u/Pitful_Let_816

I had period like bleeding on 24th/25th July and a faint positive pregnancy test on 26th July. Long story short, it was ectopic and I'm awaiting pathology to confirm whether it was ovarian or a 'tubal abortion', as findings during surgery gave these two possibilities. I had internal bleeding in my abdomen, hence the surgery.

Surgery was on the 10th August and I have bloods tomorrow to confirm hCG is still dropping appropriately. It dropped from around 2500 the day before surgery to 1500 the day after surgery so I'm hoping for a big drop tomorrow so my body can start to move on as soon as possible.

However, since the bleeding in July, that came at the time my period was due exactly, I've not had any bleeding whatsoever either before or after surgery.

Comments generally while I was being investigated were that my uterine lining was thin, presumably from the period like bleed in July, so I wonder if I'm unlikely to have any until my lining rebuilds and then sheds in my first period?

I've had two previous miscarriages that came with lots of bleeding, so this is very different and I'm not really sure what to expect.

I have had LOTS of creamy while discharge today, nothing concerning, but way more than I've ever seen before at any point.

Just wondering if anyone has had a similar experience of no bleeding at all, and what I might expect in the coming weeks so I'm not caught out? I'm working from home for a few weeks when I go back, but can't stay home forever.

Thanks in advance.

I'm really worried that my pregnancy is potentially ectopic, but the Early Pregnancy Unit at my local hospital don't seem very concerned.

LMP date is 25th June. Ovulation predicted for 12th July. Last time I had sex was 10th July as my husband has been away, so there's not much room for movement on predicted ovulation.

I've had 2 previous losses. An 11 week MMC treated with 2 rounds of Mifepristone & Misoprostol 4 weeks apart (Nov and Dec) due to RPOC 4 weeks after the initial dose.

Second loss was a blighted ovum that passed at 6 weeks in April.

24th & 25th July I had red bleeding that started with a fairly large clot (like a penny and round - very unusual for me). Thought it was my period but it wasn't really heavy. It turned to light brown spotting on 26th & 27th. Nothing since.

Pregnancy test was a stark negative on 24th, really faint positive on the 26th after bleeding to the point that my husband said he wouldn't have even seen it if I didn't mention it. It continued really faint (like barely visible) until the 29th. It's now darkening but nothing like my first pregnancy. No pregnancy symptoms whatsoever.

hCG was tested on 31st and came back at 48.9. Tested again on the 2nd (about 45 hours later) and was 114.9. Bloods today 48 hours later were 313.8.

Progesterone tested on 31st was really low at 2 nmol/L. I spent all of last week expecting to miscarry, but nothing. I have no bleeding at all.

I had a private scan on Saturday, fully expecting not to see anything but just anxious, and was told my lining looks thin and not like I'm pregnant.

I've had on and off stabbing pain. It started on my right side but today it seems to be my left. I also have a heaviness in my shoulders and occasionally lightheadedness when I stand up for the past 2 days which subsides quickly, but is unusual for me.

EPU offered me a scan on Tuesday 11th. That would put me at 6w 6d. If hCG keeps rising as it currently is I'm going to be in the region of 10,000+ by then. The 1500 region would be around Friday based on current trends.

I asked if I would be monitored in the meantime and they told me 'but you haven't got any pain'. I reiterated again that I have intermittent stabbing pains, which was the third time mentioning it. I was then offered more bloods on Thursday and got told I can see a doctor on Thursday too if the pain worsens.

I feel like something is really wrong. This is nothing like either of my previous miscarriages and and nobody really seems bothered/concerned. Just keep getting told if I get severe pain, shoulder tip pain or bleeding to go to A&E, but I don't want to allow it to reach the point of rupture if it is ectopic.

I'm not really sure what to do, what to ask for, or if just to wait it out until Tuesday, and would appreciate some advice.