6weeks & 4 days and empty sac. Please advise.

[poddige]

Firstly - am sorry if this is in the wrong topic, and if it's a ramble. Any advice or similar experiences would be gratefully received.

I had a private scan today due to feeling totally different to my pregnancies with other two DC. I have previously been very ill with HG and currently barely any sickness etc. (Know it's early, but my sickness was so extreme with other DC that no sickness at all isn't typical for me)

My dates and the measurements of the sac match and I am 6 weeks and 4 days pregnant. I had a standard scan, and the vaginal scan. The sac showed no fetal pole/heartbeat etc. And was empty.

The dr advised that there is still a small chance that something may develop. However I genuinely don't feel like it will, given the reason I had the scan was a complete lack of symptoms (aside from missing period).

If, infact, this pregnancy won't progress any further, what do I do now?

Am yet to register with midwife for booking in/tell DR am pregnant. I have no symptoms of miscarrying.

Do I genuinely just have to sit and wait?

I appreciate that the 'not knowing' isn't as bad as knowing that it's bad news, but it's going to be such a tough wait.

DH suggested a trip to EPU - but imagine they'll be swamped. And I've no symptoms either way.

Sorry for ramble. And thank you in advance. Have probably missed something out.

Bloody hell. That was a ramble. Sorry!

EPU unlikely to scan you if you don't have any symptoms of potentially miscarrying. It could well be that you ovulated later than usual and aren't as far along as you think atm.
I think it's just a watch and wait situation unfortunately. If nothing has changed in a week or two could you have another private scan? Fingers crossed for you, it's horrible not knowing what's going on

Hi OP. Did they do blood tests?

I have to say it unfortunately doesn't sound too good. I know it's heartbreaking as in June I was the exact same.I felt like something was wrong, I did a digital that at 6weeks dropped to 1-2 weeks (had been 3+)
I went to epu for a scan and they only saw a sac. They told me it was a possibility my dates were wrong but I knew they weren't.

When they pulled the internal camera out it was covered in blood and then my mc started.
My bloods that day were just 68 hcg and the following week dropped to 7 so they didn't even rescan me.
I then caught 2 weeks later and am currently a very anxious 7 weeks pregnant.

I really hope u get some answers soon, push for bloods Monday if the didn't do them today.

I really hope you're feeling alright and if there's a chance u got your dates wrong u could still be okay x

Thank you @BluePheasant

The only reason I was reluctant to believe that was because of the sac measurements. Am hoping it's the case.

Thank you for the reply. Obviously barely told anyone in real life, and forgot to ask a lot of questions in there, google not helping me be positive!

@WhyTheHeckMe I had a private scan at the 'this is my' scan centre, not a private medical scan - so no option for blood tests iyswim.

I think if no change in scan next week (will not be able to wait longer than a week if nothing changes in the meantime) - then will I need to go to DR and they will advise from there?

So sorry for your loss. And thank you for replying to me.

Yes I see what you mean, I paid for an private reassurance scan last week as epu won't see me this time as they say previous miscarriage isn't a reason

Maybe you could go docs Monday morning and ask for a blood test? They might do it and it saves the anxiety of having to wait for a week which is just torture.
Hope you're okay x

Your GP should be able to offer you two blood tests 48 hours apart. They will see if your HCG levels are rising.

I was 6wks+4 and only saw a sac +yolk sac. They rescanned me today and now there is a heartbeat and a little embryo. Theres hope for you xx

I had this at a very similar gestation with DD1 and when I returned a week later, there was a heartbeat present. It was an awful wait and I'm so sorry you have to go through this.

I would wholeheartedly recommend you look into your local EPU instead of seeing a GP, as ultimately that is where they will send you.

Thank you @WhyTheHeckMe i will try book a dr appointment on Monday.

Hoping everything goes well for you xx

@Silly35 @DeliciouslyHella thank you - also reassuring too.

I know I should know this having two young children already - but is there a good time to contact EPU? Will they be inundated over the weekend? Or is any time as good as any?

Tbh OP I would go to the EPU. I had a similar situation a few years back and the EPU gave me 2 scans, a week apart, which showed that nothing was growing. I also had bloods taken and my HCG levels continued to rise as they would have if my pregnancy had been viable, so it was only the scan that showed otherwise. (I then opted for surgical management, but it may yet not come to that decision for you). Good luck

@poddige - have a look online to see if your local EPU's opening hours are posted. My local one only does Mon-Fri 9am-4pm. Some need a referral from a GP, others allow you to self refer. That info should be online too.

Sorry you're going through this...I'd definitely wait a week and then try another scan, even if you need to go privately.
At our EPU there is no one available to scan at a weekend and then only a few spaces each day which need to be referred through GP/midwife. I was bleeding badly at 11wks and was referred through A&E but still couldn't get a scan for 4 days after begging and crying to the MW. Without any symptoms of anything being wrong a private scan may be your best option.
Good luck xx

Yes sorry if your epu will take self referals definitely go there. Mine won't, midwife or gp only but when my midwife referred me this Thursday for a reassurance scan they refused as I'm not experiencing any miscarriage symtoms. It is so hard to get in at my local one :(

My epu is closed weekends but just check yours online. Good luck

Hi OP. I'm just checking in to see how it's all going? Been thinking of you

@WhyTheHeckMe thank you, genuinely appreciate it.

I went to the GP on Monday who referred me to EPAU yesterday (only gp/midwife referrals. Glad I checked thanks to all pp)

The scan didn't show Any change, and in line with NHS policy I have to wait two weeks for another scan before that can say either way. I left with a leaflet on "pregnancy of unknown viability" and an agonising two weeks wait.

They seemed so blasé at the hospital (not in a rude way), and obviously deal with much more harrowing things daily. This has given me the impression my dates might just be WAY out (3 weeks it would have to be) as they seemed so nonplussed.

Obviously I'm pretty sure of my dates, otherwise wouldn't have been in such a tizz all weekend. But unsure if I'm now naively hopeful.

A long two weeks. I will pop back in two weeks and let you know.

Again, genuinely appreciate you coming back to the thread, and to all the pp who commented. No advice irl, so has really really helped.

Ahh I'm really sorry you didn't get a definite answer. Did they do bloods?
If you're sure of your dates I'd say it does sound like it hasn't worked out this time :( how long have you known for? Because if you were only 3 weeks it'd be unlikely to even show up on a pg test.
Sorry if it sounds like I'm being negative :(
I felt symptomless for about 5 or 6 days before I started actually bleeding. The blood was almost a relief so I could move on as strange as that sounds. I knew it hadn't worked out and I just desperately wanted my body to get rid.
Yes please do keep us updated, will keep everything crossed for you

Hi op I had this, it's called a blighted ovum, it was a torture wait for a rescan for me but as my second scan at 9 weeks still just showed an empty scan I opted for surgical management as no one could say how long it would take to medically miscarry. I hope this isn't the case for you and everything turns out ok

I absolutely agree with you. Just the non-concerned nature of the lady who scanned me and the nurses who spoke to me made me question the whole situation.

They don't accept the private scan results, so start from fresh at their end, hence the two weeks wait.

The pregnancy 'appears to be 4-5 weeks along'. However I am certain I am 7 weeks. Even give or take a week, it's a huge difference at this stage.

@DownstairsMixUp I've been on Dr google since Friday and am sure this is what I've got.

Sorry you've been through this too. After your second scan was the removal reasonably soon after? Would hate to have another week or so on top of these two weeks.

It was a week after I think, this was in 2013. It was quick surgery and I didn't have barely any pain after, the bleeding lasted about two weeks x

Hi OP, I'm sorry to hear you're going through this, it must be tough and an agonising wait for you and keeping my fingers crossed for you for a positive outcome x

I went through this also a few years ago and had an empty sac too. Unfortunately in my case I started bleeding dark brown blood and sadly miscarried at 7weeks 😢

The only thing I can advise is to stay strong, don't stress and pray. I know it's easier to say than to actually do but it helps x

Thank you @sidesplittinglol - sorry you've been through this too.

It's so hard to just be present and carry on as normal - hoping these two weeks don't drag too much.