Blighted Ovum/Maybe Misdiagnosed?

[dedelee123]

After a midnight trip to the ER one night d/t severe cramping I had come to the understanding that I had a healthy pregnancy going with great HCG levels, we had already known we were pregnant, but the cramping alarmed me. A week and a half later my husband and I got the bad news that I had a blighted ovum at 5 1/2 wks along. I am a nurse and after reviewing the results of the of my HCG (which dropped significantly) and U/S of course I believed the doctor. We waited a week and the doctor did a second U/S and again the sac was empty, but there was a twist. My HCG levels had gone back up. We opted to get the levels drawn again and they went up yet again. The doctor still doesn't seem hopeful because my levels are on the relatively low end of normal, but she is slightly dumb-founded at the idea of my levels dropping significantly then going back up. The sac is still growing, but there is still no sign of a fetus in it after 7 wks. I guess the biggest problem I have is that I am unsure where to go from this point. I do have a tipped uterus and I have heard that that can cause a fetus to not show on an ultrasound, but I have no fetal pole either. I have heard of this happening to other women and a fetus showing up at 10 to 12 wks. Being a medical professional I know that what is happening is probably a blighted ovum, but as a woman I don't want to have the D & C if it isn't 100%. My doctor is even putting off helping the miscarraige along. Up until today I had completely accepted that I was playing a waiting game with my body and that there was no baby growing inside of me, but now i just don't know! Has any one else ever heard of this? I am having no bleeding whatsoever and very light cramping here and there. I am also still having regular pregnancy symptoms!

[Kimberlee_20]

It is COMPLETELY normal to not want a D&C unless it's 100%, if your levels are rising, and the sac is growing, don't agree to a D&C. I would wait until at LEAST 8-10 weeks to make sure there is no fetal pole before having a D&C done, you may have a healthy pregnancy after all! Also, if your levels are rising, you'll have symptoms even if it's a blighted ovum. It can take some women a few weeks to lose symptoms after a miscarriage or D&C due to the HCG levels before they return to normal.

[nickieb85]

I would definitely wait until 10-12 weeks especially with a tilted uterus! Good luck and keep us posted!

[sdroxanne]

I agree to wait on the D & C. I went to have an u/s when by my calculations I was about 7w5d because I was having spotting. The doctor diagnosed me with a blighted ovum I had a sac almost the size of about 8weeks with nothing in it and it was misshaped. He told me he was 98% sure it's a blighted ovum and I will miscarry soon. He said I could have a D&C right away or I can come back in two weeks for another ultrasound to confirm the blighted ovum and then move forward with the D&C. I didn't want a D&C so I thought I would wait it out to miscarry. The following week my pregnancy symptoms increased a lot and I was miserable and depressed that I was putting myself through this when there wasn't a baby in there. So the following week I asked to come back and they did another ultra sound. To our surprised there was a baby with a heartbeat and the gestational sac was no longer misshaped. I am however still spotting like I have been for the past 3 weeks and my doctor doesn't like that so he has me going in every 2 weeks for an ultra sound. He also prescribed me prometrium which has decreased my spotting a lot already.  At the last ultra sound the doctor said I'm measuring almost a week behind what I thought I was so hopefully by the next one I will have caught up. I am praying that there is a baby with a heartbeat next time too. I held our hope and you should too. GL

[dedelee123]

Thanks for the input, but unfortunatly I am having the D & C tomorrow. I went in today and they did another U/S and HCG levels. The levels have gone up, but only from 5400 in week 7 to 6800 in week 8. also, the U/S still not showing anything and I am beginning to develop a lot of tissue and blood around the empty :( sac! I also started bleeding and having mild cramping yesterday! I just wish that I hadn't got my hopes up again! I have gone through it all emotionally, now I am ready for the physical part! I would wait for a natural miscarraige, but because of all the tissue and blood, not only would it be extra painful, but probably incomplete! I'd have to most likely have a D & C later! Ready to get this over with so in 2 months we can try again, hopefully with better results! We are so ready to be "mommy & daddy"

[nickieb85]

I am sorry to hear that. I hope you can hold your head up and get through this. MC are painful (emotionally and physically) and I wish you the best!

[duleesha]

i was diagnosed with a blighted ovum two weeks at  8 weeks of pregnancy and they suggested a D&C, it sounded so scarry that we opted the option of having the pills inserted to have an abortion, went to the hopital and got 4 pills inserted into my vagina and the doctor said that i should expect heavy bleeding and cramping and should come for an ultrasound after 10days, went home and start bleeding immeadiatly with big clotts, the bleeding stopped over night and went on with small bleeding for 10 days, when i went for my scan thinking that e thing must have come out, the scan revealed that my sac was still there. i felt so stressed and didnt know what to do, the doctor asked me wait for another week and come back for another scan and maybe by then my body will automatically abort or i will have to have another set of pills. i thought to myself i will go for d and c next week if the sac is still there. i feel terrible having to wait, i dont bleed anymore, have no idea whats going on, and what to do. can this possibly turn into a normal pregancy i wonder. i feel like there  is  hope of having a baby there, i might be going completly crazy maybe, has anyone experinced anything like me,

thank you

[nickieb85]

Wow this has been going on since your last post? I seriously doubt that if it is the same sac (have you had unprotected sex since your pills?) that anything will come of it. Make sure you get another u/s before going forward and make sure to discuss your  worried with your doc! Good luck!

[justkaz]

i just had my scan on wed was told just empty sac and mis-shapen also in the wrong place and that i would miscarry. i recken im about 5 wks 2 days . i dont know whether to have drugs 2 speed up miscarriage a part of me hopes for a miracle.