Irregular Gestational Sac - HELP Please

[Carlimad]

Has anyone any advice on this please. I am 6 weeks pregnant (had MC last year at 9 weeks as placenta dis-attatched). I had a scan on Sunday and was told by the Doc that he had bad news. He saw an irregular gestational sac with nothing inside. When asked could things change, he said no. He said to go for another scan today to check whether HCG was lower or higher before he could schedule 'the procedure' of a D&C. Anyway, went this morning to be told that my levels were higher (complete shock and not expected). Also has another scan which showed very small white dot on it. Didnt have a chance to progress the conversation on the irregular shaped sac as he was called out urgently to a woman in labour. I have to go back for another scan on Sunday but in the meantime am really confused, hopeful and scared. Has anyone heard of anything like this before. I cant believe it, nothing in life is straight forward or easy xxx

 

[amym]

Hi hon, I don't know about the irregular shape business but see my signature.... A small white dot that wasn't there before and increasign HCG levels all sounds like good news to me!

 

[Carlimad]

Hi hon, I don't know about the irregular shape business but see my signature.... A small white dot that wasn't there before and increasign HCG levels all sounds like good news to me!

Thanks for your quick reply. Just when you think you can be happy about something, a spanner is thrown into the works to upset everything. Good luck to you and I hope all is going well xx

 

[bubbles007]

Hi Im not sure if this is the same as me. I had scan at 5 and half weeks to see a tiny dot in one sac and an empty sac next to it. Hcg was 12000 had another scan at 7 weeks and could see heart beat inthe dotted sac and the other was still empty and hcg was 59000 so something is there I think it sounds ok for you. I have to go back next week to see whats happenning with other sacs (yes had 5 other empty sacs ! ) x

 

[woohoo]

im in a similar situation, went for an early scan and there was the sac there and nothing inside and my hcg levels are 7000 something they done anufa scan as thought it was eptopic but not. so have got to go back for anufa scan 2moro and have bloods taken. the doctor thinks its a miscarriage and nothing will grow in the sac.

good luck and let me know how u get on. hope it all goes well.
when have u got anufa scan? wot was hcg levels?

x

 

[Carlimad]

Hi Im not sure if this is the same as me. I had scan at 5 and half weeks to see a tiny dot in one sac and an empty sac next to it. Hcg was 12000 had another scan at 7 weeks and could see heart beat inthe dotted sac and the other was still empty and hcg was 59000 so something is there I think it sounds ok for you. I have to go back next week to see whats happenning with other sacs (yes had 5 other empty sacs ! ) x

Good luck to you - please let me know how you get on. Its the waiting that is the worse thing - not knowing is a pain. Thanks for your reply x

 

[Carlimad]

im in a similar situation, went for an early scan and there was the sac there and nothing inside and my hcg levels are 7000 something they done anufa scan as thought it was eptopic but not. so have got to go back for anufa scan 2moro and have bloods taken. the doctor thinks its a miscarriage and nothing will grow in the sac.

good luck and let me know how u get on. hope it all goes well.
when have u got anufa scan? wot was hcg levels?

x

Good luck to you and please let me know how your scan goes. The problem I have is that the sac is irregular to even if something is growing, I dont know whether its viable. My thoughts are with you x

 

[woohoo]

x[/QUOTE]

Good luck to you and please let me know how your scan goes. The problem I have is that the sac is irregular to even if something is growing, I dont know whether its viable. My thoughts are with you x[/QUOTE]

went to hospital earlier and still no change theres still a sac there but nothing else, the women scanning sed they should have waited til nxt week 2 scan again really as 2days diff isnt alot. neways my hcg has now gone up again 2 8000 something but they still cant find anything growing outside the sac either and they should for the amount of hcg. they want me 2 go back 2moro again 4 anufa scan and bloods to c wots happening. i sed wot if nothing does grow and my hcg keeps going up n she sed well we'l have 2 think about giving u medication (im guessing basically bringing on a mc).

keep me updated on how u get on. fxd
x

 

[mumanddad]

this happened with my sister they told her she mc early on but nothing had come away, so they booked her in for a d n c but said they had to scan her before just to do one last check, when they did the scan there was my nephew well a little spot but he is due to be born any day now

 

[Tanikit]

Hi, this is something I found on google about irregualr gestational sacs - apparently as long as the contents (yolk sac, fetal pole or baby itself) is normal then you don't have to worry - it may be just the angle at which it was scanned, so everything sounds positive for you.

"There is very little data on gestational sac shape and pregnancy outcome. Remember also, that you are essentially looking at a 3-dimensional structure in only two dimensions. For both reaons, I also think there is no immediate cause for alarm. I reviewed the literature for you and did come across a small but relevant study looking at IVF pregnancies. Abnormal sac shape was not predictive of poor outcome. In addition, you mentioned that the yolk sac and fetal pole were present, so your pregnancy is demonstrating normal sac contents, also positive. Ultimately, the next big milestone would be embryonic cardiac activity, so time will tell for your pregnancy. However, overall based on very limited data, I think your pregnancy is still promising. Please see abstract below, and good luck to you!

J Ultrasound Med. 1992 Jul;11(7):321-5.Links
First trimester findings in pregnancies after in vitro fertilization.Wax MR, Frates M, Benson CB, Yeh J, Doubilet PM.
Department of Radiology, Harvard Medical School, Brigham and Women’s Hospital, Boston, Massachusetts.

We assessed the frequency of abnormal sonographic findings and their significance with respect to outcome in pregnancies resulting from in vitro fertilization (IVF). We retrospectively reviewed first trimester sonograms of 53 consecutive IVF patients who had a positive pregnancy test and first trimester ultrasonography at least 4 weeks after embryo transfer, and we correlated the sonographic findings with pregnancy outcome. For controls, we compared the frequency of sonographic abnormalities in these study patients to that in a group of patients who became pregnant after ovulation induction only. In the 53 IVF patients, the numbers of gestational sacs identified on the initial sonogram were as follows: 34 singletons, 11 twins, two triplets, one quadruplets and one quintuplets; no sac was seen in four patients. In 32 patients, the first sonogram was normal, with a visualized yolk sac, or heartbeat, or both. In 10 patients the gestational sac appeared abnormal but sac contents were normal. In seven patients an abnormality of sac contents was identified, including four with an embryo but no heartbeat and three anembryonic sacs. Overall, 40% of IVF patients had sonographic abnormalities, in comparison to 7% in the control group of patients (P less than 0.05, Fisher’s exact test). Of the 32 patients with normal sonograms, 26 (81%) delivered at least one live infant. Of the 10 patients whose gestation sacs appeared abnormal, nine (90%) gave birth to live infants. Of the seven patients with abnormal sac contents, two (29%) delivered at least one live infant. We conclude that abnormal findings are frequently present on the initial sonogram of pregnant patients after IVF.(ABSTRACT TRUNCATED AT 250 WORDS) "

 

[tinadecember]

hey just popping in to share my experience... last year i had a "mis-shaped" gestational sac and although my HCG levels were still rising the pregnancy didnt continue. turns out i ended up having something called a molar pregnancy. hope this story has a happy ending for you though hun x

 

[Carlimad]

x

Good luck to you and please let me know how your scan goes. The problem I have is that the sac is irregular to even if something is growing, I dont know whether its viable. My thoughts are with you x[/QUOTE]

went to hospital earlier and still no change theres still a sac there but nothing else, the women scanning sed they should have waited til nxt week 2 scan again really as 2days diff isnt alot. neways my hcg has now gone up again 2 8000 something but they still cant find anything growing outside the sac either and they should for the amount of hcg. they want me 2 go back 2moro again 4 anufa scan and bloods to c wots happening. i sed wot if nothing does grow and my hcg keeps going up n she sed well we'l have 2 think about giving u medication (im guessing basically bringing on a mc).

keep me updated on how u get on. fxd
x[/QUOTE]


Good luck with your next scan. I dont know if this is the right thing to say but before you take any pill, find out if you can delay it until they are a million percent sure there is no other alternative. I am sure the body will cope naturally with whatever is going on in the meantime - please please let me know how its going - my thoughts are with you - its a horrible place to be I know xx

 

[Carlimad]

this happened with my sister they told her she mc early on but nothing had come away, so they booked her in for a d n c but said they had to scan her before just to do one last check, when they did the scan there was my nephew well a little spot but he is due to be born any day now

Thanks and its nice to have a positive spin on things

 

[Carlimad]

Hi, this is something I found on google about irregualr gestational sacs - apparently as long as the contents (yolk sac, fetal pole or baby itself) is normal then you don't have to worry - it may be just the angle at which it was scanned, so everything sounds positive for you.

"There is very little data on gestational sac shape and pregnancy outcome. Remember also, that you are essentially looking at a 3-dimensional structure in only two dimensions. For both reaons, I also think there is no immediate cause for alarm. I reviewed the literature for you and did come across a small but relevant study looking at IVF pregnancies. Abnormal sac shape was not predictive of poor outcome. In addition, you mentioned that the yolk sac and fetal pole were present, so your pregnancy is demonstrating normal sac contents, also positive. Ultimately, the next big milestone would be embryonic cardiac activity, so time will tell for your pregnancy. However, overall based on very limited data, I think your pregnancy is still promising. Please see abstract below, and good luck to you!

J Ultrasound Med. 1992 Jul;11(7):321-5.Links
First trimester findings in pregnancies after in vitro fertilization.Wax MR, Frates M, Benson CB, Yeh J, Doubilet PM.
Department of Radiology, Harvard Medical School, Brigham and Women’s Hospital, Boston, Massachusetts.

We assessed the frequency of abnormal sonographic findings and their significance with respect to outcome in pregnancies resulting from in vitro fertilization (IVF). We retrospectively reviewed first trimester sonograms of 53 consecutive IVF patients who had a positive pregnancy test and first trimester ultrasonography at least 4 weeks after embryo transfer, and we correlated the sonographic findings with pregnancy outcome. For controls, we compared the frequency of sonographic abnormalities in these study patients to that in a group of patients who became pregnant after ovulation induction only. In the 53 IVF patients, the numbers of gestational sacs identified on the initial sonogram were as follows: 34 singletons, 11 twins, two triplets, one quadruplets and one quintuplets; no sac was seen in four patients. In 32 patients, the first sonogram was normal, with a visualized yolk sac, or heartbeat, or both. In 10 patients the gestational sac appeared abnormal but sac contents were normal. In seven patients an abnormality of sac contents was identified, including four with an embryo but no heartbeat and three anembryonic sacs. Overall, 40% of IVF patients had sonographic abnormalities, in comparison to 7% in the control group of patients (P less than 0.05, Fisher’s exact test). Of the 32 patients with normal sonograms, 26 (81%) delivered at least one live infant. Of the 10 patients whose gestation sacs appeared abnormal, nine (90%) gave birth to live infants. Of the seven patients with abnormal sac contents, two (29%) delivered at least one live infant. We conclude that abnormal findings are frequently present on the initial sonogram of pregnant patients after IVF.(ABSTRACT TRUNCATED AT 250 WORDS) "

Thanks so much for looking into this, its always nice to see a positive side to something - altthough, will not get to excited until after Sunday - thanks again x