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Avatar universal

Is there hope?

I am 27 years old.  I had my first +hpt on 8/21/10.  My LMP was on July 29.  I am not sure of my ovulation or conception date.  My cycle was not regular for a few months before I got pregnant so I can't be certain when I should have expected my next one.  My dr's have estimated my due date as 5/5/11 (based on my LMP) so I am basing the gestational ages I will mention on that date.

On 9/8/10 I went to the dr that I was previously seeing because I had some very, very mild bleeding but I still wanted them to check that everything was okay.  On that day, I should have been approximately 5w6d.  I had an u/s that day and all that could be seen was the gestational sac.  The u/s tech said that this was normal for how far along I was and that my due date may even be off by a few days.  They said the bleed could have been from a subchorionic hematoma but that it was nothing to worry about and was fairly common.  They put me on progesterone suppositories that I had been using until two days ago.

The next day, on 9/9/10 my HCG levels were at 12,000.  I saw a different dr this day (I was still trying to decide on where I would feel most comfortable receiving my maternal care).  On this day they only did blood work.  I had an appointment to come back on 9/13/10 which would have put me at 6w4d.  I had an u/s (this was 5 days after the first one) and we saw a gestational and yolk sac but no fetal pole or heartbeat.  The dr said that she was concerned that because my HCG was at 12,000 there should have been more visible on the u/s.  She sent me for more blood work to get my HCG level checked again.  She called me that night at home and told me that my HCG was only up to 20,000 and that, based on the reading 4 days prior, it should have been almost at 50,000.  But, that even at that high of a level, there should have definitely been more on the u/s.  She said she thought the levels had already spiked and were probably declining at this point.  She also said, "I do not think this is going to turn out the way we hoped."  Basically, that I should prepare myself for the worst.  She asked to see me back in two days to check my HCG again and do another u/s.  

I went back on 9/15/10 (GA=6w6d) and my HCG was at 21,170.  Up only 1,170 in about a 40 hour time span.  She said that this was not enough to make a difference in her previous theory.  I also had another u/s and she said that there wasn't much of a change on that either.  My husband and I thought this u/s looked differently but the dr. insisted it was only bc it was magnified more than the last one.  She also said that there didn't appear to be any blood flow to the gestational sac which was another negative sign of viability.  She said that she believed either there had never been a baby form or that one formed but stop growing almost as soon as it started.  Possibly even a blighted ovum.  Finally, she told me that I should expect to start bleeding within a week.  I opted to wait for a natural miscarriage rather than have a d&c.  The dr requested that she see me again next week (at which point I should be almost 8 weeks by their estimated due date) but I'm not sure what her plans are then.  She did say that if I had not started the natural miscarriage within two weeks, she wants to do a d&c.  At this point, it has been two days since our last visit and I have not had any bleeding, cramping, etc.

My question is this...should I give up all hope that there may still be a little bean growing inside of me?  Is it at all possible that my dates are off and that it's too early to see anything...even though my HCG levels were so high.  I have several friends who are pregnant right now and they didn't even have their first u/s until they were at least 8 weeks.  Some even later than that at 10 weeks.  I by no means think that I am smarter than the dr, but I have read so many stories about misdiagnosed miscarriages.  I do not want any false hope, only some answers and more information.  I haven't had any pregnancy symptoms since I found out that I was pregnant other than mild nausea, terrible acne breakouts, and sore nipples.  Those are all still present.  Please just shoot me straight.  At this point, I've already prepared myself for the worst.
7 Responses
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1462114 tn?1285947948
hi, well i just want to let u know that i know what u are going through i have had 3 m/c in the last yr, so i know the pain i lost the first one at 6wks 3days, the second one at 9 wks 5days and i just lost another one 3 wks ago at 10 wks 2 day.. all my doctors have told us to do is wait a yr and try again, cause they are confused because we have had a healthy, normal pregnancy 2 yrs ago... so all i can say in hang in there i know it hurt right now, but it does get better..make sure u talk to someone about what ur feelng cause take it from me i bottled up mine and locked my self in the house and after a week i went into depression.. best of luck to the both of you and may god bless
Helpful - 0
Avatar universal
I just wanted to come back and let your girls know what happened at my Dr's appt. yesterday.  It has been a week since the last time I was there.  The Dr. did not check my HCG again but I did have another ultrasound.  Still nothing.  We are still only seeing a gestational and yolk sac.  The Dr is 100% that this is not a viable pregnancy.  She said that the progression probably stopped before the fetal pole ever developed.  This gives me some comfort.  I am still waiting for the M/C to happen naturally right now, but I am almost certain I am going to schedule a D&C for next week.  I'm just not sure how much longer that I can wait.  I was concerned about the D&C because I had heard about scarring that may occur but I will be having the suction instead of the scraping.  I just figure that the sooner this is over, the sooner we can try again.

At this point, I have accepted the loss and am looking forward to moving on.  It still hurts from time to time, but please do not feel sorry for me.  Here's why...

I read a quote that said, "Have God make a message out of your mess."  This is my message to you...I am certain, beyond anything I've ever known, that this is part of God's perfect plan for our life.  My husband and I are closer than we have ever been, both to each other and to our Heavenly Father.  It is only by the grace of God that we have the strength to make it through this, but we know that it is part of a bigger plan than we can't even comprehend.  I know that we will have a perfect little miracle when we come to that chapter that God has written in our love story.  I continue to pray for strength and ask that you all remember us when you send your prayers up.  I pray that each of you will praise the Lord in your trials and triumphs.  He will give you strength that you never knew you had.  

Good luck and wonderful blessings to all of you.  I will keep you posted in the future as to any updates in our love story!  May God bless you and keep you, always!

Love,
S
Helpful - 0
1285850 tn?1291776435
Same thing that happened to tinkerbell happened to me.  My LMP was March 12th and my due date according to u/s says that I concieved on April 8th thats 4 days before my period is due (im a 30 day cycle)

It took me 8 days after my missed period to get a positive result. So I think I ovulated late.

I was really worried at first because according to my LMP my due date is Dec 17th and that's what they were giving me at first so the date and HCG levels did not match and they were LOW. However once the ultrasound confirmed I was a week and a half later, I was able to relax.

So yeah, it is VERY possible that you are just not as far along as you thought, and trust me I know what it's like to worry about it. But they should keep monitoring your HCG and as long as it goes up and not down you should be ok. If you are 5-6 weeks see if they can give you an ultrasound in 3 weeks and you will DEFINATELY get an answer then.

Patience is hard. But there may be hope  
Helpful - 0
1428239 tn?1333457053
I did read a story once of where a women went in after 48 hours and her HCG levels had gone up a tiny bit but not enough to think it was viable.. but she insisted on blood work again in 48 hours, and it had more than doubled by the next visit....  Obviously this is the exception...  

I had a blighted ovum 5 weeks ago.. It was quite devastating..I had pretty mild morning sickness but everywhere kept saying it could be normal and some woman have none.. and I had other symptoms too so I was thinking no bleeding, no cramping... things should be fine..  US proved otherwise and once I got my HCG levels back there was no doubt.. I couldnt take the stress of waiting to naturally miscarry as the sac was almost 5 weeks smaller than what my expected GA would be ... I felt like it would be too hard on moving on to wait to miscarry since it could be weeks and if i never did pass it, I would go in after several weeks for a d&c anyways.. I went into the doctors the day after my ultra sound determine to have another ultrasound and determined to pass naturally after reviewing the options getting all the exams and tests done, I opted for d&c because I didnt have doubts....

If you have doubts, get more blood tests and ask for another ultra sound...  I am not trying to offer false hope.  I am just suggesting that you feel confident in the decision you make.

I told my doctor all my options were terrible becuase they are but one of them will be the better decision for you.
Helpful - 0
796867 tn?1255206807
I'm really sorry you're going through this. A miscarriage in itself is heartbreaking but it must be even more difficult to decide on a D&C while you're still having pregnancy symptoms and no bleeding.
Unfortunately, even if you don't consider the ultrasounds, and even if you ovulated late in your cycle, the fact that the hCG levels aren't doubling every 48 hours or so I think means that the pregnancy is not viable. I've never heard of a case when hCG levels weren't predictive of a healthy pregnancy. You probably are still feeling some pregnancy symptoms because of the hCG that's still around. All you can do at this point is play the waiting game and see what your Doc says in a week.
Try not to blame yourself for this. Miscarriages happen often and in most cases there is nothing you can do to prevent it. Wish you all the best!
Helpful - 0
1027094 tn?1327429732
Anything is possible. You could be off. I was. My LMP was Jan12 2005. When I went into the dr They said I conceived Feb.7th. ONLY 5 days before my next period was due. I didn't take a test till I was like 12 days late. ( I thought it was just stress) A friend actually told me to take one. Anyways, So I was a couple weeks off. My due date changed from Oct. 17 to like Nov. 4th. Not sure what my levels ever were. Never asked.
Helpful - 0
1386249 tn?1303092096
I went through the same thing in March.  I had week after week of ultrasounds and spotting.  And every week, I was told I would eventually miscarry.  Unfortunately, mine ended in a miscarriage at 11 weeks, four weeks after the first bleeding and first ultrasound.  I began to bleed very heavy at my 11th week.  You don't have to have symptoms of miscarriage right away to know that you are losing a baby.  Sometimes, women are having a miscarriage, but don't begin bleeding or actually rejecting the pregnancy for another month.  I too had mild nausea, very sore boobs, gassy, you name it.  But, doctos always say, if we had severe nauseau and vomiting, thats a good sign that the baby is ok and forming.  but, my nausea was mild.  Im sorry.  Its your call.  I took it very hard, but I did wait until my body began rejecting the pregnancy.  I went ahead with a D&C because i couldn't take it any more.  Hopefully, your story has a miracle ending!  Im praying for you.  
Helpful - 0
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