Hello bumpers,
I truly do not know where to post this but I was hoping for some insight from those who might have a wee bit more knowledge and experience on the subject than I do. This is long because I want to give enough details for someone to make an educated guess at what I should do.
I am pregnant for the second time, I have a 1.5 year old little boy who was conceived using femara (PCOS makes it very difficult to track ovulation). That pregnancy was relatively textbook, that is all the experience I have.
On January 2nd I experienced some brown spotting and was excited to start my period because I just picked up my new femara script and my DH and I were going to try for #2! Well my spotting stopped- which frustrated me because you need a "flow" to start so I was told to go in for blood work on the 4th to see if I should just also start provera to kick start my period. I received a call later that day that I was pregnant with an HCG of 70.
Now I don't place a whole lot of value on the number, just it's trend. Plus this would have been very early since 2 days prior I was expecting a period. I cannot confirm when I ovulated, obviously sometime within that previous 2 weeks.
Fast forward, my second draw on January 7 showed an increased from 70 to 95; I was told likely not viable and expect some bleeding. I was okay with this and I waited, was told to come back in 2 days later to monitor blood levels to ensure a decrease. January 9th, I go in and HCG is now 135 (this is still not an appropriate rise), BUT progesterone was dropping, somewhere around 27 from 32 the previous draw. Okay, maybe wait a little longer they say, come back the 15th (6 days later) for an ultrasound to make sure it is not ectopic since the trend would suggest this. Naturally worried I might have an ectopic pregnancy, I anxiously wait and go in for an ultrasound and they see a small "sac" which appears in my uterus (yay not ectopic) but still very small, so I am told to go in AGAIN the following week- YESTERDAY for another U/S to confirm this finding. THIS WHOLE TIME I am told this is not viable, I have accepted this and it's OK. I am just wanting to get this over with! Side note, my HCG the 15th shot up to 641.8 and my progesterone to 37 (the same day I had this first ultrasound, this is a normal doubling rise suddenly).
Yesterday I go in, they confirm that it is not ectopic, but all we see is an empty sac, no yolk, measuring 6mm. As I suspected, a non-viable pregnancy and once again I am okay with this. I talk to my doctor about options and we discuss medical/surgical miscarriage options. I also have blood work drawn.
My HCG yesterday read 3422, I just got a call today telling me this lab result. So that would have been my level at the time of my 2nd transvaginal ultrasound. Now I am told to come back next week for ANOTHER ultrasound to "be sure" before I take anything. I am SO frustrated, I have been told this, from the beginning, does not look promising and then my HCG levels started doubling, and they apparently still are yet we did not even see a yolk sac yesterday- so with an HCG of 3422 there WOULD be one, right?!
This is a long post and I am so very thankful for anyone who can give me their opinion. In short, I am at most 5.5 weeks pregnant, at least according to sac size. My HCG has been doubling normally since Jan 9th draw after a slow start on the 4th's and 7th's draw. I have to make a decision on which direction I want to take this miscarriage option but I have some people begging me to wait, saying that it is too early, even asking me to wait to book my ultrasound. I am obviously waiting to make any final decisions until after my ultrasound next week, now I don’t know if I should make the date a few days later or am I just prolonging the inevitable? By all counts, my HCG should be at least 13000 by then.
What would you do?
I truly do not know where to post this but I was hoping for some insight from those who might have a wee bit more knowledge and experience on the subject than I do. This is long because I want to give enough details for someone to make an educated guess at what I should do.
I am pregnant for the second time, I have a 1.5 year old little boy who was conceived using femara (PCOS makes it very difficult to track ovulation). That pregnancy was relatively textbook, that is all the experience I have.
On January 2nd I experienced some brown spotting and was excited to start my period because I just picked up my new femara script and my DH and I were going to try for #2! Well my spotting stopped- which frustrated me because you need a "flow" to start so I was told to go in for blood work on the 4th to see if I should just also start provera to kick start my period. I received a call later that day that I was pregnant with an HCG of 70.
Now I don't place a whole lot of value on the number, just it's trend. Plus this would have been very early since 2 days prior I was expecting a period. I cannot confirm when I ovulated, obviously sometime within that previous 2 weeks.
Fast forward, my second draw on January 7 showed an increased from 70 to 95; I was told likely not viable and expect some bleeding. I was okay with this and I waited, was told to come back in 2 days later to monitor blood levels to ensure a decrease. January 9th, I go in and HCG is now 135 (this is still not an appropriate rise), BUT progesterone was dropping, somewhere around 27 from 32 the previous draw. Okay, maybe wait a little longer they say, come back the 15th (6 days later) for an ultrasound to make sure it is not ectopic since the trend would suggest this. Naturally worried I might have an ectopic pregnancy, I anxiously wait and go in for an ultrasound and they see a small "sac" which appears in my uterus (yay not ectopic) but still very small, so I am told to go in AGAIN the following week- YESTERDAY for another U/S to confirm this finding. THIS WHOLE TIME I am told this is not viable, I have accepted this and it's OK. I am just wanting to get this over with! Side note, my HCG the 15th shot up to 641.8 and my progesterone to 37 (the same day I had this first ultrasound, this is a normal doubling rise suddenly).
Yesterday I go in, they confirm that it is not ectopic, but all we see is an empty sac, no yolk, measuring 6mm. As I suspected, a non-viable pregnancy and once again I am okay with this. I talk to my doctor about options and we discuss medical/surgical miscarriage options. I also have blood work drawn.
My HCG yesterday read 3422, I just got a call today telling me this lab result. So that would have been my level at the time of my 2nd transvaginal ultrasound. Now I am told to come back next week for ANOTHER ultrasound to "be sure" before I take anything. I am SO frustrated, I have been told this, from the beginning, does not look promising and then my HCG levels started doubling, and they apparently still are yet we did not even see a yolk sac yesterday- so with an HCG of 3422 there WOULD be one, right?!
This is a long post and I am so very thankful for anyone who can give me their opinion. In short, I am at most 5.5 weeks pregnant, at least according to sac size. My HCG has been doubling normally since Jan 9th draw after a slow start on the 4th's and 7th's draw. I have to make a decision on which direction I want to take this miscarriage option but I have some people begging me to wait, saying that it is too early, even asking me to wait to book my ultrasound. I am obviously waiting to make any final decisions until after my ultrasound next week, now I don’t know if I should make the date a few days later or am I just prolonging the inevitable? By all counts, my HCG should be at least 13000 by then.
What would you do?
