Pregnant after IF

Not Sure About Today's Ultrasound

I'm 8w5d and both babies were measuring fine with HBs of 170bpm. But Baby B's gestational sac is smaller than Baby A's. Almost like he/she doesn't have much room to kick around in. I cycled out of state so local RE did u/s and faxes report to my RE. RE's nurse didn't give much feedback via email and just said to repeat in a week. I'm trying to get a local OB appt as RE doesn't release until 10-11 weeks but local RE releases her patients at 7 weeks so she isn't used to see babies at my stage. Feel like I need more care than this... I ended up in the hospital last week with extreme dehydration due to a stomach bug. It would be nice to have an actual doctor who I belong too as I feel like I'm floundering in the wind right now.

TTC #1 since 8/1/10; Me:41 and BRCA1+, DH:46
DOR (FSH 24.3)/ terrible egg quality ; homozygous MTHFR c677t
5 IUI's: 2/11 to 6/11 and 1/12= BFN
OE IVF#1-4 8/11-6/12= all BFN
DE IVF#1 11/12 bad embryos= BFN
DE IVF #2 2/13 BFP/Beta hell: m/c 5w6d
CFNBC 7 months, not doing well; decided on guarantee program at RBA w/frozen DE
DE IVF #3 1/14  ET 4BB; BFP;M/C 5w1d, incomplete m/c; MVA extraction in ER 7w1d

DE FET#1 ET 3/1714; BFP, beta 1 3/27= 197, beta 2 3/31= 1586, beta 3 4/7= 13879!!
First u/s= Twins with HBs at 6w2d! We are Team Pink x 2!!

K & K born 11/21/14 at 38wks 4 days

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Re: Not Sure About Today's Ultrasound

  • I'm really not sure if sack size at this stage means a whole lot since it is obviously going to grow with baby. My Baby A is kind of nestled into my uterus and the sack seems much smaller than by Baby B (who, at only 8 weeks, I'm calling the womb hog). 

    This is from last week at 8 weeks 4 days. 

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    TTC since 2011
    Aug. - Sept. 2013 - dIUIs = BFNs
    January 2014 - IVF = 3 freezer babies
    March 2014 - FET of AA and AB blast = BFP! Twins! 
    Nov. 7, 2014 - Wilhelmina "Willa" Suzanne (4lb 14oz) and Ari Jose (6lb 4oz) were born via CS
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  • I stupidly read online that the sac had to be 5mm bigger than say for good outcomes... Idk. Trying not to worry too much at this point. Mine looks similar to yours with them being different sized sacs but the babies inside are the same size.

    TTC #1 since 8/1/10; Me:41 and BRCA1+, DH:46
    DOR (FSH 24.3)/ terrible egg quality ; homozygous MTHFR c677t
    5 IUI's: 2/11 to 6/11 and 1/12= BFN
    OE IVF#1-4 8/11-6/12= all BFN
    DE IVF#1 11/12 bad embryos= BFN
    DE IVF #2 2/13 BFP/Beta hell: m/c 5w6d
    CFNBC 7 months, not doing well; decided on guarantee program at RBA w/frozen DE
    DE IVF #3 1/14  ET 4BB; BFP;M/C 5w1d, incomplete m/c; MVA extraction in ER 7w1d

    DE FET#1 ET 3/1714; BFP, beta 1 3/27= 197, beta 2 3/31= 1586, beta 3 4/7= 13879!!
    First u/s= Twins with HBs at 6w2d! We are Team Pink x 2!!

    K & K born 11/21/14 at 38wks 4 days

    imageimage

    SAIF/PAIF Welcome


    http://waitingforraintostop.wordpress.com

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  • I would think it is fine as long as they measured properly. The OB might not be used to seeing babies this early since most women who did not use ART typically don't have an u/s until 10-12 weeks. So while i think it is totally fine if you would feel more comfortable setting up an appointment with them, they might not be able to give you any answers.
    TTC Since January 2012 Me:37 DH:34      DX July 2013: Unexplained Infertility      New DX Dec 2013: DOR
    BFP#1 6/4/12 EDD 2/13/13 M/C 6/6/12  BFP#2 2/21/13 EDD 11/3/13 M/C 2/26/13 BFP#3 C/P
    4 rounds of clomid, 2 with IUI = BFN
    November/December Retesting/Natural Cycle = Surprise BFP @ 11dpo! Beta#1 76.6@13dpo Beta #2 276@15dpo u/s#1 6w2d hb113 u/s#2 8w2d, measuring 8w4d hb168! 10w2d hb171 12w3d Verifi results are in and good! EDD 8/23 Our Baby Girl Rainbow Baby born 8/20/2014!!!
    Um...what? BFP 11/2/15!?! EDD 7/4/16
  • I don't have a lot of advice, but just an idea. Is it possible that they can't see all of the sac on the u/s? U/S can only get slices of what's happening inside, right?

    Now get off of Dr. Goo.gle! I'm sure if there was anything to be concerned about you could have read it on your doctor's face or they would have told you. Right?

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    Beta #3 (21dp5d5): 8,172. Wow. It seems this is actually working. Shocked beyond belief.

    1st u/s @6w5d: Baby A hb 124, Baby B hb 127 (Both measuring perfectly!)

    Lost baby A. Praying that baby B stays healthy. Baby B hb 175 at 11 weeks

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  • I have no experience with twins but from my experience on TB, it seems that one twin normally measures behind the other. Did you ask on the multiples board? That will be some good feedback for sure!
    IVF #1- BFP- DD 4/8/2011
    FET #1- 3BB and 3B-B
    Beta #1 (4w0d)- 504
    Beta #2 (4w4d)- 4,577
    Beta #3 (6w0d)- 78,399 HB 115 bpm
    U/S #2 7w0d- HB 155 bpm

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  • beachy6 said:

    I don't have a lot of advice, but just an idea. Is it possible that they can't see all of the sac on the u/s? U/S can only get slices of what's happening inside, right?

    Now get off of Dr. Goo.gle! I'm sure if there was anything to be concerned about you could have read it on your doctor's face or they would have told you. Right?

    It wasn't my doctor since I cycle out of state. Not sure the local RE would tell me if it was really bad. Didn't get any feedback from RE except to repeat in a week ad stay on meds. From what I know, everyone else got their meds cut at this stage and they aren't cutting mine.... Makes me worry.

    TTC #1 since 8/1/10; Me:41 and BRCA1+, DH:46
    DOR (FSH 24.3)/ terrible egg quality ; homozygous MTHFR c677t
    5 IUI's: 2/11 to 6/11 and 1/12= BFN
    OE IVF#1-4 8/11-6/12= all BFN
    DE IVF#1 11/12 bad embryos= BFN
    DE IVF #2 2/13 BFP/Beta hell: m/c 5w6d
    CFNBC 7 months, not doing well; decided on guarantee program at RBA w/frozen DE
    DE IVF #3 1/14  ET 4BB; BFP;M/C 5w1d, incomplete m/c; MVA extraction in ER 7w1d

    DE FET#1 ET 3/1714; BFP, beta 1 3/27= 197, beta 2 3/31= 1586, beta 3 4/7= 13879!!
    First u/s= Twins with HBs at 6w2d! We are Team Pink x 2!!

    K & K born 11/21/14 at 38wks 4 days

    imageimage

    SAIF/PAIF Welcome


    http://waitingforraintostop.wordpress.com

  • BBColt78 said:
    I have no experience with twins but from my experience on TB, it seems that one twin normally measures behind the other. Did you ask on the multiples board? That will be some good feedback for sure!
    That's a good idea.. The baby itself isn't Measuring behind-- just her gest sac.

    TTC #1 since 8/1/10; Me:41 and BRCA1+, DH:46
    DOR (FSH 24.3)/ terrible egg quality ; homozygous MTHFR c677t
    5 IUI's: 2/11 to 6/11 and 1/12= BFN
    OE IVF#1-4 8/11-6/12= all BFN
    DE IVF#1 11/12 bad embryos= BFN
    DE IVF #2 2/13 BFP/Beta hell: m/c 5w6d
    CFNBC 7 months, not doing well; decided on guarantee program at RBA w/frozen DE
    DE IVF #3 1/14  ET 4BB; BFP;M/C 5w1d, incomplete m/c; MVA extraction in ER 7w1d

    DE FET#1 ET 3/1714; BFP, beta 1 3/27= 197, beta 2 3/31= 1586, beta 3 4/7= 13879!!
    First u/s= Twins with HBs at 6w2d! We are Team Pink x 2!!

    K & K born 11/21/14 at 38wks 4 days

    imageimage

    SAIF/PAIF Welcome


    http://waitingforraintostop.wordpress.com

  • DoublePortionDoublePortion member
    edited April 2014
    I agree with PP. I think it's the angle. This is my u/s from 9 weeks and the babies were measuring super close, but the sac for one looked a lot smaller. It's like one sac was running side to side of my ute and the other was front to back.



    Let me know if you can't see the pic and I'll try again. Sometimes I can see them, but others can't. :)

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  • I wish I had advice for you, but I don't. But just reading the PP responses, the angle thing makes a load of sense. I hope it's nothing and everything continues to go well! FWIW even with singletons, I've seen sacs vary greatly (at least visually) when I googled pictures of them. Dr Google can be scary though! Keep us posted for your next u/s!

    ************ Signature/Ticker Warning ************
    Me (32) DH (36) - Finding our way to baby #1
    Me: POF/DOR - AMH <0.16, heterozygous c677t MTHFR, insulin resistant and gluten intolerant
    DH: Severe MFI

    12/2/11 - IUI #1- BFN 
    8/1/12 - IVF #1 - Zero response from max stims (600iu intramuscularly)

    My ovaries are just for decoration

    12/6/12 - Adopted five embryos that had been frozen for over ten years!
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    9/12/13 - DEmbryo FET #2. Thawed and transferred two beautiful blasts
    9/17/13 - BFP @ 5dp6dt! EDD 05/31/14
    9/29/13 - m/c @ 5w1d. :(

    11/19/13 - DEmbryo FET #3. Thawed and transferred one blast from each batch. Wow!
    11/23/13 - BFP @ 4dp6dt! EDD 8/7/13
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  • My baby B was the same way.  I really think it was the angle. Even at our anatomy scan it looked like he had much less of a sac/fluid than his sister.   FWIW  he's head butting my bladder right now and measuring bigger than his sister.  I'm still keeping you in my prayers as I have been.  
     36 DH 33 TTC for over 3 years
    First mini-IVF Sept 2011... Only 1 egg! ... BFN
    Switching RE
    IVF#2 May 2012 9 eggs and only 2 sperm, WTH!
    BFN
    IVF #3 March 2013~Tesa with back-up Donor Sperm,Tesa, unsuccessful used DS~ Chemical :(   

    Switching RE's within practice

    2 frosties waiting for us, November 2013!!!!!   Transferred 2 "average" blasts 11/20/2013
    BFP!!!!!!!  Boy/Girl Twins!!!!!! Due 08/08/2014

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  • I don't really have anything to add, but I am pulling for both your little ones. I totally agree you need a local doc, even if not for scans but for YOU. after all this, you need to feel supported and cared for.

    as for the meds, I think it makes total sense to keep the meds just as they are until any concerns resolve.

    unfortunately, you are at the place you have been many many times, you will just have to wait and see. I think the odds of this situation are MUCH better than they have ever been, so do your best to keep calm and carry on. huge hugs.
    TTC #1 since 12/2010 DH: MFI, cancer survivor Me: Resected septate uterus, lap treated mild endo, tubes open, ovulate on own, autoimmune disease 3 Failed IUI's (2/2012, 4/2012, 6/2012) 
    IVF #1 August 2012. BFP! Beta #1 56.7 Beta #2 150 One baby, one heartbeat on 9/20/12! no h/b @7w6d. dandc @8w0d
    FET #1 December 2012, BFN
    FET #2 February 2013, no embies survived thaw
    IVF #2, BFP #2, Loss #2 March 2013, Scar tissue discovered, RPL testing,
    IVF #3, BFP #3, Loss #3 (twins) September 2013
    Hostile ute, moving onto Gestational Carrier!

    GC/FET #1 of 1 5AA blast and 1 compacted blast, February 2014, BFP #4 on 3/1/2014!
    6w u/s 1 bean with h/b of 145 bpm, 8w u/s 187 bpm
    EDD 11/7/14. Please, please, please stick little one!

    Praying unceasingly for a miracle. ALL welcome!

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  • McIrish, I'm hoping and praying for both of your LOs to be okay. A strong HB at 8.5 weeks is already a great sign. Guessing (with fingers crossed!) that you're going to stay on the right side of the odds this time. I'm glad you don't have to wait too long until your next u/s.
  • At my last u/s baby B's sac was a lot smaller than baby A's, my doctor didn't seem concerned. I hope everything looks great at your next u/s!!

    TTC for 1.5 years with a crappy RE. 12 cycles with clomid (11 too many)
    New RE, 3 failed IUI's moving to IVF with ICSI
    IVF#1 BFP EDD 1/10/13
    Beta#1 51  Beta #2 148
    A/S 8/20/13 Team Pink
    Induced week 39 due to severe GD
    Baby girl born 1/4/13

           TTC #2 2 failed IUI's moving on to FET 3/2014
    ET 3/25 
    Beta #1 127
    Beta #2 845
    U/s 4/22 It's TWINS!!
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  • T&P 's your way! It is normal to worry, but hope all will be ok! Hang in there!

     

  • Lurker from SAIF/IFV....

    FWIW, I wasn't given the green light to go off meds till I was 10, close to 11 weeks.  So I wouldn't worry about that end of it.  Sending you lots of T&Ps.... am stalking this board for your updates!
    Me 35, DH 36
    TTC summer 2008
    Diagnose me. DOR, DH perfect
    IUI # 1 6/2010, BFN
    IUI # 2 8/2010, BFN
    IVF # 1 10/2010 Canceled poor response
    IVF 1.2 12/2010 BFP! mc 6 weeks 2 days
    Mental health break for 10 months
    IVF # 2 10/2011 BFN
    IVF # 3 5/2012 BFP! 10 eggs retrieved (best ever)
    7 fertilized transferred 3
    Beta #1 14dpo - 72, Beta #2 17dpo 145 Beta 3 20dpo 521
    First u/s June 15 saw HB 126 bpm missed m/c 7/5/12 10 weeks D&C 7/6/12
    IVF#4 ER 9/30 ET 10/3 Beta 10/16 BFFN. IVF #5 final with o/e. ER 1/21 only 1 retrieved, hoping my lonestar is the one. Beta #1 2/6/13 = 209.... please let this be it! Keep growing lonestar! Beta #2 2/8/13 - 586! , Beta #3 2/10/13 = 1898. First u/s perfect little heart beat at 116 bpm. Measure 6 weeks 1 day. EDD 10/14/13
    3/4/13 measuring right on track beautiful heartbeat 171 bpm, graduated from RE to OB... bittersweet.
    PAIF/SAIF always welcome! Its a girl! 

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    11/13 beta #1  924!!!  2nd bet 11/15 1906, one more on 11/17 3rd & final beta 3430.  First u/s 12/5, 7w4d, 2 heartbeats,
    both measuring right on track....2nd u/s... all is well... both beans measuring right on track... released from RE... first
    appointment with MFM 1/5.  Looks like this is really happening!

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  • You're ok mama. Stay off Google.

  • I had an u/s at 8.5 weeks. Baby B was measuring ahead of the game at 8 weeks 6 days but the gestational sac was measuring two weeks behind. baby A's sac was measuring 6 days behind. My dr said that he isn't concerned since the heart rates were so high. he said it could be the angle or maybe there isn't a lot of room. he wouldn't even give me another u/s. Fingers crossed for a good report this week. 

    ******Siggy Warning**************

    Me 29 - no known issues ( Highest FSH 10.1??) 
    DH- 36 - quite the perfect man!
    TTC since 1/2011
    IUI #1 March 2012 
    BETA #1  BFP
    B/O at 6 weeks D&C @ 10 weeks 
    IUI #2-7 (2012)= BFN
    IVF  Jan 14 - Follistim, Ganirelix
    22R, 8M, 8F
    ET  (1-14-14) - 1 Grade A 8 cell = BFN
    FET (2-18-14)  1 grade A 12 cell and one early morula!
    BETA #1 (3-3-14) =1,389  p4 17.4
    BETA #2  (3-5-14) = 4,553 u/s showed one small g sac
    U/S #2      (3-17-14) Shows two little beans with heartbeats!!! TWINS!! 
                                       Heartbeats were 119 & 120 beans measured (6 weeks 1 day) (6 weeks 2 days)
    found out at 20 weeks that baby B went to heaven
    11/12/14 Baby girl arrived :)
    FET (1-24-16) Grade A early morula 
    BETA #1 300 p4. 11.1 
    BETA#2 1300
    u/s d 1 tiny babe :)
    10/7/16 another sweet baby girl
    4/18 SURPRISE + HPT 
    Beta #1 6 weeks 16,202 p4. 13.2




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