Please help!
I’m looking for advice or similar experiences because I’m in a really stressful limbo situation right now. My doctor is suspecting ectopic pregnancy
My last period was March 20. Early on, my doctors initially thought I was having a miscarriage because my hCG levels dropped twice (55, 39, 35 within a week). After that, (about two weeks later) the levels started rising again, but still not normally. My hCG was a little over 500, then 889 a few days later, and now around 1300.
I’ve had multiple ultrasounds. They can see what looks like a small gestational sac in my uterus, and the sac has grown slightly over time, but there is still no yolk sac, fetal pole, or heartbeat. My doctor says this does not look like a normal viable pregnancy at this point, but they also cannot fully rule out an ectopic pregnancy because sometimes a “pseudo sac” can appear in the uterus with an ectopic pregnancy.
I’ve also had intermittent left-sided pain but no bleeding since the time my hcg dropped (I bled heavily for a day).
The hardest part is that because my hCG is still rising and there is technically still a sac visible, my doctor wants me to repeat hCG bloodwork again and wait for another ultrasound next week before making final decisions. I understand why medically, but emotionally it has been really difficult living in limbo not knowing if this is a miscarriage, abnormal intrauterine pregnancy, or ectopic pregnancy.
Another complication is that I am still breastfeeding my almost 1 year old daughter full time, including overnight. Because of that, my doctor does not feel methotrexate is a good option right now. She said if intervention becomes necessary, the likely option would be surgery (D&C and possibly laparoscopy if they suspect ectopic). She explained that if they do surgery and do not find pregnancy tissue in the uterus, they may need to look at my tubes and potentially remove a tube if there is an ectopic there.
I’m struggling with the fear of surgery, the possibility of losing a tube, and the idea of suddenly weaning my daughter in order to take methotrexate. I also feel emotionally confused because my body still feels pregnant with nausea and symptoms even though things are not looking hopeful.
Has anyone had a similar situation with hCG levels dropping and then rising again, along with an empty gestational sac/pregnancy of unknown location? How long did your doctors wait before deciding treatment? And if you were breastfeeding, how did that affect your options?