Ectopic or miscarriage?

[sometimesalways]

I didn't know where to post this, sorry if it's the wrong place.

I am after just some thoughts and experiences as I am in limbo waiting for a blood test and I am feeling low and anxious.

The backstory is that I had ivf FET cycle and bfp with HPT about a week ago. Unfortunately the hCG blood test showed that numbers are rising very slowly so it's not a viable pregnancy (numbers were 65 at 4w+2 and 71 at 4w+6). So we are looking at etheir mc or, scarier, an ectopic.

I was asked to repeat bloods on Friday to ensure numbers are falling to confirm a mc. The wait is a nightmare!

In the meantime I should go to A&E if I get abdominal pain or heavy bleeding. I am now getting tiny pains or a bit like ovulation pain on my left side. It's not particularly painful or uncomfortable - just there on and off. Also have some lower back pain and heartburn. No bleeding.

Does this sound like a mc at all? I would be 5w today. I have never had one and not sure what I should be expecting. I know I won't get a diagnosis from an online forum, but Anybody been through anything similar?

[dottyp0104]

@sometimesalways my hcg was about 1100 i think at my first visit on the monday when they couldn't find it. They rose to around 1700 on the friday where they told me they hadnt rose enough. Although what they found in ovary was possibly debateable, the lack of anything definate in uterus at these levels meant they wanted treatment started asap so I was given methotrexate that night.
It is so hard at this time because it is a balance between watching and waiting and risks.
Hope all works out x

[Anteater5]

@sometimesalways So sorry to hear of your experience. If you don’t mind me asking, how did it resolve? I’m in a very similar situation with low hCG rising very very slowly 115 - 125 in 48 hours and waiting for another blood test a week after the first now. The waiting is the worst, really want to be taking action.

[sometimesalways]

Hi @Anteater5 oh no I am so sorry to hear that. So in the end, they decided to do a pipeline biopsy. This means they took a sample of tissue from the uterus (fairly simple procedure, no anaesthetic, unpleasant but bearable all things considered) to analyse in the lab to confirm that it was indeed pregnancy tissue, so there was a pregnancy in the right place there. Which it was and this finally confirmed that it was a mc and not an ectopic. This also helped dislodge the tissue a bit and moved things along, causing bleeding which eventually meant all the remaining tissue cleared in the next 10 days and I finally got a bfn and this closed that unfortunate chapter. I hope you won't have to wait as long as I did! Maybe ask about the biopsy option?