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no sac on ultrasound in 5th week?

I had an ultrasound yesterday, I'm 5w3d pregnant, my hcg levels are rising normally, but they didn't see anything on the ultrasound, not even a sac.  They want to repeat it in a few days.  They said it could be ectopic or it could just be too early.  I'm quite certain of my dates.  I'm terribly worried that this is ectopic.  Did anyone else have an ultrasound that showed nothing at this time but showed a sac in ther uterus a few days later?  Or does this resemble an ectopic that anyone has had?  I have no other ectopic symptoms but I'm wondering if there's any hope at all.  Thanks,
Brenner
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Avatar universal
Hey guys. I just recently found out i am pregnant and must be in the very early weeks.. My lmp was on September 16th. It has only been 4 weeks and 2 days since.  This is my second pregnancy, I have a beautiful healthy daughter.  However, last night i ended up in the Er from pain in my lower back and abdominal pain.. At a point it was severe enough where it was uncomfortably to walk.. They found out I have ovarian cysts.. but saw nothing no sac or anything.. I know it is very early but the doctor in the Er was said she thinks I may have a threatened miscarriage or an ectopic pregnancy.. My HGG level was 363.. I am not experiencing any bleeding at all..  Im really nervous and I know from my first pregnancy that im in the very early stages .. Im just so worried.  I go to the doctor tomorrow.. The doctor in the Er didn't have anything positive to say at all.
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Avatar universal
I promised myself I'd share my story after my second ultrasound scan this morning, no matter the outcome.

This is my 6th pregnancy, of which three were ectopic, and two - my beautiful children. Given my history (and experience) with ectopic pregnancies, I was naturally worried.

Last Thursday I test positive on a hunch, so Friday 7 Oct 2016 i had a transvaginal U/S scan. I thought I would be 5 weeks along, given my last menses. Nothing was found: uterus lining was thicker, but no gestational sac. A quick google search for 5 weeks would show one should be able to see a gestational sac with yolk sac visible but I had nothing. I was devastated and prepared for the worse. Blood test that day showed hCG of over 800.

Also, a week ago, on Friday 30 September I had spotting. Not a period but it was exactly when my period was due and instead of usual period flow I had light brown almost watery spotting for three days. I thought it was a weird delayed period. But now thinking back it must have been implantation bleeding -- which I'm never had before!!

Next scan is today Tuesday 11 October. I was obsessed over the weekend, googling for hopeful stories for 5 weeks but no gestational sac, or over 800 hcg no sac, etc. I started having cramps by Friday so I prepare for the worst. I was waiting for the bleeding to arrive but nothing.

Well what do you know! U/S today showed a gestational sac with yolk sac. It's a viable pregnancy! I truly thought the worst -- that I have yet another ectopic. But it isn't.  Keep your chins up!
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1 Comments
Where you 6 weeks when you were finally able to see the sac? I'm 5w5days and we seen no sac or yolk today I have another doctors visit next week and I'm scared because I just had a miscarriage 5months ago
Avatar universal
Hi! I'm having the exact same situation now, what were your hcg levels when you did the ultaround? Was was the outcome?? My hcg levels are 6824 when they saw no sac
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1 Comments
What happened? I went I ultrasound with hcg levels at 3542 and they saw no sac....nothing!
Avatar universal
I was wondering how your story turned out. I am in the same position now.
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Hi, how did your situation turn out? My hcg levels keep rising normally and i have my next appointment this friday when Im supposed to be 8 weeks...How did your pregnancy turn out?
Avatar universal
I had my first ultrasound March 4, 2015. They have located my yolk sac. However, in March 5 and 6 i had slight spotting... and on the 7th I had bleeding...my OB said its okay and advised me to go back by monday march 9 and did TV Ultrasound...and they havent seen my baby anymore... she said that I had completed abortion... :( Is there chances that the baby just hid somewhere?
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Avatar universal
I recently found out I was preggo through a positive HPT 11/11/13 after missing my period 11/09/13. I went in for my 1st prenatal visit 11/13/2013 and pregnancy was confirmed and all was fine. *My midwife didn't have anything to say other than answering my questions/concerns 7 telling me what I could/couldn't do.* I've been having slight abdomen pains on & off since I found out but it was never anything to cause alarm. I was told by friends/family they experienced the same & that it was just my body going through changes bc of the pregnancy or that it could be my uterus enlarging. Yesterday otw to work I felt one of those abdomen cramps and again I didn't concern myself bc it wasn't the 1st time. That was around 3pm. During my shift around 7:30 I felt slight cramping a lil stronger than what I've been experiencing & a slickness between my legs. I went to the restroom & there was nothing in my underwear except vaginal discharge but when I wiped there was a light pink/clear color discharge on the tp. I called my Ob/gyn ASAP & they told me it was nothing to be alarmed of & that I coukd go to the ER & get a U/S or I coukd wait 7 come in on Fri if I wanted to see them. Since she said nothing was wrong, I opted to see them on Fri. And went back to work, but as the night progressed I kept feeling these cramps *usually its only once or twice a day*. So I kept goign to the restroom checking the blood/spotting flow. I had placed a piece of tissue there *couldn't go get a pantyline til break time* & now it was a brownish color with tinges of red. I sat on the toilet abt 10min just to see if anything woukd fall in the toilet and only a few drops came out. By the time My shift was over I had wiped a few times a each time I saw something diff *nothing to slightly pink to red to brown to pink to nothing again* & the pantyliner was now showing a reddish color kinda like the 1st day of your period. I IMMEDIATELY went to the ER after my shift was over & they saw me right away. According to my LMP I'm about 6w1d so they drew blood & did both the abdominal & vaginal U/S. They came back to say that they COULDN'T see any evidence of an intrauterine pregnancy & that my HCG level was either 1.24 1,024 or 124 *not sure exactly WHAT the number was bc the doc was mumbling & I was trying to block out the bad news IF ANY*. He said that if I was 6w as I was saying there should have been signs of a gestational sak & that my HCG levels should have been in the 40,000. He said it didn't look good & that it looked like it was a miscarriage. I went home *crying otw* and cried myself to sleep. I called my doc office when I woke explained the situation & they made an appt. to come in Fri to confirm/discredit what the ER told me. I'm trying to be really optimistic as I have yet to pass any clots/tissue & the bleeding is actually considered spotting as its only as I wipe & only once 2day has it been enough to show on a liner. The cramping also is nothing more than a dull ache. I've been online ALL day researching my situation & looking at online posts looking for encouragement & some say Its too early for a sac some say it should hurt more w/ a miscarriage. Regardless I just want some DIRECT answers from my Doc & I'm praying all is well with my baby.Has anyone out there experienced something similar & it turned out to be nothing? Keep in mind the ER doc didn't have my blood work from 2ws ago to compare his findings with to see if its lower or higher so I'm trying to be optimistic. Plus each pregnancy is diff &some have low HCG levels at this point some are high.
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Avatar universal
Hi i know this was years ago but wondering if ur still on here?? Im going through the same thing an im scared i had my first scan last week an nothing at all was seen an yesterday they saw a tiny fluid filled sac no yolk or fetal pole an my hcg is 15000 i got to go back tomorrow to be scanned again n soo nervous...how did yours turn out?? Hope it was a happy ending :) x
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Avatar universal
I took a pregnancy test on 10/12/12 because my husband was feeling nauseous and really tired so it came back positive but I wasn't even late on my period. On my first ob visit wish was 10/22/12 I started bleeding lightly dr told me not to worry that my cervix looked closed and he could see a lot of old blood. He also said he would not do an ltrasound yet because nothing would show yet. By Tuesday night I was bleeding heavy and dropping huge blood cloths. I went to emr on Wednesday and they did ultrasound which showed nothing and they said my hcg levels where extremely low at 59. The next day my gyno asked me to go in that following Monday to test my hcg just to make sure they where dropping. Instead of dropping they went up but only to 109. Today 11/2/12 my gyno did an u/s to rule out ectopic preg. And saw nothing in my tubes or in my uterus. So they drew my blood again to see what is going on. I hope that I am still pregnant. Please keep me in you prayers.
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Avatar universal
Iam 4 weeks breast are saw a Lil cramping went to the ER HAd a sono and blood work done they didn't see any sac in the uterus and no embry I'm a nervous reck I'm 26 so afraid of it being eptopic my hcg numbers was 1312 I'm deadly worried help !!
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Avatar universal
Have you had any answers yet?  I am in a similar situation.  I took a pregnancy test on 6/21 and it was positive, the first day of my last period was 5/13 so right now I should be 8 weeks, however I have irregular periods so I could much less.  On 6/24 I started bleeding so I called the nurse at my OB.  She made me feel stupid, she told me it was normal but if I REALLY wanted to come in she would schedule me.  I decided to wait and see what happened.  The next day the bleeding was much heavier and I started cramping and passed some clots include one mass about the size of a large grape.  I called to sched appointment and was told I couldn't with out talking to the nurse.  Left a message on the nurses voicemail, that was on 6/25 and I STILL Have not heard back that was 2 weeks ago.  Needless to say I have switched ob's.  Anyway the bleeding continued and on 6/27 I had a blood draw and a TVS nothing was seen in the scan which did not scare me because the same thing happened with my daughter.  I just figured due to my irregular cycle I was not as far along as I thought.  HCG was low at 325.  Bleeding continued and cramping got worse.  Second blood draw on 7/3 HCG up a bit to 427, third blood draw on 7/6 dropped to 390.  At this point I had only seen a PA and she determined that I had or was in the midst of a miscarriage.  I was devestated, and still cramping.  The PA was very nice and understanding she told me to take it super easy over the weekend and scheduled me for a D&C .  I spent the next two days in bed crying and devistated.  I did a lot of research and talked to my family and from what I read and what my family said, we deicided to do an ultrasound before the D&C in the hopes that I was just not very far along or the chance that it could be a vanishing twin.  Before my appointment on Monday I started to feel like I was having contractions so I headed to the ER becuase dr office wasn't open yet.  My HCG went up to 679.  Due to my pain and emotional state I was admitted to the women's center.  An ultrasound was done and still nothing was seen.  So at this point I have concluded that I misacarried and that there was not a tubal.  My doctor, best doctor in the world, came in and sat me down and told me that due to the fact nothing was seen in the ultrasound she did not want to do the D&C because it just wasn't needed.  She sat with me for an hour and let me cry and ask her questions and made me feel the best that I could.  She sent me home with some pain meds and ambien and requested that I come back in today.  I came back in today did another draw and low and behold they have gone up AGIAN to 729.  My doctor flat out told me that she did not want to give me false hope but that she is one to lean on the positive side.  She is hoping that the reason my levels went down for that one moment was due to a vanishing twin.  It is still weird to have such slow rising levels though.  So now I get to spend the weekend waiting.  Of course I have let myself get a little excited again and I am afraid I am setting myself up for disapointment.  But the bleeding stopped today and I suddenly have morning sicknes and tiredness.   Please help.  If you have been through this expereince please let me know your outcome....good or bad.  

BTW sorry this is so long I really have not had anybody to talk to this about.
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Avatar universal
I am experiencing the same thing jhoelyn. 5/23/12 was suppose to be my 1st day of menstruation but it  didn't come so on 5/24/12, I took a home pregnancy test and to my surprise, it came out positive. I went to the doctor right away to check if I am really pregnant, and the doctor said we should still wait for a  few days just to make sure the result will be accurate. 5/26/12 I got another positive result. I went back to the hospital  today 5/28/12 to ask why I feel pain in left pelvis. My OB told me to have TVS and they didn't see any signs of me having a baby.. I feel so sad :( my doctor said maybe it is just too early to detect. She also told me that I have a cyst in my left ovary. I am really confused and scared. The doctor said we should repeat the TVS next week 6/4/12. I do hope that I'll be able to have good news next week. keep me posted
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Avatar universal
i also did an u/s at 5 weeks and 3 days, nothing was found, the dr saw some liquid on the right tube near the ovary. he said it might be too early for a diagnose or to see the baby. Asked me to start getting the blod tests for the BhCG. This was a thursday, i became totaly frightened, specialy because i also decided to do another Clearblue pregnancy test, in hopes of getting a result that would relief me a bit. But it said pregnant 2-3 weeks and this wasnt good, it should say 3 plus. So I was even more worried. On monday i started to get brown bits of blood, and decided to go to a hospital to get things clear. Again, they found nothing in the womb, nor anywhere, but they saw a strange mass near the right ovary. They were really suspicous of an ectopic pregnancy, but without blood tests couldnt confirm it. The blod tests began. On tuesday i started to have red blood period like. On monday my BhCG was 500 and on wednesday was 100, so whatever kind of pregnancy i had a miscarriage was happening. On friday they checked me again and the mass on the right was also getting smaller. I had no pain and they could not confirm if it had been an ectopic pregnancy, but whatever it was, resolved itself naturaly. I am of course very sad that the pregnancy didnt result normal and in a healthy baby, but on the other hand, something must have been wrong and the body took care of it on its own, thankfully.
What i would like to share with you, is that i was all these days in terrible  anguish, anxiety and stress, i did many pregnancy tests to try to reach a conlusion for myself, but it only stressed me more. In the end, when it happened then i realized, that when it happens you have to deal with it, and there is really no need to be suffereing in vain for somehting that hasnt happened yet. It is hard to not be worried, but it pays off, specially if everything is well and stressing only worsens things. We should pay attention to signs and if something is wrong we should not ignore it, take it seriously and check it out, but if you can, avoid all the fear, cause what will be will be and there isnt much we can do about it. I wish the best of luck to all of you.
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Avatar universal
Been soo worried and having sleepless nite since i saw my last period on 1/2/2012 but it didnt last up to three days but i ws hav all pregnancy systoms b4 then.  i tested weak pregnancy on 21/2/2012 and the scan showed no g/sac and on 29/2/2012 as still got the same result so i decided to give it some time ,on 21/3/2012 , i had a bleeding which lasted for a day but for four days anytime i wipe i will see little blood so i went for another blood test which came out positive but the scan still find no sac but the doctor said i have pelvic infection becos he saw some fluid in my uterus. At the moment am having pain in the middle of my back and little at the left side of my stomach#crying........ Pls i really need help ,my heart now beats so fast and i cant just sleep no matter how i try. Dovej
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Avatar universal
i went to see my baby n they didnt fine anything i prayin they r wrong r my bby hiding
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Avatar universal
I will pray for you as i pray for myself. I am having somewhat of the same problem. I will be six weeks tomorrow and there was no sac in my uterus and I did 2 HCg tests which showed my levels rising. So be encouraged because you are encouraging many. I'll share my story with you. I just found out that I am pregnant on 17-02-12. I went to the gp on the following day. He calculated that I was 5 weeks pregnant according to my LMP. I had light bleeding which he said can be normal but i also had a yeast infection of which he also said is normal for pregnant women. I saw my ObGYN on the 20-02-12. He did a urine test, vaginal ultrasound and ordered a HCG. The ultrasound showed no signs of a sac. However the urine tests showed positive with a HCG level of 2914.3. Although in the lower range for 5 wks and 2days my OBGyn ensured me that I am very much pregnant. I wanted a second opinion so I referred to another OBGYN and he informed me that because the levels were low it raises concerns. Yesterday I took another HCG test and the level increased to 8236.9 however then was still no visual sign of a sac. The obgyn strongly believes that the pregnancy is tubal and suggests my doing an macroscopic surgery on my tubes to see if there is a possibility of a pregnancy there. I did a surgery somewhat like that on my knee and it really pained so I dont want to go through that pain again for experimental purposes. Should I waitor go through the surgery?
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Avatar universal
I will pray for you as i pray for myself. I am having somewhat of the same problem. I will be six weeks tomorrow and there was no sac in my uterus and I did 2 HCg tests which showed my levels rising. So be encouraged because you are encouraging many.
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Avatar universal
Can anyone help please I think I am either just under 5 weeks or 5 weeks pregnant I just had an ultrasound and they measured something in my uterus but didn't say if I was pregnant or not help could I be pregnant or not??
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Avatar universal
hi ladies i just found out i am pregnant by my last period im 5 weeks 4 days i have 4 other children and have had 2 misscarriages one at 16 weeks and one at 21 weeks both were boys.well i did a home test and it was positive went to the doc he did blood my hcg level was 12.2 well 2 days later i started to bleed like a period not heavy no cramps doc sent me for another blood it was then 107 then 2 days later it was 148 that day he did ultrasound and couldnt see anything he said may be still to early he then said come come in 2 days to check the levels it was then 600 and did another ultrasound still nothing he checked for ectipoic he said no,i now still have spotting and back pain and have to go for another ultrasound next week to see if they can see the baby the doc said my levels are riseing and normal.im just abit concered this pregrancy isnt going to well.anyone had the same?
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Avatar universal
I have recently fallen pregnant, I have had minor cramping in the abdomen (similar to a period pain), but I've had no bleeding or signs of miscarriage. Due to having PCOS and being unsure of when I may have ovulated I was referred for an early ultrasound (external and internal) this showed no sign of a baby but only a small fluid sack in my uterus, I was then referred for blood tests which revealed 2400hcg. I have had no further pain whatsoever my breasts remain tender and I am hungrier than usual! My Dr is concerned I am having an ectopic pregnancy but he internally examined me and there was no tenderness present. Could anyone advise me if they have gone on to have a healthy pregnancy, and the reason for not seeing much in the uterus is because it's too early in the pregnancy?

Thank you N
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1989708 tn?1326787520
I have almost the exact sked - nov 30 LMP, negative HPT before new year's, faint positive on Jan 3. I had my first U/S on Jan 12 and the sac was 3 wks - too small for my supposed ''6 weeks'' old baby. But I was SURE I conceived only on dec 20th. Nonetheless the doc wrote me a ''threatened miscarriage'' note without explaining or asking about my cycle. I moved to a diff OB 2 days after and my sac measured 5 weeks. BUT no fetal pole or yolk sac. So im on bedrest now, will check again in 2 weeks :( I hope little one is just late.

But really OBs should be more sensitive!!!!!!!!!!!!
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Avatar universal
my last period was 11/20/11, i did a pregnancy test right before christmas and it came out negative. After new year, i realized that i did not get my period in december so i took another pregnancy test and it came out postive, i actually repeated the test several times and same result. i went to an OB GYN and she did a sonogram and did not see anything, she mentioned that the she did not see anything abnormal with the uterus so she doesnt think that it's eptopic pregnancy. i am to come back tomorrow to test for the increase in HCG level but i will not know the result until tuesday.  the wait is killing me and the OB has not been too supportive in providing any explanation other than she could not confirm that i am pregnant, did not say that it may be too early or whatever.  this is so upsetting and i have all these negative thoughts in my head just thinking about the worst possible scenarios.  my husband and i have been trying to conceive for a year now and this is the first time that we got some kind of result.  please advise.
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Avatar universal
Not a mass I ment to say that the doctor saw thickening what does that mean
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Hey I'm 5 weeks and have constant pain/pressure on my right side. I went to the emergency and they did a vaginal u/s and saw a mass but they said I'm not far along enough yet to know if its ectopic or in my uterus but they also said my uterus is kinda shaped like a heart and the mass they saw was on my right side to hopefully indicating that's the cause of my pain and everything will come out normal I dunno its my first pregnancy and I also have pcos and comments please help
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Avatar universal
I went to the er last nite n they gave me a visual ultra sound n a vaginal one and have not seen anything but said that they did see small structure which could be early fetuses..what do you guys think I think I'm about 4 weeks do you think that's to early to see the sac or anything??
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