Hi all,
I should be 9 weeks pregnant today, but at a private 7 week scan I was told there was a small, empty gestational sac. The private scan provider referred me to EPAU who did bloods. My Hcg was 46500, but 3 days later they did a transvaginal scan which also showed an empty sac. Because the sac wasn't large enough to diagnose a miscarriage, I came back on Monday (8 + 4). The sac hadn't grown and was still empty, so they diagnosed a missed miscarriage and said it was officially called a blighted ovum. I opted for medical management, so had mifepristone on Tuesday and began my in hospital medical management with misoprostol today. The experience hasn't been as traumatic and painful as I had imagined (thank goodness), but after passing some quite large placental tissue the hospital thought it was likely to be the end. I've been kept a few hours longer and passed some more tissue. I said to my husband "I know it can't be as the sac was empty, but that looked like a baby". To my surprise, the nurse then came in and said it was in fact an embryo. I asked how this was possible and she said it can happen where the embryo grows outside of the gestational sac. I asked if this was called an ectopic pregnancy and she said no it's called a pregnancy of unknown location. I can find information about PUL online, but nothing that explains the scenario I'm faced with. Has anyone got any knowledge/ experience of this to run me through exactly what has happened, where the embryo grew instead, how this occurs/ chances of it happening in future, and how this was missed on an ultrasound? We'd finally got our heads around there never being a baby and it being a blighted ovum, to now be hit with this and me seeing a fairly substantial sized embryo in the toilet. Please help