this current PG.  If there was a clear heartbeat, and a week or so later there no longer was, even from a second opinion OB, that's not good.  Your body can take a while to recognize the loss though (missed MC) and as you know you'll still feel all of the symptoms from being PG because you still have HCG in your system.  Did your doctor tell you to come back/call in a few weeks if you haven't MC yet?  Or are they going to send you for weekly HCG Betas to track your numbers back down?

I'm very sorry for your rough road.  I've had 5 losses, with no living children, myself and it's an awful hell to be in.

Wishilivedinflorida

Yup, had this exact scenario for my first two pregnancies, unexplained. I ended up having a D&C both times because I had no signs of natural miscarriage and just wanted it over. 

If you haven’t seen an RE, I would strongly recommend it to see if they can find a reason why you have recurrent losses. I’m so sorry you are going through this. 

disneydoggo

@stormageddon-darklordofall

I figured as much, I’m sorry you’ve had to deal with the same sort of grief. :( It’s never a pleasant thing to have to go through.

My doctor did make an appointment for me to come back in 2 weeks from my last ultrasound to discuss options for if I have not miscarried naturally yet.

I guess I’ve just been on edge and concerned because all of my past miscarriages have been natural. Dealing with it this way knowing that it’s going to happen before it even happens is new to me.

It’s rough because still having the pregnancy symptoms is making it difficult for me to eat and I’m still losing weight. I don’t know how to explain it, but it’s even more frustrating dealing with these awful symptoms knowing that In the end it’s for nothing.

The doctor didn’t even suggest checking my HCG levels, though I kind of wish they would have so I could have a better idea of what’s happening in my body over time.

Thank you for your response! I really appreciate it. :)

disneydoggo

@Wishilivedinflorida

Hi! Thank you for your response.

If you don’t mind me asking, did you wait it out to see if you would miscarry naturally first? Or did you just opt to do the D&C right away to get through it faster?

I’m honestly scared to be put to sleep…which is why I ultimately decided to just wait it out a few weeks and see what happens.

I’m sorry I’m fairly new to abbreviations so I don’t know exactly what RE stands for, but my doctor does want to refer me to a fertility specialist to do some testing to see what’s going on.

I will say this time around my doctor prescribed me to take baby aspirin and progesterone to see if that made a difference, I’m assuming since they didn’t work that there might be something more complex going on. Of course I don’t know for sure.

I’m also RH- while my SO is + so I’m not sure if that has anything to do with our difficulty keeping a pregnancy. But I guess I will get more info at some point.

Anyway, thanks again for the response. And I am so sorry you have had to go through this twice. It’s hell. I wouldn’t wish it on my worst enemy. :(

Wishilivedinflorida

@disneydoggo Yes, an RE is a reproductive endocrinologist, or fertility specialist. Sounds like you are on the right path. As for the D&C, I’m a nurse practitioner and was aware of my options and wanted to get it over with. At the time I was working critical care and didn’t want to suddenly miscarry in the middle of work. I had no signs things were happening naturally. I found it gave me good closure both times and I didn’t have to worry about retained products/incomplete miscarriage. 

As for the anesthesia they use, it’s usually not general, so you are deeply sedated and breathing on your own. It’s typically very low risk and safe as long as you don’t have any significant underlying conditions. 

I’m so sorry you are going through this and hopes this info helps!