Is this ectopic????

[babyjo]

Hi ladies.
Well, I am devastated to think that I am over here again. I longed for a BFP and got this just before Xmas, was a fantastic Xmas pressie for my DH.
Well unfortunately it doesn't seem like we are going to be lucky this time around either.
To shorten up the journey, started brown and pink spotting on and off around 6 weeks, the specialist centre was closed so couldn't get hold of them until last week. I have had very low HCG levels and they have been slowly rising, so after a blood test last Friday it showed my levels at 1350 whcih is still very very low for 7.5 weeks.
Still being concerned they booked me in for a u/s yesterday hoping to be able to give me answer as my scan last friday showed absolutley nothing.
Well the u/s yesterday also showed nothing anywhere, not the ovaries, womb, uterus, tubes, it doesn't even look like I am pregnant.
I had another blood test this morning and levels have risen still to 2381.
I have been given the option to wait until next Monday for another BT or book in for a laparoscopy to get it cleaned up.
Ladies, I don't know what to do, any advice would be greatly appreciated.

[Liviam]

Just wanted to wish you the best of luck with your next scan and b/t. Praying you see a gorgeous little bubba

[JennaJayen]

My borderline ectopic back in 2005 ended with a D&C, not because it was ectopic, but for other reasons involving development. If they have been unable to find anything in the tubes or on the ovaries, I'd seek a second and third opinion via u/s if you have to, it may be that your bubba is just hiding.

Are you sure you have the dates right? I know they usually go by gestational age (date of last menstrual period onwards) but is it possible that implantation was a half a week to a week out? I have just found my sheet from my local hospital which has normal HCG ranges.

Gestational Age HCG Range
3wks 6-71
4wks 10-750
5wks 217-7,138
6wks 158-31,795
7wks 3,697-163,563
8wks 32,065-149,571
9wks 63,803-151,410
10wks 46,509-186,977

But then the levels at 6.5 weeks for my borderline ectopic were a little over 1,900, which is within normal limits.

I suppose it would also depend on the normal length of your cycle, normal luteal phase, and how quickly your kidney's process the hormones too.

I hope that helps a bit

[babyjo]

Thanks for your thoughts Liviam.
JennaJayen - Thank you for sending that info. I am pretty sure of the dates, we did IUI on day of ovulation and I have pretty accurate cycles. BFP turned up 12dpo. I wish I could maybe think the dates were wrong, but I would very much doubt it.
I guess this whole m/c is always hard and trying and we never seem to get the answers we want when we want them.
I am banging my head up against a wall DH is not sure of the right thing to do either, but supports me 100% in which way I choose.
If I hold off until Monday for bt, I think I am putting off the inevitable. I just don't know the percentage of danger that I might be putting myself at for waiting. But at the same time, what if bubba is actually there somewhere?
thanks for listening girls. I am sure someone upstairs will look after me one way or the other.

[DANNIIM]

I was a little confused with your post! So it isn't an eptopic but they can't see anything either but your levels are still rising so is it possible as Jenna said your dates may be out?? I know with myself i have the argument with the doc about my dates when i have been pregnant, i have long cycles and the doc always says from 1st day of LMP but i have to fast forward 2 weeks at least and i prove them wrong!

Stay positive and maybe seek another opinion.... can't hurt anyway!

Thinking of u GL

[DANNIIM]

Ooooops ignore me about dates! Thinking positive for you still

[babyjo]

That's okay Danniim
They are definitley suspecting ectopic but they just don't know where it mgiht be.
I am not bleeding and have no pain so they don't really have any answers for me.
Part of me just wants to get it over and done with so we can start trying again asap, but then the other part is thinking to hold on as long as I can, but I don't know why.
I am kind of hoping for some miracle stories where bub will just appear, but at 8 weeks, we should see something now, but not even a sac, so it is definitley not viable hey.
I am thinking to wait until Monday and keep an eye out for any symptoms.
Thanks for the kind words ladies.

[Mildez]

Babyjo I am really sorry for posting this and I don't want to sound insensitive or upset you more then the nightmare I am sure you are already going through. But I just wanted to let you know what happened to me and how I wish things were different.

I am surprised the Dr or hospital or where ever you went would not want to follow this up more quickly then they are if they suspect ectopic pregnancy is the most likely. I am praying you have lost a twin and thats why you had some bleeding and lower BHCG levels to begin with and bub is safe and sound just hiding from the sonographer.

Have you been to the ED department? I would insist on a repeat scan today if possible or tomorrow as after the BHCG over 2000 they can generally pick it up but not before. Or even another BT to see what the BHCG is doing. If its still rising, if so is it doubling within 48hrs. If its not rising accordingly but rising it would sent alarm bells ringing. Even if it was a fraction under 20000 when they did the initial scan they wouldn't have seen anything. If bub is ectopic then you can have the option to have methotrexate before the BHCG hits 4000 generally if there is no bleeding inside and no heartbeat. I had an ectopic pregnancy which was picked up too late which resulted in me loosing my whole tube and almost my life which still is very hard to deal with when we already had so much trouble ttc. The loosing my tube bit I am talking about. My chances of concieving again are reduced because of the damage that was done, then having my tube removed in an emergency situation and I wished I was treated with methotrexate instead of the surgery. It was never an option for me due to the level my BHCG was and the rate it was rising (which was every 2.5days so close to a uterine pregnancy)

If you do have an ectopic pregnancy then the methotrexate is certainly not something without risks but if it saves the area where bub is then thats a good thing for future ttc. Most common place of course is the tube and if used early enough then its a very effective way of treating you over surgery.

When I had my ectopic my bleeding at 6weeks went for 7days. It was pink and very mucosy with slight bits of tissue in it. Apparently with ectopic pregnancy the bleeding often has alot of mucous with it plus pink blood. I know mine certainly wasn't like a m/c and wasn't like a period either. It was no where near as painful as my m/c was a few months earlier and didn't have near the amount of red blood and clots and tissue that my m/c had or even a period for that matter. And apparently what I have described is very typical in an ectopic pregnancy.

I really am sorry to go into the panic mode I am just surprised that they are even leaving it for a few days before trying to determine exactly what is going on. I hope and pray that bub is ok and I am wishing you a speedy diagnosis.