8w - no heartbeat but tilted uterus

[Chris2315]

I had an early miscarriage on the 8th of February this year and decided to TTC straight after, I had a positive ovulation test on the 25th of February and found out I was pregnant a few weeks later.

Because I have had an ectopic pregnancy before I was sent for a transvaginal ultrasound on the 23rd of March when I was roughly 5-6 weeks and they saw an empty gestational sac. I went back 6 days later and they saw a yolk sac and they were very positive, and asked me to come back in 2 weeks. Well that was today and they saw a fetal pole but no heartbeat 😩 the fetus measured 6w 1d and they could see it on both an abdominal scan and a transvaginal scan. They've basically told me to expect to miscarry, I've got to go back in a weeks time to confirm but they're really not hopeful.

I do also have a very tilted uterus and it has made both internal and abdominal scans very difficult in the past, but despite this the doctor feels it's very likely the pregnancy isn't progressing.

Has anyone been through this and had a positive outcome? I've still got lots of pregnancy symptoms like feeling sick and sore boobs/nipples! I've also had no spotting/bleeding at all

I am really sorry OP but if they were able to see the fetal pole on both abdominal and trans vaginal scans it is unlikely that your tilted uterus is affecting the view and the heartbeat should have been located.
Is there any possibility that you aren't as far along as you thought?
I really hope everything works out for you next week and the heartbeat is seen then.

I have a tilted uterus too. They were never able to see the fetus abdominally during my miscarriages. I had missed miscarriages so found out at 11&12 weeks but the hearts had stopped at 7&9 weeks. They should be able to see a heartbeat at 6 weeks but considering you are measuring two weeks behind, it doesn’t look positive. Sorry Op .

So sorry OP. I've been there. Also jane tilted uterus and have experienced MMC at a 12 week scan. Heart beat stopped at 6+2 but pregnant symptoms continued .

Hope you have lots of support and if you haven't already, you ought to see a consultant about recurring miscarriages. Wishing you all the best .

Thanks everyone 😊 I've been searching and I can see that a fetal pole measuring 6w 1d is about 1mm and sometimes doesn't have a heartbeat til it's about 4mm? But I guess the problem would be why it hasn't grown more in 2 weeks. If the baby did stop growing around 6w 1d, I had a scan then when I was 6w 4d which only showed a yolk sac and no fetal pole was visible at all! So it isn't really adding up to be honest 😟

I was in this exact same situation last year. I had a transvaginal scan at around 6 weeks and they couldn’t find anything at all. I then went back two weeks later and the scan showed a foetal pole but no heartbeat. A further scan at 8wks 5 days showed that growth had stopped at around 7wks. I then didn’t miscarry until around 10wks.

I hope this isn’t the case for you and it all works out

Sorry to hear that @Jellyona :( What's making it worse for me is my symptoms are stronger than ever :( I'm just so confused.

I'm thinking about going for a private scan this Sunday to see if anything has changed and get another opinion/someone else to look around. To be honest I'm not too hopeful but I'm going to go crazy waiting until Thursday. if the baby has stopped growing then I'm so torn between a D&C and leaving it run its course...D&C will end the heartbreak sooner but what if it's a mistake? I've seen stories of mistakes being made and growth rates being different!

What gives me a bit of hope is that there is SOME progression. 2 weeks ago they couldn't see any sign of a fetal pole!

What an awful situation! I had a MMC 3 months ago and I didn't know I was pregnant until late on. I thought I was around 13 weeks, went for a scan and baby had stopped growing at 8 weeks. I have recently found out I'm pregnant again approx 6/7 weeks. I have had 3 vaginal scans already 1st didn't see anything, 2nd sac, 3rd heart beat. I am a nervous wreck waiting for my next scan in 5/6 weeks. The wait is antagonising. I just want a scan to ensure everything is ok!

When I had my missed miscarriage I had a few options. I did the pills as I just wanted it over and done with and it was definitely the best choice for me. I know this sounds brutal but at least the miscarriage will be over sooner than if you leave it to run it's course. As heart breaking as it is, it just seems a much faster option.

Hopefully you won't have to do any of that and you will see a healthy heart beat but from experience the pills were the better option for me.

Good luck x

Thank u @Sunflower2018, I went back for my scan today and no change 😟 so they've told me I've had a silent miscarriage and I was given a few options, and I've gone for the pessaries to induce the miscarriage. I've got 4 pessaries, antibiotics and strong painkillers and i'm going for it tomorrow morning. As awful as it is, it's finally some closure. Although after ectopic, an early miscarriage and then a missed miscarriage all in a row I feel absolutely broken 😟

I’m so sorry @Chris2315. Take time to heal, physically and mentally I too have had an ectopic prior to my miscarriage and I spent weeks sleeping and crying and not much else. It may not feel like it but it will get easier. Take care of yourself x

I am so sorry @Chris2315 take care of yourself

That's awful. I feel for you. I hope it is fast an painless. Your time will come. Sending love x