How could I be pregnant so early in my cycle?! CD10!?!?!?

The second bleed will have been triggered by your HCG dropping. Try not to worry - a level of 5 is classed as clinically negative so you really should be safe now.

I'm so sorry you've been through this. Ectopic pregnancy is so cruel. Not only the pain of miscarriage but the fear for your own safety and health - it's pure hell. Even with a naturally managed outcome - the 'best' outcome - the stress is unbelievable. I've had 'normal' miscarriages too and the health fear from ectopic makes it even worse.

I hope you are okay and have some IRL support.

With regular cycle monitoring you can actually see the day and some people learn to feel it/narrow it down to a half day. Not helpful after everybtig the OP has posted.

I wish you well for the upcoming tests and management if it is an ectopic OP

Sorry, to be even clearer, when you bled, that was your uterine lining shedding. That does NOT affect the ectopic pregnancy at all, as it's not in the uterus.

Since then, your uterus lining has grown thicker again. At the HCG level of 74 You're unlikely to bleed again, that's high enough to stop you bleeding.

I hope that your HCG will drop at the next bloods. If it doesn't you're very likely to be offered methotrexate as an injection. As I say, didn't work for me, but does work around 70 percent of the time, it's worth a go especially at a level low like yours. Mine ruptured around HCG 2000 so I wonder if it was just too high for methotrexate to manage.

So my first ectopic I had a really heavy bleeding just a couple of days after when my period was expected. I had extremely faint positives at the time, dismissed as a evap. Two weeks later I had darker tests. Much darker. But, it self resolved, which means the body re-absorbed the pregnancy tissue.

The bleeding is from the uterus - it sheds the lining at the correct period due time. This is because the HCG is too low to stop the uterus lining shredding. Because there's no pregnancy in the uterus, right?

But there is a pregnancy - in the tube. So after the bleeding and the lining shedding - it makes no difference. It hasn't shifted the pregnancy, which remains growing, usually slowly, in the tube.

The pregnancy can only get so large in the tube, it's not designed to grow there. Often, your body will recognise this before it gets too big, and the pregnancy will stop growing, and the cells will be reabsorbed.

Sometimes, the body will not recognise this in time. The pregnancy keeps growing and the tube bursts - a ruptured ectopic. This happened in my second ectopic pregnancy.

Ruptured technically can happen at any point, but the lower the HCG the lower the risk. If HCG is low, and declining, it's usually safe to moniter and see if your body can 'self manage' the situation. If HCG continues to rise, you will likely be given drugs to try to stop the pregnancy continuing, which have around 70% chance of working (the drugs didn't work for me, hence the rupture and surgery).

I'm sorry if that all sounds clinical. I get the heartbreak I really do, but I didn't understand anything during my first one, I didn't get why I was bleeding but still pregnant etc etc. So I hope that helps you understand.

Against my will I've become an ectopic expert.

You cant know your ovulation day OP.

I had this last year! I didn’t even know I was pregnant as I had a bleed inbetween sex and the pregnancy test being positive! I bled normally for 6 days.

I then took a test don’t know why as I had a feeling and boobs were tingling and it was positive I was super shocked! As I thought I had a period in between, my hcg levels were the same they wasn’t going up quick enough for their liking, I then had some cramps in my left side and when I had a scan it was confirmed it was growing in the tube. I then had methotrexate and I won’t lie was fucking awful! The pain I had was bad, I had to have bloods every week to make sure the hormones were going down. I was about 9 weeks pregnant. Make sure they don’t muck you around as ectopic is actually dangerous! They didn’t believe me to start with but I told them something wasn’t right.

The scan won't show anything with HCG this low. This does seem classic ectopic and is following almost exactly how my first one went. Hopefully with numbers this low it will be self resolving. It's a horrible thing to go through I hope you're okay. Here to talk if you want to as I've been there xx

Was the first scan inconclusive?
Why can't the scan show more?

How did you get on yesterday?

Be wary could be an ectopic pregnancy.

Yes, you could be pregnant. I now have a daughter in her mid 30s conceived on day 9 of my normal 30 day cycle.

@MixedBananas no, no bleeding but did have some spotting /brownish discharge with first pregnancy a week after period would have been due which in hindsight was probably conceived at a similar stage in cycle. Hope everything ok for you 💐

I fell pregnant days after my period ended, but it was my first period after a miscarriage so I assume my cycle wasn't normal. I tested positive something ridiculous like 10 days after my period. I had a couple of episodes of bleeding through the pregnancy but have a healthy toddler now. Like I said, my cycle was probably a bit messed up at the time but it's definitely possible.

Unless you conceived the previous cycle?

I'm old so don't understand the abbreviations, didn't have ovulation tests in my day but I know for a fact my last son was conceived 8 days after my period had started, so I had only just finished my 7 day period and my cycle was usually 30/31 days but could be longer. I knew i was pregnant (go off coffee/nauseous) a full 10 days before my next period was due ............bodies can catch you out!

You definitely didn't ovulate CD9. It takes 6 days minimum after egg is fertilised for it to get to the uterus and implant. Then a further few days for that to be detectable on a test. So you would have been pregnant at least a week by the time you found out. Some people get a normal period even while pregnant, it is not too uncommon.