4 weeks - no gestational sac

KellersPrag · January 2012

Hi ladies,

First, a little history. Twice in the last six months, after sex, I would experience severe abdominal pain/cramping, once accompanied by vomiting. That happened to me twice this week, once Tuesday, and once last night. So I went to the emergency room at the urging of my boyfriend.

I was supposed to get my period today, so I was planning on taking a HPT before Monday, because we were TTC. But they checked everything at the ER anyway, and confirmed via urine and blood that I am pregnant!! So they did the quantitative blood work and my hcg levels came back at 264 or something along those lines. They said I would be right about 4 weeks, and according to my LMP (Dec 16), I would be, too. Then, as a precaution and just to check on everything, they did an ultrasound and a vaginal ultrasound. When I got my results, the doctor told me that they did not see a gestational sac at all, so I have to go back on Saturday night to see if my hcg levels are increasing because she is concerned about an ectopic pregnancy. She did mention that it might just be too early, though.

So, of course, I'm kind of freaking out today. I've googled other threads this morning about the same issue, and I've read a lot of stories that say it's completely normal not to see a gestational sac until about 6 weeks, but obviously I can't help being worried.

This is my first pregnancy, and I have no history of problems or anything. Any stories or advice?

Thanks!

Bexxy10 · January 2012

They still didn't see one when I had a 5 week internal done, but then around 6 1/2 weeks they did another and saw not only the sac but the heartbeat. Just stay as calm as possible, think happy thoughts and things will work out. Good luck!

eav2c · January 2012

When I went to my first u/s (I believe I was about 4w 5d) there was no gestational sac. Took a whole other week to even see one and then a few weeks after that to even see if the fetal pole and all that. Things were slow moving early on. I wouldn't really think too much into it. GL!

stlmomma27 · January 2012

I had an u/s at 4.5 weeks and all we saw was a thickened uterine wall. Went back at 5.5 weeks and saw the gest. sac and yolk sac. Give it time, you are really early.

Neener73 · January 2012

YogiKC0519:
My RE told me that your HCG numbers have to be over 1200 in order to see anything on the ultrasound so it was just too early. Right now all you want to see is a doubling beta so on Saturday if your beta doubles you should be able to relax knowing that right now you have a healthy pregnancy!

Yep. My RE won't do an ultrasound until the hCG level is over 1000. Even then she warns that it might be too early to see anything.

Merewilk5415 · January 2012

I had an internal at 4 weeks as well and we couldn't see anything. They told me right away it was most likely too early so I wasn't concerned. I'm sure everything will be fine... Best of luck & Congratulations!

KellersPrag · January 2012

Thanks ladies, for all of the support and kind words! I went back on Saturday night and they drew my blood again, and my level had doubled to 528. For some reason, though, they still keep telling me to not think of this as a normal pregnancy. Is this only because they are ER doctors and not familiar with what is normal? I've never been pregnant before, and I've never had any problems...

As far as I'm concerned, I'm good to go! Yes

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