Wed before last we had our first sonogram at 7 weeks. My HCG was 22,000 + and the embryo measured 5mm, and the heartbeat was 115 BBM. The doc was concerned because the embryo measured at 6 weeks instead of 7 weeks. One week later (last Wed) my HCG was down to 14,000+ and the embryo had only grown to 5.2mm, and we couldn't easily find a heartbeat (though she didn't look for one the way she did last time).
I was supposed to have a D&C (my request) on Monday, but I backed out and decided to let nature take its course.
So, imagine my surprise when the IVF nurse called to tell me that today's blood work indicated that my HCG level has risen from 14,000+ to over 41,000 in one week - and that the doctor wants to go ahead and do a D&C. We are so confused. I wish the doctor had called herself (instead, the nurse called after hours the day before a holiday). My husband and I agree that we want to speak to the doctor in person and have another sonogram before we reschedule the D&C, and they're fitting us in next Tuesday.
Has this happened to anybody else???? Note that 5 embryos were transferred but the doc only saw one on the ultrasound.
Hi there,
im so sorry you are going through this, i fully back your decision to wait and see i have read too many times the Drs get it wrong i dont want to give you false hope but do you know LauraLou?...her story was amazing At test time, she was estatic to get a BFP with a beta of 157. However the next two betas did not double (217 and then 257). Laura and her DH steeled themselves for a m/c.
As time passed, AF didn't show and she continued to get painful breasts. She had another beta that was 850! They were told that it was likely to be an ectopic and endured the horrible wait to scan and see the damage.
The scan showed that it was not ectopic and infact where it should be but very small and therefore probably not a "healthy" pregnancy.
Laura then had 2 more betas (5181 and then 6872) which raised their spirits that her miracle little fighter was pulling through for them.
Today I have read that a scan has shown that Laura in fact has 2 miracles inside her - IDENTICAL twins!!!!! Both have strong heartbeats!
i truly hope with all my heart that your little one proves them wrong again....
hugs Aunty
Me 42 ,DH 45 ...3 IVF's BFN
Mommy to my beautiful girls Gabby(4) and Kenzie(2)
Definitely don't do a D&C until you have another sono. As you can see from Aunty's post, I also had a strange situation with hcg levels. When you transfer multiple embryos, which both you and I did, they can mature and implant at different rates.
My doctor finally decided that I had an initial pregnancy that I lost, but another embryo spilt, implanted late and became my identical twins! Both my RE and OB said they have never seen anything like it, but miracles do happen.
There is no rush to do a D&C. Take your time and be sure you completely understand the situation before you make any decision.
Thank you both so much for replying. I actually paged the IVF nurse on call this evening to ask her what in the heck this could mean. She told me not to have any hope of a possible pregnancy, and said that it could be a molar pregnancy. I Googled that and am now good and scared.
We are using a good clinic but they're very busy. I wish the doctor had taken the time to call me herself and explain what's happening. I guess we'll find out more on Tuesday. I certainly have some serious questions for her.
LauraLou - congratulations and what a beautiful blessing for you guys!!!!!!
txpacotaco
I know it's very hard to go through this but, please don't have a d&c until you have another us. The chances maybe slim that there is a viable pregancy but, I think that with 5 embies transferred & betas going up the chances would be higher for a normal pregnacy than a molar pregnancy. I am not a Dr. but it would make more sense in my opinion. You should google misdiagnosed miscarriage. I think you will be surprised. When my babys heart stopped beating last year I was in a hurry to have a d & c because I did not want to miscarry naturally since I had before & it was just to much to deal with. I don't know what would have happened if I had waited but, I think it's important that we listen to our instincts along with our Dr. but, I think that we often listen to our Dr's as if they know everything & if they knew everything would any of us be on this board? or would any of us have unexplained infertility? Wouldn't they be able to fix all of us? Just take your time & make sure that you know for sure. I hope you end up with a wonderful surprise. Best wishes,
I could be wrong, but with a molar pregnancy I don't think there is ever a hearbeat. The fact that you did have a heartbeat should be a good sign. I am praying that you have a miracle and they find that you still have your baby or maybe babies! Please let us know what you find on Tuesday.
Aunty- The twins say thank you for the hug! They waved at me on the ultrasound on Monday.
Pixiesmom- I agree about listening to your instincts. Despite the fact the dr told me I had miscarried, I knew I hadn't. My body definitely felt pregnant. As you said, the drs can't know everything.
Rachel i pray that everything turns out for you...
I have has 3 miscarriages and i didn't have a d&c for any of them, and now i'm glad i didn't, as my dr told me that d&c's can ruin the lining for following pregnancies, as it can leave scar tissue which can stop implantation.
So please hold off as long as possible, and if it's not completely nessesary, don't have a d&c.....
Hoping and praying for you.
Hugs
Rachel OXO
[img]http://tickers.TickerFactory.com/ezt/d/4;10720;92/st/20080118/e/We+Go+Home/dt/1/k/3105/event.png[/img]
Me-35 DH- 37
2 Ectopics, 3 Miscarriages, 1 New born Death 94
IVF - Nov 05 BFN, FET - May 06 BFN
FET - July 06 BFN, FET - Nov 06 BFN
Im really sorry to butt in, but i have a question for Dory. You say that after D&C the lining of the womb can be runined. Im a little concerned as i had 3 unreadable smears before i had my first IVF treatment - which lead to me having a scrape of the womb and laser, cells were sent off for analysis. This was end of May, I started my treatment end of July which sadley resulted in a BFN - do u think this had anything to do with it? How come they let me go ahead with the treatment?
Also the results came back in August - just before my ET saying that there was cells found to be damaged, but they hopefully had taken them all away, but i had to go back in 6 mths time. I didnt think too much about it at the time, i was more concerned consentrating on my 2ww - but seeing ur post makes me think they were wrong to let me go ahead with treatment untill all this was sorted!!
And i still havent been called back for another smear, i went to my local doctor in hope of having one, but i was told i had to wait untill the hosptial sent for me as i was under them now for smears!
I think im going to check this out further, we had to pay for our IVF and if i have wasted near on £5,000 i will be taking this further. What do u ladies think????
1 IVF=BFN 2 IVF=BFN 3 IVF=BFP m/c @ 8 wks 4 IVF=BFN
We must now let go of the life we had planned, to live the life waiting for us..
Just wanted to say that I needed a D & C when I had missed M/C. My IVF dr did want it to happen naturallysaying that was best and to avoid scarring as you say, but after a week, my head could not cope so a D & C was scheduled. I took the chance, knowing it was what I needed to do at the time - and went on to have a son with my next IVF - and by some miracle am pregnant again.
Lots of people do have this procedure - we have to each do what we feek right at the time.. Hope all goes well for you.
Sorry to butt in on this thread...
Rachel - from the bottom of my heart I hope that you get the answers you want. I'm with the others and would have waited until I was sure... You take care
Zoe
1st IVF - Easter 2002 - neg
2nd IVF - Summer 2002 - pos, but M/C 8 wks
3rd IVF Summer 2003 - pos with beautiful baby boy
April 2006 - miracles happen - positive naturally day after receiving IVF letter to start again! Another beautiful boy
I too have had laser treatment for abnormal cells, twice. My dr said that wouldn't make much difference or stop a pregnancy. It isn't as invasive as a d&c.
I agree that it is each persons choice, and i know how hard it is to miscarriage normally, knowing that your baby is still inside you, and i know any sane woman would want it gone as soon as possible.
I didn't get a choice for a D&C, so i don't know if i would have taken it or not.
Becky (welshgirl) -
I wouldn't worry about the laser treatment or scrap, i'm sure it was nothing to do with why you didn't get pregnant this time. I wish you luck in the future, with whatever you choose to do. Zoe is right lots of people have healthy pregnancies after D&C's.
I had a full term pregnancy after my laser treatment, unfortunately my son died an hr after he was born, but that was for different unknown reasons.
Good luck to you all,
Zoe have a wonderful and healthy pregnancy.
Rachel i hope everything turned out ok for you.
Becky good luck in the future.
Hugs
Rachel OXO
[img]http://tickers.TickerFactory.com/ezt/d/4;10720;92/st/20080118/e/We+Go+Home/dt/1/k/3105/event.png[/img]
Me-35 DH- 37
2 Ectopics, 3 Miscarriages, 1 New born Death 94
IVF - Nov 05 BFN, FET - May 06 BFN
FET - July 06 BFN, FET - Nov 06 BFN
Thanks for ur replies ladies, i can see that there really was no need to panic about the laser treatment, i was just a little concerned that they let me go ahead so soon after it. Thanks for putting my mind at rest.
Dory:I see ur testing in 4 days - im praying so hard for ur BFP - u really deserve it, u have been thru so much, an i am so sorry for ur heartache. Good Luck Xxx
Rachel & David: Please let us know how u get on on Tuesday, im praying everything is well and that u get ur BFP
Becky Xxxx
1 IVF=BFN 2 IVF=BFN 3 IVF=BFP m/c @ 8 wks 4 IVF=BFN
We must now let go of the life we had planned, to live the life waiting for us..
Had my blood drawn yesterday for another HCG test in anticipation of this morning's "because the patient demanded it" sonogram. It had dropped from over 41,000 last week to a little over 24,000 this week, and the doc didn't think I really needed to come in. But I did anyway, and we took a peek.
The embryo is nothing more than a fetal pole now (interesting the way they sort of grow backwards, as opposed to simply dissolving or something, there's something sort of full of grace about that). Everything else looks healthy and normal for this point in a missed miscarriage.
Since it's been nearly 3 weeks since the heart stopped beating and I have yet to shed a single drop of blood, we're going ahead with a D&C next Monday.
For those of you concerned about scarring from a D&C... I've had 6 of them (7 if you count next week). 5 were years and years ago, back in the days when all you got was a hand to hold and a shot of novacaine. I did end up with some scarring from some point in time, but the doctor was able to remove it and return my lining to something good. I'm not concerned about scarring this time around; I know I'm in good hands.
Doctor said we can try again after one normal period, and my husband wants to go ahead. So I'll be back soon in one of the happier threads.
Thank you all for your support here - you've been a lifeline in a sea of very turbulent emotions and fears this past week!
Rachel,
I am so sorry for the devastating news. I was watching & hoping for better news. As I'm sure you know it's the small miracles that give us hope. Best wishes for the next one.
Pixiesmom