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Avatar universal

Should I get a second opinion?

I am 10 weeks pregnant today. I went for an ultrasound when I was 4 weeks and the tech saw a gestational sac and said everything looked fine and they would reschedule another u/s in a couple weeks to make sure the dates are accurate (even though there is only one possible date I could have gotten pregnant). I went back on October 6th when I was 7 weeks and they were not able to see anything inside the sac, said I might have a blighted ovum. I went back again October 21st (two days ago) and they said now that I have a tilted uterus and they see a small fetal pole and yolk sac that did not appear to be there in the last ultrasound. The OB on staff spoke with me and deemed my pregnancy "not viable" because she said the sac was measuring at 7 weeks on October 6th and is now only measuring 7 weeks 2 days after two more weeks. They were not able to get a heartbeat on either of the ultrasounds either. I am a bit confused about this since originally they told me there was nothing but now they are saying there is something but not enough. I have had mild cramps the entire time I have been pregnant but there has been absolutely no bleeding/spotting/brown discharge or anything of the like. This past Monday before my last u/s many of my pregnancy symptoms seemed to have subsided except the frequency of going to the bathroom. Does anything think the Doctor and the u/s tech are correct or should I get a second opinion? They gave me the option of letting nature "take it's course" or to have a d&c and I chose to wait. However, the OB scheduled me to go back in two weeks for another u/s because she said by then I should have miscarried and they will need to make sure everything has been purged. This entire ordeal has been devastating and confusing and I am the type of person that can not move forward with things unless I understand them. Can someone please give me some advice!! Thanks
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Avatar universal
Chrissy I am so sorry to hear about your situation. I have always had so much sympathy for women who have had to endure a miscarriage but obviously now having gone through one myself it brings about a totally new level of understanding and compassion. I completely understand your frustration I went through the same issues with my husband during this last ordeal. We fought constantly because I was upset a lot for many weeks while I was coping and trying to wrap my brain around the idea that the baby was gone. He didn't understand and I think that is because for him he was sad for one day and then after that he didn't have to think about is as much. But that's not so easy for the mothers because we have to think about it all the time everyday until the momen it is over, which can make waiting seem like forever. I also would like to have more children and although we have not talked about it I think my husband and I would like to try again. Everything in my medical history is leading my Doctors to think that this was a one time thing and that my husband and I should be able to conceive again with no problem but there is always that doubt in the back of my head that makes me think, " What if they are wrong." That is why I am glad they told me to wait until I have had two normal periods before we start trying again. I am not sure I could go through another miscarriage or the stress of having a pregnancy just go away like that again either, I completely understand where you are coming from. I would be discouraged and scared too. Just keep thinking about it and try hoping for the best, eventually I think once you have been able to cope with your most recent loss you will find the strength to decide what you want to do. One thing I have definitely learned from this experience is that women are far more strong and resilient than I think we are given credit for sometimes and you can tap into that strength when you least expect it.
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Avatar universal
I just went through the same thing last week i have one child who is 7 and have had 2 miscarriages within 4 months..My thoughts and prayers are with u i know exactly how u feel i'm so scared of going through this again and it has put a strain on my relationship its so hard for a man to relate to how we feel about things like this and its so frustrating!I'm 28 and want another child so bad and my husband has none 2 \of my friends are pregnant it's so hard...First miscarriage started bleeding before i went to my first ultrasound when i went to er they said babys heartbeat was wayt to low n i was only 5wks.Took blood tests after they said hormomes were fine...then right after my first period came in next month was pregnant again this time they said everyweek everything was looking fine then after weeks passed could still only see justational sack no baby finally tolsd me at 8wks pregnancy was not viable it was devastating i walked out later she called me in some medication to make me bleed and clean my body out ...i am so discouraged and scared dont know if i can keep going through this mentally..
Helpful - 0
Avatar universal
I had the miscarriage last night, man that was intense. I am still bleeding this morning and I am going in for my sonogram to check and make sure it was a complete miscarriage. After the intense pain and bleeding I had last night I hope it was. I was relieved to know that it started on its own and nature just took over. So now at least I feel like I can move forward and I am not stuck in this crazy limbo. My husband took great care of me and my son last night so I don't think it could have gone much better than it did, given the circumstances. Thank you for all of your comments and support, they have meant a lot.
Helpful - 0
1428239 tn?1333457053
The wait varies.  If you end up passing it naturally, most doctors say it is okay to start right away.  One girl, Cassandrajane, on preg 18-34 forum got pregnant again the week after her miscarriage.  

If you get a d&c, they generally say ideally wait 3 cycles to give your body a chance to heal..  but they say 1-3 cycles..

Overall, they like you to wait until you have 1period for dating future pregnancies.

I had a d&c, I commited myself to 2 cycles.  If all goes well with my next period and it is normal then I will try again after that.  If its weird, Ill wait for the 3rd cycle. I feel fine and back to normal now though.

They say it reduces your risk of future miscarriages but studies have shown it doesnt. If you have 2-3 in a row, i would suggest waiting and getting some testing done... or multiple d&c's then wait.
Helpful - 0
Avatar universal
I am sorry to hear about your miscarriages, you said you had two? That must be hard. This one is bad enough so I completely sympathize with what you must be going through. It just seems like waiting keeps this black cloud over me and all I am doing is waiting for the other shoe to drop. Part of me thinks I should just stop feeling so anxious because I chose to wait but the other part of me knows choosing to wait will give me my answer without a doubt. I was afraid if I rushed to get the D&C that I would think "what if they were wrong" for the rest of my life. Does anyone know how long they usually say to wait to have another baby after a miscarriage? I know some people say your body will just know, some say 1-3 cycles, and some say 6 months. Does it depend on the Doctor. I don't know if I can play the waiting game with that again too. The bright light is that I think my husband and I have decided that we would like to try again. I would like for my son to have a sibling and he is going to be 4 in February so I would not necessarily want them to be too far apart.
Helpful - 0
Avatar universal
Oh, the waiting is awful and I'm sorry you are still having to wait.  Another week, right?
I had a mc with 1st preg. then when I got preg again a couple months back I prayed that if something bad was going to happen, just let it happen now.  So I know what you mean...I didn't want another mc either, but if it was going to happen I wanted it to go ahead and happen and be done.  And it did. I knew after my second levels were drawn that I was going to mc and then it took, I think, about 10 days, never did cramp, just bled.

And yeah, its confusing when docs give out different info.  I don't know where my doc got his info b/c, like i said, I had never heard that before.  Wierd.

Anyways, sorry you are having to play that horrible waiting game. Wishing time to go by fast for you so you can know something.  tc
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Avatar universal
It has been over a week since my last Doctor's appointment and still no bleeding and/or cramping. The waiting game ***** and I wish it would just get resolved one way or another. I feel bad saying that since I obviously do not want to have a miscarriage but waiting for it to happen just makes me a nervous wreck :(
Helpful - 0
Avatar universal
That is weird because my Doctor told me exactly the opposite (two different OB/GYN's in the office said the same thing to me actually). They both said that having such high numbers was a positive sign because it showed that there should be development occuring and would hopefully continue to occur. This is part of why I think issues like this can be so confusing because Doctors intrepret things differently for different patients. I still have not had any bleeding or any significat cramping (no moresof than I have had the entire time I have been pregnant). I think I decided to just wait until my appointment on November 4th because a second opinion will not change anything and it is only another 10 days so rushing to another Doctor won't do much good I think at this point. Just confused and upset I guess, but whatever it will be will be. :(
Helpful - 0
Avatar universal
when I got my Hcg level at 5.5 weeks it was 37,000.  and then weeks later when I m/c my doc said he should have know b/c my Hcg level was so high.  I said, "what?"  and he said that really high levels can mean abnormal development.  I've never heard of that b/4 or since, but just thought I'd share.  
Helpful - 0
1428239 tn?1333457053
Did you have your HCG levle tested when you went back on October 21st.  If you havent had them tested since October 6th.  I would ask to get them again and then again in 48 hours.

44,000 is high, which is positive.  But it could help clarify your situation if you can see if they are still rising.. or the test might show them dropping.

Its not an easy situation to be in to start but to not be able to tell what is going on just adds stress..

When I had my blighted ovum, I think I would have known sooner if I would have got my HCg levels tested at 9 weeks at my prenatal or if I would have got in for the US sooner.. My pregnancy symptoms really faded around 9 1/2- 10 weeks and at the time I didnt think anything about it because I figured it was related to getting close to my second trimester but it was not. It was definately a sign that development had stopped.  You have a fetal pole, which means its not a blighted ovum at this point (at least I think thats my understanding).  Mine stopped developing after 7 weeks 5 days and I was 12 weeks when I found out at hte ultra sound.

I know you are waiting to either let nature take its course or see what the US in 2 weeks says but maybe your family doctor would be willing to do the HCG test just to give you an idea of where you numbers are.
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Avatar universal
Another confusing part about this whole process is that when I got my ultrasound on October 6th they said my HCG was 44,000 which is a pretty high level so they were thinking everything would be ok. It has just been so much back and forth and confusion and ups and downs emotionally. It has made me a nervous wreck and I don't think my husband completely understands why I am so emotional. I try explaining it to him but I think I sound like a crazy person to him....
Helpful - 0
Avatar universal
I'm not sure about the seeing and then not seeing things. But it could be the experience of the u/s tech.  I was in u/s school and it's not always easy to find stuff in the body.  The measurements are how I knew I was going to m/c with my first m/c.  I had my first u/s at 6 weeks. They saw the fetal pole but the measurement was 5 weeks.  The doc said maybe my dates were off, but I knew they werent' cos I had only had sex one time that month.  Then I went back two weeks later and it was measuring 7 weeks ...so it was a week behind where it should have been from the first u/s.  My doc sent me right away to the hsp for an u/s b/c the hsp has better, newer, equipment and they cofirmed there was no heartbeat.
With my symptoms, I had never spotted or anything, no cramps.  So I was shocked to hear the news ,..the hsp said fetal demise at 7 weeks.  

It's so confusing sometimes.  If you want to wait it out to see what happens then that's what I'd do.  If you are 'going nuts' just waiting and wondering, then I'd definitely get a second opinion.  I, myself, don't like waiting and not knowing, so I know I'd get another opinion.  I'm sorry this has happened and I hope you get your answers soon.
Helpful - 0
1466382 tn?1293077358
I think I might have had a similar problem but that is because I did not get an ultra sound sooner.  Apparently my baby never grew past 5 weeks and I miscarried at my 11 th week without any symptoms until the day I bleed and everything came out all at once. For about six weeks it was still inside me but unbeknownst to me, it was already gone. However, this time I got an ultra sound on my seventh week.  I know when my last period was because I was writing it down since my husband and I have been trying. So I relatively know how big it should have been by then. When I had the ultrasound at seven weeks (according to my last period), it showed that the little thing inside was measuring at about six weeks and five days (which was pretty close to how big it should have been give or take a couple of days) and it had a heartbeat of 120 bpm.  So my due date was exactly the date that I calculated on my computer previously. By your tenth week, you should be able to see a heartbeat and yes, it could stay in your system longer than you think. I know this is not great news but that is what happened to me.  How did you calculate your dates? Did you calculate from when you last had your period or two weeks after (which should be your gestational period). I had my last period on August 4 ending one August 8th.  Right now I am 11 weeks and 4 days. I feel like I am pregnant cause on my sixth week, I was nauseous and vomiting all the time (almost every day). Even though I lost a lot weight as a result,  right now I am 1.5 lbs heavier than before I was pregnant but my tummy is pretty extended. (four inch difference from my normal waist size) I only stopped getting really sick a few days ago. Even right now, it'll come back a little bit in the morning but the rest of the day I seem to be fine. Do you feel pregnant? Sometimes you can feel it. With the miscarriage baby, I never really felt sick or pregnant and my tummy didn't seem to big. Although I just had a baby six/seven months earlier. I was relatively the same size as I was before my baby at the time. I was horribly sick with my first child.  I had morning sickness for most of the nine months...so with the miscarried one, I didn't have the same symptoms. I thought I might have been one of the lucky ones who didn't get sick during their pregnancy, but apparently that time, I was wrong. That was just a sign that the baby wasn't growing right in me. With this baby, I had the same morning sickness (starting at the same time) as my first child. I just feel pregnant...really fatigued and nauseous with extra back pains. Maybe a second opinion would give you more peace of mind. Maybe I am wrong. I hope I am wrong cause I would never want anyone to go through a miscarriage, it's a pretty painful situation especially if you wanted it. Now I am paranoid all the time with this child. I should be getting another ultrasound soon.  *sigh*  The anxiety! I wish you luck! But you're young! You have plenty of time to have more children even if this one doesn't work out. I'm almost a decade older trying to have one more child so that my baby could have a sibling. You obviously can get pregnant. Since you brought one child to term, you should be able to have more. Good luck and may your results be good!
Helpful - 0
1428239 tn?1333457053
I would also suggest a 2nd opinion. Either way, if you are going back for another ultrasound in two weeks, you may have a clearer idea.  No one can force you to get a d&c so if you do miscarriage in the next 2 weeks you know... And if you dont, you have the opportunity to see where you stand.  YOu could go to another doctor now but if you are going to miscarriage that wont change it but could help you cope.

Good luck!
Helpful - 0
212350 tn?1376428115
I definratle agree with superchoc, get a second opinion as they have given you different dates and couldnt see pole then they could so there has been some progress. Hope all works out for you  good luck
Helpful - 0
1456473 tn?1365827455
i would get a second opinion as dates seem to be bouncing. if you know when the date was that you had gotten pregnant, your period started about 2 weeks prior to that date? going from the date your period started, how many weeks ago would that be? is it 7 weeks? im sorry you are going through this. Hopefully the feotal pole will grow bigger by your next scan since it did from your last scan. good luck xo
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