Hi all. I had a ceserean scar ectopic pregnancy January 2024 and have been trying to conceive since then. I had a very very faint positive on the 22nd December and hcg levels were 15, yesterday they were 4108 (doubling every 28 hours). I should be 5/6 weeks gestation but ultrasound today shown no signs of pregnancy in my uterus. The consultant mentioned she could possibly see a 20mm blob in my right fallopian tube but she wasn't sure and has marked this as pregnancy of unknown location.
My options were immediate exploratory surgery to locate and remove the pregnancy (and most likely the tube) or repeat HCG tomorrow and a follow up ultrasound within the next week with strict instructions to ring an ambulance with any signs of rupture.
I have had right sided pain on and off for a few days and some dizziness that only really started today but could honestly just be tiredness - I'm not sure if I'm 'imagining' it to be dizziness because I'm worried about rupture.
I really don't want to wait a week anxious about my tube rupturing, but then I also want to hang onto hope this is a healthy pregnancy that isn't visible on scan yet. The doctor did tell me they would expect to see atleast a gestational sack on ultrasound at HCG concentrations over 1500 and she would definitely have expected to visualise something at the level mine was (4000+). Everything I have read says HCG in ectopic pregnancy will usually rise but not as much as it would in a healthy pregnancy however mine has been more than doubling and seems contraindicitive - but perhaps I'm clutching at straws.
Would I be unreasonable to ask for a second opinion on the ultrasound? This was done at a local hospital, we do have a large teaching maternity hopsital local that could be better for this?
Thanks