1st Trimester

5 weeks, no gestational sac, rising HCG

Hi. I'm wondering if anyone has had a similar experience to me at this point. My HCG levels have been doubling, except for the last draw, where they went up significantly, but didn't double in 48 hrs. They did a transvaginal ultrasound at 5 weeks (HCG was 2500), and didn't see any gestational sac. They also didn't see any evidence of ectopic. I will go back in a couple of days for a follow up U/S. Any hope that this embryo will still show up in my uterus? No cramping, no spotting, no bleeding. Thanks in advance for any words of wisdom! 

Re: 5 weeks, no gestational sac, rising HCG

  • Personally, I think 5 weeks may be too early to see much, if anything. My first US wasn't until just over 8 weeks, and even then, the gestational sac was measuring just a tad smaller than how far along I supposedly was. But she caught up and was always measuring ahead by a few days.

    Happy thoughts for your next appointment.

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  • Yep 5 weeks is early. Most places try to wait until you're at least 5 1/2 weeks before they'll do an ultrasound.
    Lilypie Pregnancy tickers
    Me: 38 DH: 36
    Married 8/27/2011
    BFP #1 9/28/2011 DS born 5/22/2012
    BFP #2 4/24/2013 m/c 4/25/2013 at 4w
    BFP #3 1/31/2014 DD born 10/14/2014
    BFP #4 1/20/2016 m/c 2/12/2014 at 7w2d
    BFP #5 8/19/2016 DS2 born 4/29/2017
    BFP #6 3/7/2018 EDD 11/18/2018


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  • not to scare you, but I had a very similar experience that ended up being ectopic. it was my 3rd beta that rose but didn't double. On Wednesday, they couldn't see a sac. Thursday I ended up in the ER and they saw it. The only reason I'm posting is to tell you to be aware of your body and any symptoms. 
    FX that all works out for you

    --------

    Me: 42 | DH: 39 | Us: Married since April 2014 | TCC 20 months before IVF

    Me: unexplained infertility (AMA?) | DH: No issues

    1st IVF cycle with ICSI & PGS | ER 1/21/16  | FET  4/26/16, ectopic

    2nd FET 09/20/16 | DS born May 2017

    3rd FET 09/14/20

  • What was your beta when they did the u/s?

    DD1 born 5/24/10.

    Missed M/C at 14 wks Feb 2012.

    DD2 born 5/14/13.

    Missed M/C at 9 wks July 2015.

    Expecting someone new 4/17/17.
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