Hi, my name is Kay (as suggested by my screenname I am not the Kay who runs this site, just another one).
Here's a bit of a background on why I am here.
- Positive HPT on March 8th, CD42. No positives prior to that, despite a lot of testing.
- March 9th, strong cramps, primarily on the right, started. Got quite bad.
- ER visit #1 at around 12:30am on the 10th. Beta 664.
- Came back 18 hrs later for an ultrasound. Very small sac spotted + sizeable cyst on right ovary (likely corpus luteum.) Beta at this time 996 - so definitely right on track.
- Started bleeding March 15th. Bright red, copious amounts, no clots. Went back to ER as instructed. Beta 13,600+
- U/S on March 16th showed one definite sac (measuring ~5w2d, completely empty) another possible sac (smaller, also empty, 'behind' the first one, they didn't measure it but it was visibly smaller) and several small sonolucent cysts (weren't on last U/S, nor on the U/S I had in december for my PCOS) in my uterus.
- March 16th - diagnosed miscarriage due to high beta and no visible fetal pole, yolk sac, or heartbeat. Doctor wants to monitor beta and have another U/S on the 26th to rule out molar pregnancy (or 'blighted ovum.')
- I was on clomid. This can lead to late ovulation. I didn't get a positive HPT until CD42 (though I didn't test for 5 days prior to that.) I had stopped temping at CD30, considering the cycle a failure. I honestly don't know when I ovulated, so the possibility of me being only 5w2d (instead of 7w1d which I would be now) is fairly high.
- The sac *did* grow. In the 6 days between my first ultrasound and second, it grew enough for me to notice. Looked like a 4w sac the first time I saw it, and looked closer to a 5w sac the second time I saw it. That would be consistent with the sizing (they didn't give me measurements, and I am referencing sizing relative to the endometrium)
- Not seeing a fetal pole or yolk sac at 5 weeks is pretty common.
- I have uterine scarring, which certainly could 'hide' a baby
- The 2 sacs bugs me. I was on clomid - twin rate of ~10%. If this were a multiple pregnancy, 13k+ in week 5 would not be abnormal, even if the baby(ies) were not yet visible.
So, I have another ultrasound next Friday (the 26th.)
I am not holding out much hope because of my history of miscarriage. I have read the stories here, but I am wondering if anyone has statistics. Actual stats of how common it is to not see the fetal pole or heartbeat after a beta of 10,000+. I was told it is very rare, and I have read that myself in medical publications, but I have never seen actual hard statistics of how 'rare' it is. This site certainly seems to suggest it is less rare than we think!
Anyone have stats? Does it sound like my pregnancy has a good chance of progressing, or should I give it up as a bad job at this point?
Last edited by TheOtherKay
on Mon Mar 29, 2010 2:20 pm, edited 2 times in total.