Well, the uncertainty continues. I’m trying to get used to the anxious/everything-is-up-in-the-air feeling that pretty much permanently resides in my brain.
To recap: I got (very) positive home pregnancy tests on Friday 3/16 and Saturday 3/17. I started spotting on Saturday, and light-medium flow on Sunday. The bleeding was red and by Monday was very heavy. I had 2 days of heavy flow, then another light/medium day, and then 2 more days of spotting. Overall, it felt like a “normal” period to me (my periods have been super heavy since they returned after having Riley), but with a couple of extra days of spotting. I’ve had no cramping or pain, but the bleeding was red, heavy, and clot-y (sorry for the TMI but also this whole blog is TMI so …). I had a bit of spotting on Saturday and nothing on Sunday or today.
Blood HCG levels have been low and rising, though slowly.
- Monday 3/19 – 127
- Wednesday 3/21 – 199
- Friday 3/23 – 271.42
- Monday 3/26 – 678
This most recent rise was closer to normal – I think that’s a 52 hour doubling time. BUT, the numbers are still too low to be able to see anything on an ultrasound. And obviously the overall picture continues to be abnormal. So, I get to go back in for blood work again on Wednesday. They’ll check my HCG but also look at other things (they did not tell me what the other things were, just that I don’t have to fast). And I am now scheduled for an ultrasound on Friday morning (3/30). That was originally supposed to be on Thursday, but my doctor is apparently on IVF/surgical duty that day so can’t be in for the ultrasound. Even though I want answers sooner, Friday is better for me all around because I work on Thursday but am off on Friday.
I asked the nurse what the possible paths at this juncture are. She said:
- If they don’t see/can’t find a pregnancy in the uterus, they’ll likely recommend a Methotrexate injection (chemical abortion)
- If they can confirm an ectopic pregnancy, they’ll recommend Methotrexate as well
- If they can see a pregnancy in the uterus but can confirm that it is abnormal/not viable, we’ll discuss options including a D&E
- If they can see a pregnancy in the uterus and it could be normal, we’ll do more waiting and seeing
I also asked whether a normal pregnancy progression is a possibility here. She said “never say never” and that she has seen it happen. She gave it maybe a 10% chance (this is just a nurse totally guessing here, not based on any evidence or data … kind of thought it was weird that she put a number on it but also 10% was higher than I expected so I’ll take it).
Sigh. So that’s the continued state of my uterus. I’d love to hear from anyone who has had slow rising HCG (and/or full-on bleeding in early pregnancy), regardless of what the result was. I don’t really have anyone in my life who has experienced this (to my knowledge), and I try not to google too much …
I’ll catch y’all back here again on Wednesday I suppose!