1st Trimester

Dr. wants me to terminate....

Been tracking my levels for about a week now. I started spotting about a week and a half ago, only pantyliner amounts, not pads. No pain, no clots, etc. Multiple positive HPT. My LMP was 9 days late and started March 4th and lasted 4 days....then on 3/14 (Thurs) I took my 1st HPT and that's when this roller coaster started....

Sat (3/16)-214

Mon-254

Thurs-304

Fri-450 (different lab)

Two transvaginal u/s....showed nothing conclusive, neither in my uterus or my tubes.

They did get my progesterone level and it is only 3.2, which the doctor said is entirely too low for a normal pregnancy, she said at LEAST 5 is what they want right now. 

My doctors are really pushing me to take methotrexate and terminate what they are calling an abnormal pregnancy. They said there is no way there's anything normal going on and I should just terminate in case it's ectopic. Has anyone else handled this or been through this?

I'm not comfortable just arbitrarily taking this and the side effects sound absolutely awful, not to mention the emotional pain. This is my first pregnancy and I'd really love some words of wisdom or advice.  

Re: Dr. wants me to terminate....

  • If I were in your shoes I would go for a second opinion at a different office. And then go from there. Hoping everything works out for you.
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  • No way I would until I was 100% positive I was going to miscarry.  Good luck and T&P's to you.
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  • If your health is not at risk, I would wait. A friend of mine had all kinds of problems and they told her to terminate, but she waited. Her son is healthy and about to turn 2 years old. 
  • They keep telling me it could be ectopic and waiting could really hurt me.
  • I would definitely go for a second opinion, especially if you are not having any other symptoms. I would need to know 100% what is going on before I would even consider that. Best of luck!!!
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  • Been tracking my levels for about a week now. I started spotting about a week and a half ago, only pantyliner amounts, not pads. No pain, no clots, etc. Multiple positive HPT. My LMP was 9 days late and started March 4th and lasted 4 days....then on 3/

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  • How far along do they think you are?  And did they suggest progesterone?  
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  • That's what I haven't been understanding either. If I'm only 19 days pregnant I shouldn't really even get an HPT positive. 

    They didn't offer anything to raise my progesterone, just made me feel like a hassle for NOT immediately terminating

  • I should note that yesterday my family dr. advised me to see an OB at the specialty office. The OB that I was scheduled with then called and told me to just go to the ER because based on my labs/1st U/S she couldn't do anything different at the office.

  • That's what I haven't been understanding either. If I'm only 19 days pregnant I shouldn't really even get an HPT positive. 

    You aren't pregnant at all if you are on CD 19.  Most people O between CD13-20...and then yo

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  • Honestly, they are likely trying to protect your fertility for the future. If it is ectopic and gets any bigger, it can rupture your Fallopian tube, decreasing your future fertility by 50 percent.
  • That's very strange then...I don't know what their reasons are for thinking it could be ectopic either that early.  And yes Hershey should have the best drs, I'm also not sure what the ER could do this early as well that the doctors could not to j

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  • You should seek a second opinion/second ultrasound and another round of labs ASAP.

    That being said, "ectopic" does not always mean "in your tubes" (see diagram below). There are several types of ectopic pregnancies and if nothing is visible in th

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    You should seek a second opinion/second ultrasound and another round of labs ASAP.That being said, "ectopic" does not a
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  • A pregnancy cannot even be seen on an ultrasound until the hcg is at least 1000 so I would want to wait it out awhile if I were you just in case. 
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  • I do not completely know the details, however, there have been incidences where doctors have been wrong. I agree with the posters that say you should get a second opinion or wait until you know for sure. Sometimes stuff also can clear up on its own.</p

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  • here's my story, since it sounds similar to yours, minus all of the hcg numbers:

    regular period began oct 12th

    spotting/light bleeding (with what i thought was a period) started a month later and lasted 3 weeks off and on in varying strengt

  • Like the other ladies said, I would get a second opinion before you terminated. I'm so sorry you are going through this. 
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  • i had the same happen, including bright red spotting in my 4th week (how far along ar eyou exactly?)   but with mine i had sudden SEVERE left side pain-- i was in the ER and had constant morphine which did not dull the pain.  If it's suspecte


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  • Having been through 4 losses myself, there is no way, IMO, that this is a viable pregnancy. Progesterone will only prolong a pregnancy that is not viable, assuming it is in your uterus. If it is a tubal pregnancy, you are risking your health and your f

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  • I wouldn't take anything...levels rise differently for everyone and your doctor should know U/S won't show anything til your level is 1200-1500 just keep tracking hcg it is going up..my last pregnancy took until the end of 5th week to detect anything on u
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