Hey...just read this and wanted to say it sounds almost identical to the ectopic pregnancy I just had. I was convinced I had miscarried because of a bleed but my betas were continuing to rise. Eventually my betas started to plateau, then fall, and then start to rise again. That's pretty typical behavior with an ectopic especially when combined with an ultrasound which nothing was seen in the uterus. I had two ultrasounds about a week apart in which nothing was seen, and then finally on the second ultrasound my OB said my left ovary looked cystic and with nothing in my uterus still he was confident it was ectopic. Turned out one of the "cysts" was actually baby in my left tube. Keep a close eye on things and absolutely not to scare you but be very careful with any pain. I had the methotrexate shot but my tube ended up rupturing 2 days later and I was in the ER and then in surgery. I wasn't in massive pain but my Dr. had said to head to the ER if I had any pain and im glad I went straight away because the situation with ruptures can get pretty serious pretty quickly. My internal bleeding was pretty minimal because I got the hospital so quickly. So sorry all this is happening...it absolutely sucks.
Hi, thanks so much for sharing your story. It does make me worry some, but I really want to be safe you know. Better safe than sorry. So I am so glad you shared. Hey if you don't mind me asking, How far along were you? And was your hcg extremely high? What is really bad about my situation is my Ob didn't do an early ultrasound when I knew I was pregnant and miscarrying early. So we don't have the exact evidence of whether the baby was ever in the uterus or not. I also had a cyst on my ovary though and that was odd. In last night's ultrasound (because I went to ER again, for massive bleed and palm size clots) the cyst wasn't there anymore. So I really hope it isn't in my tube now, but I would think that if it was the embryo that went into my tube that you would see the bulge. Well hopefully it was the kind of functional normal cysts that come and go on the ovary. I did a lot of reading and saw that those were normal. The odd thing is that the new discovery in last night's ultrasound is that there is a fibroid, which wasn't there in the last two ultrasounds. So I am totally confused. Like, are they discovering new things because they don't see them or are they confusing what they see on the ultrasounds for things they aren't. You know what I mean? If you don't mind me asking, did you have huge palm sized clots by any chance during your ectopic miscarriage? I had such a heavy big bleed for first 3 weeks of this miscarriage, then it stopped for 9 days. Then I had a gush episode. Then I had the emergency episode which kept going and I almost passed out. Then the bleed started stopping until I had a procedure where the doctor tried to biopsy my uterus tissue to see if by any chance she could get some embryonic cells this way confirming miscarriage is in the uterus. After I had that procedure I started bleeding really bad and the worst was last night when I went to ER again. Sorry for all the details. I am just wondering if any of the details seem similar to you too. I know our general details seem similar. But I guess I am wondering mostly if you had any major clots? I am hoping this is just the end to a very long month in a half of emotional/physical pain I have been enduring. I am so ready to move on. Anyways, sorry for the long ramble. Thanks for writing and sharing.
I totally understand the feeling of the prolonged pain...we were "in the dark" for about 3 weeks after I initially thought I miscarried until I was finally diagnosed and treated. It was really difficult, scary, challenging...not an easy time at all. It's still really hard to think about all those feelings.
I did have clots with my bleed...which is why I was convinced I was miscarrying. I got a BFP on 12dpo and then started massively bleeding with pain and cramps about 5 days later. Bled really heavy with clots ( but only about golf ball size at largest) for about 4 days. Went to my OB who ordered 3 HCGs...expecting them to be very low and falling. 1st HCG was 199, 2nd 530, 3rd 930. By this time I was supposed to be in the 5wk range and I was concerned about the low numbers but my Dr. wasn't. He said they looked good, were rising appropriately, and I was probably just slightly earlier than I thought. So he wanted us to give it a couple weeks and then we'd do an ultrasound. During that time I spotted on and off, but never bled that much again. I did have the dark brown blood though that often is associated with EP as well as some other brown spotting.
So, I went in for my ultrasound when I should have been 6+ weeks. Dr. couldn't see anything in my uterus except a very thickened lining and my tubes and ovaries looked clear and healthy. I did have a functional cyst on my left ovary...but everything there looked normal. So, at this point my Dr. started to lean more towards a incomplete miscarriage (but did alert me that it could be EP) and ordered more HCG tests...again expecting them to be falling. HCG that day came back around 5700. Then, two days later they had risen again to 6300. My Dr. seemed hopeful that this was the "beginning of the end" ( we all knew at this point the pregnancy wasn't viable

) and that I wouldn't need any medical intervention but that my betas would start to fall now that they were plateauing and eventually I would finish the miscarriage naturally. I was still extremely nervous that I hadn't seen a sac in the uterus but I was trying to stay positive.
I had my betas done 2 days later again ( Dr. wanted me to be monitored every 48hrs to be safe) and finally my betas fell from 6300 to 5900. I was sad but relieved and prayed they would continue to fall and that I would be able to have a natural miscarriage and avoid any surgical or medical intervention.
Things changed after that though. My next HCG draw was on a Saturday and I didn't get the results until Monday. HCG was back up to 6700. So, my Dr. rushed and scheduled me for an ultrasound the next morning ( Tuesday). My uterus was still empty but my normal looking corpus luteum cyst on my left ovary has turned into a clump of cysts. My Dr. felt confident at that point (esp. with what my HCG was doing) that I was having an EP. He thought one of the "cysts" could have actually been my tube all ballooned out from the pregnancy ( he was right).
I had the option of the Methotrexate shot or surgery and in an effort to try and save my tube I had the shot at the hospital that afternoon. My tube ruptured 4 days later on Saturday afternoon. I was supposed to be 8+5 but I don't know how high my HCG was at that point.
I hope this helps a little