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Old May 17th, 2018, 12:40 PM   1
Dogearer
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Slow rising hcg with 'possible sacs' but on ectopic watch at 7.5 weeks??


Hi everyone! I'm hoping someone has an anecdotal story to help me sort this out, as I am a bit of a mystery to my provider right now and I am scared. I am about 7.5 weeks pregnant (LMP 3/15 but positive ovulation indicator on 4/5, ovulation symptoms until 4/8, and only once that whole cycle on 4/5.) My hcg have been as follows: 4/18 79, 4/25 676, 4/30 1700, 5/3 2700, 5/7 4500, 5/14 9000. I was placed on progesterone once my level fell from 22 to 13.5 over the course of the bloodwork. Doctor didn't love my levels but since they were climbing, has not been ruling out viability. I had some very bad localized pain near my left ovary starting 5/4 so, given my levels, they brought me in for suspected ectopic on 5/7 at around 6 weeks for u/s. The u/s showed two interuterine areas of interest, a cyst on my left ovary (where I was having pain) and a CL on my right ovary, but my tubes were clear. So, we figured the pregnancy was failing and that my hcg levels would go down...except they doubled. The next ultrasound on 5/14, at around 7 weeks showed the same two areas, except now they have doubled in size. Doctor is still not referring to them as definitive gestational sacs, mind you, and still nothing can be seen in my tubes. So, they still can't rule out ectopic as they can't even call the two areas that have gotten larger sacs yet, but my tubes are (apparently and hopefully they are right) clear. I know ectopic pregnancies can produce pseudo sacs but my provider hasn't claimed they are those either and didn't know of pseudo sacs grow...these are the exact same size, round, and both doubled in size. I am on ectopic watch: any pain, go to the ER. So far, no pain (aside from cyst) or bleeding but I feel like a bomb about the go off 😣...anyone have any experience? These sacs don't have the DDS sign they look for in declaring a gestational sac but I can find no information of what happens with pseudo sacs over time...I am 39, I have 3 lovely daughters, 6, 4 and 18 months, and have had one missed miscarriage 2.5 years ago at 10 weeks. I have all my fatigue, food aversion, sore breasts as with my healthy pregnancies but needless to say, being unable to find a definitive something with 9000 hcg is scaring me silly...



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Old May 17th, 2018, 13:37 PM   2
BunnyN
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Sorry I don't really have any insight to offer. I just wanted to send you hugs. It must be driving you crazy not knowing what is going on. Is there any chance you are not as far along as you think?



 
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Old May 17th, 2018, 14:15 PM   3
Dogearer
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Thanks BunnyN for the kind words�� my first positive test was on 4/15 and although it was very faint, it was there. So using 4/8 as conception day is probably in the right ballpark. The doctor's best guess is it a failing twin pregnancy but the fact that my hcg doubled is throwing off his theory...it's been 2 weeks on ectopic watch and it's exhausting to think you might explode any second. �� But moreso, the lack of information regarding pseudo sacs is frustrating. I really appreciate you taking the time to respond.



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Old May 17th, 2018, 16:30 PM   4
VALiz
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Gosh, that sounds so bizarre. No real advice. At 7 weeks you should see something if it was a viable pregnancy I would think. I also have a cyst on one ovary and a corpus luteum cyst on the other and Iím almost 8 weeks pregnant. My only thought would echo the pp, that you arenít as far along as you think but sounds like thatís not the case. Was a sac seen in the uterus at all?
Hope to you get to the bottom of the mystery soon. Uncertainty is the worst. Hugs!



 
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Old May 18th, 2018, 03:08 AM   5
red_head
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I hope I don’t seem insensitive saying this; I really hope it’s okay for you, but if it is a twin pregnancy as the two sacks indicate, the levels should be quadrupling I think, rather than doubling? So it wouldn’t be rising quick enough which would indicate they aren’t okay. If you’re still taking progresterone I think that stops the body naturally miscarrying.
I’m really sorry.



 
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Old May 18th, 2018, 07:23 AM   6
Dogearer
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Thanks VALiz and Red_head! Red_head: From what I understand, hcg levels are not indicative of twins per se, and everyone processes it differently, so past a certain point, US becomes a better indicator of what is going on. I've read and been told twins start off with higher hcgs but also they sometimes start off abnormally slow and play catch up as they grow. So it all depends. And I *think* progesterone supplements will slow down a miscarriage but only once hcg levels fall. VALiz: I could be a few days earlier I suppose and if this is a case where one twin stalled and the other is now picking up steam, the hcg starting slowly yet doubling makes sense maybe. I go for another US today and as of yet, nothing has exploded. I will update later! And, for anyone looking for info on pseudo sac differentiation, I found a great radiologist website-- the DDS is seen in about 60% of sacs. So not finding one doesn't mean your sac isn't gestational. Doesn't mean all is progressing well necessarily but doesn't mean you have a pseudo sac either.
I really appreciate you guys taking the time to respond. And a happy and healthy pregNancy to you VALiz!😁



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Old May 18th, 2018, 07:29 AM   7
Dogearer
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Oh, VALiz,I meant to include: yes, 'the areas of interest that may be sacs' were found in my uterus. They were also a bit more to the side than central, which also is a sign of gestational as opposed to pseudo. One is perfectly round whereas one is a bit less perfect. Pseudo sacs tend to be elliptical or tear drop shaped. And both sacs doubled in size, and are the same size. Still no info on whether pseudo sacs continue to grow or, in the case of multiple pseudo sacs, if they tend to be the same size as each other.



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Old May 18th, 2018, 08:22 AM   8
BunnyN
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When do you get your next scan?



 
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Old May 18th, 2018, 08:26 AM   9
bdb84
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If I'm reading correctly, you are 7.5 weeks but cannot see the embryo(s)? What about yolk sacs? Are you positive of your dates?

Progesterone CAN stop your body from miscarrying if the pregnancy is not sustainable. I was on it with my pregnancy that did not progress and my body did not begin the miscarriage process until I stopped taking it. It was a very hard decision to make as I felt like the progesterone was giving me hope.

I can only imagine what all is running through your head right now. When is your next scan?



 
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Old May 18th, 2018, 08:50 AM   10
Dogearer
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This afternoon! Hoping for something more conclusive. I will update as soon as I can.😊



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7 5 , ectopic , hcg , rising , sacs , slow , watch , weeks

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