First US - Pregnancy location unknown. Too early?

knottie2d366ec6506777dd

Hi all! I’m currently around 6 weeks based on my LMP (4/4) with baby #2, however, I ovulate very late between cycle days 18-20. So, I think this means baby is only 4 weeks gestation? I also tested super early around 7-10dpo and am somehow already showing.

At around 24-26dpo (Friday), my hCG level was 1400 and I had a transvaginal ultrasound, but the tech couldn’t yet visualize a gestational sac or confirm pregnancy location. My fallopian tubes are clear, but they still are not ruling out ectopic and have cautioned me on all of the signs (I have had no symptoms of ectopic either).

I have a repeat HCG draw on Monday. They also plan to follow up with another ultrasound in about a week or so.

I’m trying not to worry, but feeling a bit anxious about not seeing anything yet. Has anyone experienced something similar? Is it just too early considering how late I ovulate in my cycle? Any positive stories or advice would be greatly appreciated!

mrsh2024

I am sorry you are feeling anxious. TBH I am surprised they tried to do an ultrasound so early. Hopefully your levels continue to rise and all is well on the follow up ultrasound!

knottie2d366ec6506777dd

Right! I asked both my doctor and the imaging scheduler if it was too early. Trying to remain cautiously optimistic because I don’t have any symptoms that would indicate ectopic. Fingers crossed. 

acleverusername

Because the doctors are going off LMP but YOU know you ovulate later in the cycle, it is much too soon for an ultrasound. A gestational sac could be seen only after hCG reaches 1500, and while 1400 sounds close enough even 1500 is the bare minimum so definitely too soon. 

I would definitely watch out for any warning signs but trust in your own knowledge of your body. 

(FWIW, I also ovulate late in the cycle and I just lie about my LMP to doctors because I don’t want them to cause me anxiety.)

knottie2d366ec6506777dd

Yes! That seems to have been the case. We went for a follow-up today and they found the tiniest gestational sac measuring only 4wk3d. My brain hurts trying to figure out how that’s even possible since I tested positive May 2. So relieved it is not ectopic though. Fingers crossed that it continues progressing normally. 

acleverusername

That does seem unusual but there are a lot of factors that could make that a not-entirely-accurate scan (like equipment and expertise of the sonographer). When is your next scan? 

knottie2d366ec6506777dd

Next week. I think the dates were accurate as they had the radiologist review everything before letting me leave. Unfortunately, I started spotting this week. They found a subchorionic hematoma in my scan last week, so I’m trying to not panic. Odds don’t seem to be in my favor given everything that has happened so far though. Sigh.