I asked this question somewhere else, and it was suggested to me that I post here as well. I hope someone has any advice. My LMP was July 22nd. We have been trying for over a year for another baby, and have had three miscarriages so far. With this pregnancy, when I was 5 weeks I had bleeding so went to the ER, anticipating another MC. I was given an ultrasound and told to see my OB within 2 days. Three days after the bleeding, I had blood work done by my regular OB, who then referred me to the perinatologist. When I saw the perinatologist two days later, I had more bloodwork done. She couldn't find anything in my uterus when she did a transvaginal that day, and said it was likely the bleeding I'd had five days prior whenever I went to the ER was a miscarriage. She then called me on my way home with my blood test results to say my hCG numbers had actually risen significantly from two days prior at my regular OB, so she was now sure I was having a PUL, pregnancy of unknown location. I had no idea what that was, in my experience babies only grew one of a few places in the human body... She told me that it was pretty serious and if I had any cramping or pain, to go to the ER. The very next day I had pain, so did just that. After being seen by the hospital's on call OB, an ultrasound tech gave me another ultrasound and there is a gestational sac measuring 12mm, exactly what it should be for 6 weeks on the dot...
Now I'm more confused than ever. I don't know shit about obstetrics but I know 12mm sacs don't grow overnight... My hCG leaves were increasing, still, according to the hospital blood work.
I have an app with the perinatologist in two day's time and she mentioned before that if there was nothing visible on the ultrasound that she'd need to open me up to find the pregnancy, because I cannot have medical management - an unfortunate circumstance resulting from an already damaged liver...
Of course there's no way in hell I'm letting her open me up, especially when the tech gave me a report stating there is a sac in there! My problem is this: the sac was empty on the scan the tech gave me. So, If there's nothing in it, or if the perinatologist claims she cannot see anything inside it, do I allow her to refer me for a D&C? I'm thinking no. Simply because she couldn't even recognize a 12mm sac, how can I trust her not to terminate my viable (if it is) pregnancy. I've absolutely nothing against terminations, it's just not exactly what we've been working towards for over a year... Is any of this making sense? Does anyone have any experience with empty sacs at 6 weeks but still had a happy ending with that same pregnancy? We only had sex three times that month for three consecutive days, because, ironically, we'd decided to give it a rest with trying, ha!
So I know the days we had sex... Not sure if that helps with the dates and such...
If anyone knows what's happening, let me know. And if this is in the wrong place, please move it! Thanks!