1st Trimester

Listen to my gut or the doctor?

I'll try to make this as short as possible.  2 weeks ago I went in due to some severe pains on my right side. I have a history of fibroids and cysts so I figured ob/gyn was probably the right choice. Plus, my period was late. HPT said positive before my appt, dr. office test said negative.  Dr thought maybe ectopic so she did an exam and sent me for bloodwork.  Betas came back 22 so they did an u/s that day.  They found a ruptured cyst and no visual indication of pregnancy which she expected because it was too early.  Did the doubling test 2 days later, betas came back 56. Scheduled another u/s for 2 weeks later.

Monday (2 days ago) I had another u/s which showed an empty gestational sac.  Scheduled an u/s for next week and sent for betas which came back at 5300.  Doubling test today showed 8865.  To me, it appears that everything is fine and there is no need to worry.  I asked if I could cancel my scheduled u/s for next week and just come back for my 8 week u/s rather than having 2 appts for u/s.  Doctor says no she really wants me to come in next week. 

I really don't see any need to go in next week if there is no reason for concern. It looks like my numbers are fine and I would be just fine waiting until 8 weeks.  She wants me to come in at 6w4d and then again around 8 weeks. 

What do you think? I may just call back and ask to speak directly to her instead of going back and forth with the nurse. I want an explanation as to why it is necessary for me to have yet another u/s when all of my tests are coming back great.

LO #1 (2/10/05) Expecting #2 (11/24/12) Pregnancy Ticker

Re: Listen to my gut or the doctor?

  • I would just go again at 6 weeks. I believe everything is fine like you said but why not just go in and see the baby and maybe heatbeat! 

     

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  • Why would your reasoning be for not going in?
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  • If it were me, I would just go in for the 6 week appointment too.  For me if it was something that could give me a little peace of mind, I would take it.  Best of luck to you!  Hope everything works out for you!!  
  • Mainly the added worry.  I feel like if something was worth being concerned about, they should tell me. Otherwise, treat me like a normal pregnant lady.  Now the fact that my dr said she really wants me to keep my appointment makes me think that she is worried about something.  Maybe I'm just overanalyzing it all. To me it just doesn't make any sense to keep doing ultrasounds if everytime I get one done, they are seeing what the expect to see.

    LO #1 (2/10/05) Expecting #2 (11/24/12) Pregnancy Ticker
  • I would do what the doctor asked. I'm sure she has her reasoning whatever they may be, shes the medical professional. Beta #'s, while a fabulous sign, do not give a full picture.
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  • imageMandJS:
    imageBingo1116:

    Mainly the added worry.  I feel like if something was worth being concerned about, they should tell me. Otherwise, treat me like a normal pregnant lady.  Now the fact that my dr said she really wants me to keep my appointment makes me think that she is worried about something.  Maybe I'm just overanalyzing it all. To me it just doesn't make any sense to keep doing ultrasounds if everytime I get one done, they are seeing what the expect to see.

    Based on your history, it sounds like they're treating you as high risk. High risk women (myself included) get lots of extra tests, u/s's, bloodwork, etc. If you're curious - call and ask your doctor what the need is for. But I know a lot of high risk mamas get regular and ongoing u/s's. You are lucky that they are seeing what they expect to see, but they don't always. 

     

    You have a good point.  However, I would think if they had classified me of having an elevated risk, they would have at least told me.

    LO #1 (2/10/05) Expecting #2 (11/24/12) Pregnancy Ticker
  • imageBingo1116:

    You have a good point.  However, I would think if they had classified me of having an elevated risk, they would have at least told me.

    Dude, obviously you that you are receiving treatment different than a "normal pregnant woman" so how would you not be able to put two and two together.

    For what it is worth, at any point, with any test, something could be wrong or nothing could be wrong. It makes no sense, that given the issues you have had in the begining, to now want to make sure everything is progressing as it is should.  

     

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  • imageMilliways:
    imageBingo1116:

    You have a good point.  However, I would think if they had classified me of having an elevated risk, they would have at least told me.

    Dude, obviously you that you are receiving treatment different than a "normal pregnant woman" so how would you not be able to put two and two together.

    For what it is worth, at any point, with any test, something could be wrong or nothing could be wrong. It makes no sense, that given the issues you have had in the begining, to now want to make sure everything is progressing as it is should.  

     

    I get that. I guess what I'm wondering is if everything keeps coming back as expected, at what point (if any) will they decide that this is a normal healthy pregnancy? Or because of my fibroids, will this constant monitoring continue? 

    My first pregnancy was completely healthy and normal with absolutely no complications.  Honestly I think it is just a coincidence that I found out I was pregnant during an appointment where they found a ruptured cyst.

    I apologize if I'm being dense about this, I just don't understand and clearly this is my first time experiencing all of this extra testing.   From what I'm hearing though, I should relax and let the doctor do her job.

    LO #1 (2/10/05) Expecting #2 (11/24/12) Pregnancy Ticker
  • There is no point in not going. Just do what the Dr. says and let her monitor the baby's progress how she sees fit. Sorry, I don't see your reasoning.
    TTC 9/11-2/12 ... BFP on 2/20 ! Hoping baby sticks around until October! :)BabyFruit Ticker
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  • If it's a matter of insurance not covering it and not wanting to pay out of pocket for the u/s then I understand your apprehension about going for another visit. However, I would listen to the doctor and get another u/s. I would take every opportunity I can get to see my LO though.
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  • imageBingo1116:

    Mainly the added worry.  I feel like if something was worth being concerned about, they should tell me. Otherwise, treat me like a normal pregnant lady.  Now the fact that my dr said she really wants me to keep my appointment makes me think that she is worried about something.  Maybe I'm just overanalyzing it all. To me it just doesn't make any sense to keep doing ultrasounds if everytime I get one done, they are seeing what the expect to see.

    OK, they want you to go in so they CAN tell you what is going on.  Maybe after this appointment, you can go back to regular pregnant person status, which you should ask about after you keep your appointment.  Your doctor has already expressed concern, hence them requesting you make and keep your appointment.  Just go.  Then talk to your doc about your concerns, not interweb strangers that also don't have ute goggles. 

    Ignorance is NOT bliss.  Just keep the appointment.  

  • I would go as she should be able to see a heartbeat at that point.  I had one at 6w4d and saw the hb and she kept my 7w6d appt for another u/s since that would have been my first normal appt with her.  She said that way we can get better pics, measurements, and keep me at ease due to my history.
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