What do I expect? Terrified.

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1

Good morning,

Just over a week ago I had heavy period bleeding for 4 days at about 4+4 weeks pregnant. I suspected a miscarriage.

I went for a scan at about 4+6 and they saw a thin lining of 4.5mm and no sac or fluid in the uterus or tubes. They suspected MC but did bloods to be safe. They came back as:

HCG 397

Progesterone 29.5

48 hours later they were

HCG 450

Progesterone 19

Another 48 hours later

HCG 675

Progesterone 23

Scanned again and no change from the previous scan.

I’m booked in for bloods tomorrow which will be a further 48 hours. Am I unrealistic to hope they will have dropped and I may not need intervention? And does this mean its definitely ectopic or could it still be a failed pregnancy? EPU won’t tell me much they just say they don’t know. They said my lining isn’t typical of an ectopic but they can’t rule it out. Currently it’s being treated as a PUL. Two months prior to this I had a blighted ovum at 8 weeks - could it be this again? The thought of treatments terrifies me I can’t sleep thinking about the possibility of it being ectopic. I’ve never hoped for a miscarriage more in my life despite having two miscarriages previously.

Any support or shared experiences would be much appreciated. Sorry if any of this is triggering for anyone x

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Dear Hoping,

I am so sorry to hear of the worrying time you are going through.

Unfortunately I am not medical trained so cannot advise on specifics of your symptoms.

hCG blood levels alone are not diagnostic for an ectopic pregnancy, a positive identification of an ectopic on a scan is usually needed.

I hope you have some more news as you continue to be monitored and I hope that you will not need any treatment.

I understand how frightening this must all be and we will be here for you for as long as you need.

Sending much love,

Karen x