Trigger Warning - Abnormal Pregnancy

razorbackbelle42 · July 2017

Went in to clinic in early June. They saw a "nice follicle" (I normally only have 1-2 = reduced ovarian reserve) and instructed us to trigger and have IC. If I didn't start my period in 14 days, take a HPT. Got my period 11 days later (my cycles are normally around 21 days). Didn't take HPT. Switched to clinic to start IVF. They did the ultrasounds, put me on clomid and injectables and retrieved an egg (just 1) at the end of June. I never got my period in July. I went in. Doc was convinced it was a cyst. Had me take a PT anyway = positive. Apparently, I was pregnant DURING the egg retrieval (no sex, IUI or egg transfer since early June, period in mid June, IVF ER at end of June). Because I responded to the clomid and because my HSG is rising (but not doubling - increased by about 30%) he's convinced my pregnancy is abnormal. He thought I would MC 2 weeks ago, but nugget is holding on. Doc thinks I should take meds to deliberately miscarry. My instinct is to hold out, see if nature takes it's course, and do a genetic test at 10 weeks to see if there is an abnormality. Does anyone have any experience with this?

Gingermom15 · July 2017

I don't have any experience, but I would go with your gut about not ending the pregnancy. As long as baby has a heartbeat they can't know that hope is lost.

Gingermom15 · July 2017

https://forums.thebump.com/categories/trouble-ttc

I would ask this in the infertility board. You may get better answers there

[Deleted User] · July 2017

I just went through IVF and literally NONE of this makes any sense whatsoever. If you were pregnant they would not have been able to retrieve an egg because you would not have been ovulating. Even a cyst would have been unlikely. And if it WERE mysteriously a cyst they would have known immediately because NO EGG would have come out of the follicle.

I almost think it's more likely they missed a follicle, you released that egg naturally, and you got pregnant from that egg. Did you have sex 5 days leading up to the ER?

Additionally you haven't told us why he automatically thinks this pregnancy would be abnormal? With no genetic testing? And he's telling you to abort? WHAT??

None of this adds up at all. Either you aren't understanding your doctor or you have a wildly incompetent doctor.

LadyMillil · July 2017

Ditto @antoto

Also, how was an existing pregnancy not noticed during the uterine lining checks or transfer during ultrasound?

[Deleted User] · July 2017

razorbackbelle42 said:

Went in to clinic in early June. They saw a "nice follicle" (I normally only have 1-2 = reduced ovarian reserve) and instructed us to trigger and have IC. If I didn't start my period in 14 days, take a HPT. Got my period 11 days later (my cycles are normally around 21 days). Didn't take HPT. Switched to clinic to start IVF. They did the ultrasounds, put me on clomid and injectables and retrieved an egg (just 1) at the end of June. I never got my period in July. I went in. Doc was convinced it was a cyst. Had me take a PT anyway = positive. Apparently, I was pregnant DURING the egg retrieval (no sex, IUI or egg transfer since early June, period in mid June, IVF ER at end of June). Because I responded to the clomid and because my HSG is rising (but not doubling - increased by about 30%) he's convinced my pregnancy is abnormal. He thought I would MC 2 weeks ago, but nugget is holding on. Doc thinks I should take meds to deliberately miscarry. My instinct is to hold out, see if nature takes it's course, and do a genetic test at 10 weeks to see if there is an abnormality. Does anyone have any experience with this?

Also QFP.

kiki75 · July 2017

First and foremost, I hope this pregnancy works out for you. But, so much about this is so very shady, I wouldn't trust this doctor enough to make any irreversible decisions based on their opinion (such as a D&C or taking the Cytotec/Misoprostol).

Do a bunch of reading on the infertility board here, do a bunch of other research about what happens in a typical IVF cycle. Nothing about your experience sounds normal.

razorbackbelle42 · July 2017

I agree that it doesn't make sense. So does my doctor. That's why I posted this. I'm going crazy. We had sex on 6/11. Period from 6/15 - 6/20. We started seeing the new fertility doctor when I started that period. He did not see anything in the ultrasounds but he says he wouldn't have at that point because I was too early on. Then we started taking clomid, gonal, menopur and ganirelux around that same time. We were doing the regular ultrasounds. He either wasn't able to or just didn't see that I was pregnant. He originally saw follicles in both ovaries around 6/26. We did the retrieval on 6/28. He came into the recovery room and said they only got one egg because I ovulated early. He was frustrated and quizzed us about medication dosages and did we follow the appropriate schedule when taking them. My husband is a nurse and we followed those instructions to the letter. The doctor now thinks that the reason I ovulated early is because my body was already putting out HSG. I'm not confused about what he said. He also asked if we had sex around the time of the retrieval - we didn't. We were spending $10k on the meds and retrieval procedure... we weren't going to go rogue and try to get pregnant on our own right before the retrieval. Part of the reason he thinks that the pregnancy is abnormal is because I ovulated while I was pregnant. He thinks that means that the development was so delayed that my body wasn't quite registering that I was pregnant and was ovulating and reacting to the clomid. But, then I don't know how to square that with the fact that I was pregnant enough to ovulate early in spite of the meds regulating exactly when that's supposed to happen. It's never good when your doctor keeps telling you how "interesting" you are. Instead, I just feel frustrated. I have only two HCG measurements. 7/20 - 3858 mIU/mL and then on 7/24 - 5099 mIU/mL. On 7/24, the gestational sac was visible and measured 5mm. I am going back to Kaiser next week for the first prenatal visit that's not with the private fertility clinic. They've gotten all the records from my private doctor, so I guess we'll see. Yes, he suggested that I take something on 7/24 to deliberately miscarry. I told him we'd rather it happen on its own or wait, do genetic testing and then go from there.

razorbackbelle42 · July 2017

This was the private fertility clinic recommended by my fertility doctor at Kaiser. We went to Kaiser for IUIs, but they told us we were not a good IVF candidate for their protocol. Apparently, they make you take the pill while you wait for IVF and that's no good for people like me who have reduced ovarian reserve. Now that I'm pregnant (at least for now), I'm back at Kaiser. So, I'm seeing another doctor about whether or not we should induce a termination.

razorbackbelle42 · July 2017

Thanks, Kiki75. This was our first round of IVF egg retrieval, so it was hard for us to really evaluate what was "normal" and what wasn't. Of course, I feel like I have more questions than answers at this point. It's also hard to be excited about finally getting pregnant when the doctor is SO SURE it's abnormal. He seems to have zero doubt.

nursemommy12 · July 2017

Ditto!!

pettycrocker · July 2017

I don't even understand how it was possible to make you ovulate when you were already pregnant. That is so weird. My clinic always did a blood HCG at the end of every medicated cycle whether I started my period or not. How far along are you supposed to be now? I am guessing they want you to terminate because all of the medications and procedures likely would have some ill affects on the pregnancy, but I would go with your instincts, always.

razorbackbelle42 · August 2017

Just got back from the doctor. Looks like I am miscarrying. At least I don't have to make the decision since nature decided to do that for me.

kiki75 · August 2017

I am so sorry to hear that. I'm glad you won't have lingering doubts, though. Take care of yourself. If/when you're ready to try again, I'd still look for a second opinion. I know you may be somewhere where the REs are scarce but I think it's worth it.

Trigger Warning - Abnormal Pregnancy

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