BFP after M/C 6 weeks ago AND Spotting AGAIN - in DENIAL

[Belt]

Hi
I've had a miscarriage 6 weeks ago and I've been spotting (dark brown/very light brown and even pale red!) for over 2 weeks now.
I've been all over with my mood swings and my boobs started hurting, been a bit nauseas too. I actually thought this spotting is some sort of remainder of my m/c I did not even wanted to bring the thought of being pregnant again so soon!!

My friend told me to POAS as she got pregnant straight after m/c.

So: BFP on Tuesday and Wednesday - I couldn't believe it as was not expecting much. Went to GP on Tuesday and had Early pregnancy scan - NOTHING could be seen.

Blood results on Wednesday - HCG levels 1800.

Went back for tests results today and HCG levels jumped to 2500 (but I'm worried as they should have doubled, but doctor told me they might vary depending on the time of day the blood was taken the first time round).

Another scan booked for Monday.

Both me and my other half - we won't be jumping up and down at the moment. I am actually BOTH very scared and in denial this actually IS a pregnancy.

I'm looking out for every little thing now and I F wish I hadn't POAS because it would have been easier to just sit and wait for the frigging period instead!!!!! I'm very sorry as I should be happy but WHY on EARTH do I HAVE to spot again?!?!?! Today the spotting is actually brighter so I'm thinking all the worse is about to happen AGAIN and SOON!!!!!!

I feel depressed and like I can't even look forward to anything I'm so scared and helpless!!!!!!!!

Sorry I think it's HCP not HCG - you know what I mean though ;)

Hi

1st question: have you checked your HCG went down to 0 after your loss? Rising HCG can be a sign of retained materials (which might not show on a scan) in some rare cases: has anyone discussed this with you, and how to manage if this is the case?
It happened to me (I had the remains of a partial molar), so just be aware it is a (low) possibility.

If you only just got a BFP and you knew all the HCG went from last time, then the early scan would have been VERY early so I am not surprised they cannot see anything. Wait and see for the next scan- keep asking for scans until they can see what it is.

I am now at 30 weeks after several losses. At 5, 6 and 7 weeks I had red spotting: it didn't get heavier and was just my cervix adjusting. So if it's just a few spots, fingers crossed that is all it is!

Hi Squizita

Thank you. I'm sorry to hear about your losses and BIG congratulations on your pregnancy!!!

And no, they did not tell me how to manage after m/c, I actually feel very neglected. The scan confirming all was gone was very quick and fast.

I'm afraid this time round AGAIN - spotting got heavier, period-like, with "gloopy" blood so I just know this is it again.

I don't understand - in this country you just have got this "wait and see" and "what will be will be" approach. Where I come from you've got gyno care from the very early stages and maybe yes, the scanning every month or so is a bit OTT but you feel like you're cared for. They check everything, especially after first m/c and if your progesterone levels are low they give you pills to maintain healthy levels (progesterone is one of the main hormones which sustains pregnancy so if the levels are low something should be done about it);
I know you can say: go back to where you come from then if you're not happy, but I just don't understand NHS system here????

I've just heard stories from women who were left to just miscarry and actually they had a condition that had to be looked at and dealt with - 2 of them have had their following pregnancies "rescued" because of those conditions OR low progesterone - they are now with healthy kids!

I'm just so low about it. I don't understand and when I see a pregnant woman with a cigarette in her mouth I just feel like shouting: "I've just had my second miscarriage!! How come you get to keep your baby?????" I know it's awful but I don't get it!!!

I'm going for that scan tomorrow just to have a confirmation, really, nothing else AND I am going to demand blood tests tomorrow AND about a week later to see if the HCG is 0. I am not going to just walk away and "what will be will be". I can't do that anymore. It's exhausting!!!!

My husband wants to keep trying but I don't know if I can deal with another loss.........

Did you wait with trying again after your several losses? I really feel for you as like I said, i don't know if I can just go through another mc.

Thanks for responding.

Belt I'm so sorry. It sounds like this is the end of the last loss - or what we call the "WTF" cycle (when your body goes back to normal as a slow process).

However you are actually in one of the best countries to be in, it terms of understanding and preventing MC if you go to the right Dr so if you're unhappy, ask to be referred to a gynecologist. The UK and Denmark are world leaders.
Sorry to say progesterone alone won't save most doomed pregnancies, and neither would scans: it does no harm but is only useful if the woman has a specific condition which affects her womb lining (i.e. makes it too thin) and this is usually present as infertility or recurrent miscarriage.
Wait and see is a safe method and protects women from medications etc' which can be dangerous if they don't have specific conditions (e.g. low dose aspirin).
Sadly, in many countries with private healthcare, 'comfort' is a commodity: all the scans in the world won't prevent an early loss.

The books "Miscarriage: what every woman should know" by Prof Regan, "Coming to Term" by Jon Cohen and the miscarriage association website (google them) can all give you great advice and may be able to answer your questions.

...the reason we wait and see is 0.3% of women have a medical condition which makes them repeatedly miscarry. Even if you went private, to any reputable Dr, you'd get this number.

Of course this means that after one loss (because this does sound like the end bleed of your 1st loss) or even 2, you are incredibly likely to succeed next time.

Hi Squizita

Do you really believe this is still the end of my last loss? Because believe it or not it would make me feel better. Like I said: I wish I hadn't peed on that stick :( :(

I actually found a chunky clot on the pad today so maybe it really was a new pregnancy?? (Sorry for all the details...)

Do you know a lot about it all from your experience, the books you've quoted or because you're in medical profession?

I guess we will never know but in all honesty, it has happened to me (I was being monitored for a partial molar which is a very rare condition so don't worry- hence I knew). Basically my HCG didn't go down after my surgical management for over a month, then I had a massive clotty bleed and it went back down to 0 in a week! The lining can fail to come away at the time, and that's what keeps the hormones high, then it comes out as a clot. That's why your Dr should have had you test/tested you 2 weeks after your loss, they can give you medication if it is dragging out.

The books were recommended to me by a gynie consultant after my losses as good medical-for-regular-folk reading and I also got a lot from the miscarriage association helpline during my loss. Their advice helped me to push for tests etc', thankfully my local hospital is clued up and referred me right away.

Thank you.

I will be pushing for it all tomorrow. You have been so great at your advise and what happened to you sounds really like what is happening to me now. I guess I was just thrown by the HCG growing...
I should really listen to my inner-self more as I really did think before taking PT that this whole spotting and now bleeding has something to do with my last loss...

(I didn't mean to offend the UK, btw... I am just really sad and down as this is just such a reminder of what's happened those now 6 weeks ago!)

Would this heavier bleeding from yesterday be marked as a first day of my period after m/c or do I have to wait for the next bleeding to appear??

:)

I would check with your DR ... personally I always wait for a normal period after my losses, as I can 'date' the pregnancy then (also makes it easy to work out when to conceive) but that isn't medical, just personal preference.