u/Automatic_Spread_953

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?

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u/Automatic_Spread_953 — 10 days ago

Please help! Possible ectopic?

I’m looking for advice or similar experiences because I’m in a really stressful limbo situation right now.

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?

reddit.com
u/Automatic_Spread_953 — 10 days ago

currently going through a really confusing early pregnancy situation and looking to see if anyone has experienced something similar.

My hCG levels initially dropped (55, 39, 35) and I had a few days of bleeding that seemed like a miscarriage. But then my tests started getting darker again, and my hCG rose to 488 and then 503.

I went to the ER, and they were able to see what looks like a small gestational sac in my uterus measuring around 3–4 mm, but there’s nothing inside it yet. Based on my dates, I should be around 5 weeks.

Right now, I’ve been told this could be a few possibilities:

An abnormal or nonviable pregnancy

An ectopic pregnancy that’s just not visible yet

A very early intrauterine pregnancy (possibly later implantation)

Or even something like a vanishing twin

My doctor said it’s still considered a “pregnancy of unknown location” until they can confirm more, and I need repeat hCG testing and another ultrasound soon.

I’ve also had some symptoms like fatigue, dizziness, and some one-sided back/shoulder/leg discomfort, which has made everything more stressful.

At this point, I’m just in limbo waiting for more answers. Has anyone had a situation like this where things turned out okay, or even just similar experiences in general?

reddit.com
u/Automatic_Spread_953 — 18 days ago

Please help!

Hi everyone, I’m looking to see if anyone has experienced something similar or has insight.

My hCG levels started like this:

• 4/17: 55

• 4/20: 39

• 4/22: 35

Based on that, I was told it was a chemical pregnancy. I had bleeding Thursday to Saturday, with Friday being the heaviest, then it slowed to spotting.

I kept taking pregnancy tests and they started getting darker again. I attached the picture from it yesterday (before this they were faint lines when I was bleeding) I also started having symptoms like nausea, sensitivity to smells, and some pain. The pain hasn’t been severe, but I’ve had lower left back pain, some left sided abdominal discomfort, and even some upper inner left thigh pain. Yesterday I went to the ER due to left sided pain. My hCG came back at 488, which is a huge jump after it had been going down. They did an ultrasound and said they saw what they said could be a small gestational sac in my uterus (around 3mm) but no heartbeat yet, which they said could be because it’s early. They told me they are “hopeful it could be early pregnancy,” but also mentioned they can’t say for sure that’s what it is. The Dr mentioned it could be a new pregnancy after the miscarriage I had, but I don’t think that’s possible?

So now I’m really confused and anxious.

Has anyone had:

• hCG drop like that and then rise again?

• bleeding like a miscarriage but still had a viable pregnancy?

• a sac seen in the uterus but it still ended up being ectopic or something else?

I’m just trying to understand what this could be and what to expect next. I know no one can diagnose me, I’m just looking for similar experiences while I wait for repeat labs and follow up with my ob office Monday

u/Automatic_Spread_953 — 19 days ago

Looking for experiences/advice because I’m really confused about what’s going on

I had what I was told was a chemical pregnancy, but now things aren’t adding up and I don’t know what to think.

My hCG levels were:

•	4/17: 55

•	4/20: 39

•	4/22: 35

I had bleeding for a few days (one day heavier, otherwise mostly spotting), so I assumed it was a miscarriage.

But now:

•	My pregnancy tests got darker again

•	I started having symptoms (nausea, smell sensitivity, some mild one-sided pain)

•	I went to the ER and my hCG is now 488

They did an ultrasound and said they saw a possible gestational sac in my uterus, but no heartbeat yet (they said it could just be too early).

They told me:

•	It could be a very early pregnancy

•	I need repeat hCG and another ultrasound

•	They aren’t sure what’s going on yet

I’m just trying to understand:

•	Has anyone had hCG drop like this and then rise again and it turned out okay?

•	Or seen a sac after thinking it was a miscarriage?

•	What did your outcome end up being?

I’m trying to stay realistic but also understand if there’s still a chance this could be a viable pregnancy.

reddit.com
u/Automatic_Spread_953 — 20 days ago

I had labs that confirmed my chemical 9 days ago. Over a week span, my hcg was 55, 39, then 35. I started bleeding on Thursday night and am still spotting (very light). I took a test today and it was still positive. My ovulation test was also positive. Is this normal?

u/Automatic_Spread_953 — 23 days ago