December 2015 Moms

help me, has this happened to you?

im very distressed. This story goes like this.... yesterday I went for my 1st u/s. I was nervous because I have had a molar pregnancy, a blighted Olvum, and miscarriages before. I had a deep feeling this pregnancy was going to fall apart but I encored that intuition and moved on happily thinking of baby names. So at yesterday's u/s, they saw a sac but no baby. They asked me if I was positive of my dates, which Made me realized oh no, another blighted olvum. I started to cry and they comforted me saying I could be two weeks off. I could have ovulated late and implanted late. I had little faith that there still could be a baby because this has happend before, and I always have Horrable luck with my pregnancies. They sent me for blood work yesterday as well and told me come back Friday and we will see if levels are going up like normal or falling, and we will go from there.
Today I get a phone call, doctor was telling me my betas are extremely high for what they should be and she thinks there is an Ectopic pregnancy! A total curve ball because yesterday I got comfort from some here telling me it is possible for me too be two weeks behind and I had more hope. Today it's another situation and I'm crying my eyes out. If they saw a sac in the my uterus, how can there be a baby stuck in the tubes. Has anyone had this before. She was telling me at tomorrow's appointment we will talk about a chemo pill that will end my pregnancy. How can they know it's ectopic just by looking at beta levels? I'm so sad and confused. I don't want to lose my baby.

Re: help me, has this happened to you?

  • dp1320dp1320 member

    I would get a second opinion before taking any pills/proceeding with a D&C. Similar thing happened with DS (I've posted about it before on other threads) but basically, the first doctor I saw told me that based on the size of the gestational sac I was about 6-7 weeks along and based on how high my betas were (24,000 maybe?) we *should* have seen a fetal pole and heartbeat. She told me I could come back for a second ultra sound and another beta draw to see if they were doubling so I did and they saw a fetal pole but no heart beat - betas came back at 36,000. Doctor called me that night and said we should proceed with a D&C because it wasn't a viable pregnancy.

    I knew in my gut that wasn't right. I went to a different practice and saw a different doctor for a second opinion - he said what she was telling me didn't make sense - we did a 3rd ultra sound and what do you know - there was a little, beautiful heartbeat! Turns out I was only 5 weeks 6 days.

    So all that to say, I've been in your almost exact situation. Not all situations are the same, obviously, but I wouldn't lose hope just yet and at least get a second opinion to put your mind at ease.

    Good luck and will be thinking of you!

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  • Ectopic pregnancies usually have low and very slow rising beta levels and I would assume that the ultra sonographer would have checked your ovaries and tubes during the scan.
    Before you go ahead with this pill, have your blood work redone to see what's going on and also get another scan to exclude ectopic pregnancy.
    If there is no ectopic then I would wait it out and go back for another ultrasound in a few weeks time to see if they can find baby.
    Hopefully it's too early to see anything on scan and little one will show up in a few weeks but definitely wait it out before you make any decisions!
    Fingers crossed for you xxx
  • I agree with both pp's. Your doctor seems a little quick to diagnose when the whole situation cannot be determined by one blood test. I would also assume they would have checked ovaries/tubes for another sac. I'm also wondering how old the equipment is at your clinic? There seem to be quite a few women who've had different readings between old and new machines. I would encourage to wait before making a decision and get another ultrasound, and possibly seek a second opinion. Good luck!!
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  • Absolutely get a second opinion! Although you did not tell us how you were dating in terms of the size of the sack, or based off of your LMP, it is possible that you could have twins and one could be a ectopic. However, that is not a likely scenario and I would definitely say that you should go get a second opinion prior to taking any pills to end the pregnancy. You should watch out for signs like sharp pains in your stomach, fever or the like. In the meantime, call up a different OB. Keep us posted and we will be praying for you! Hopefully everything will be okay and like she had said, you just ovulated late. Some people have higher numbers than others. It doesn't necessarily correlate to twins or to an ectopic (even though sometimes it can indicate such.) fx
  • I had an ectopic, in 1999. My numbers were very very low and my tube was visible on the u/s. I received two injections of methotrexate and passed everything perfectly with no need for any surgery. I would wait. I was told by several drs betas would be low. See what happns friday and request another u/s before taking anything. They saw no sac no nothing in my uterus. Lots of prayers coming your way. Keep us posted.
  • 313Meg313Meg member
    They should be able to rule in or out a ectopic via transvag us. So that's all quite contradictory to me. I also agree get that 2nd opinion!! Something isn't right. But in case there is a chance of ectopic, I would encourage you to act quickly.
    Keep us posted and I'm thinking of you!!
  • fioripfiorip member
    It is definitively a contradiction to be thinking of an ectopic pregnancy when hcg levels are extremely high as levels usually rise slowly and are below expected levels with an ectopic pregnancy. Also, an ectopic should've been visible in an ultrasound, if they saw an implanted sac in your uterus, why think of an ectopic? I would indeed get a second opinion and give it time before turning to methotrexate or anything else.

    Pregnancy is not an exact science and all pregnancies are the same, babies develop differently, bodies react differently which is exactly why levels are measure in ranges, you can't pin point an exact number. Did you get a measurement on the sac? If it's below 16 mm it's normal not to see a baby in there just yet, your dates could be off. How "extremely high" was your hcg? Last I got checked my levels were 165,000 at 8 weeks, there is such a wide normal margin.

    I'll pray for you, don't lose hope just yet.
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  • Thank you lady's for your kind support. I need it so much. I'm so confused.
    I called my mid wife to see if she talked to Dr. She told me a few more details. That the baby's sac was measuring 7 weeks. (She was out at the moment and didn't have my paperwork if front of her) also mentioned that the dr. Told her I was low beta 5000 6000. I sware the dr told me I wAs two high over the phone.
    I also asked if she knew why there would be a sac in my uterus and still they think it's in the tube, she said she dose not know and to get checked again tomorrow. So I still don't have straight answers. Tomorrow I see someone for another u/s and Tuesday I made appointment with someone else for a second opinion.
    I'm so so scared because... If they r right and there is a baby in the tube, I have to end my baby's life. My mid wife strongly recommend the chemo pill, but I am so scared of that. I rather have surgery. I rather have my poor misplaced baby. Maybe they wrong. Thank you girls, I will stay hopeful for my baby.
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