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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

6+6 3.5mm fetal pole and no HB

10 replies

Spiritanimal · 06/01/2024 07:34

Looking for advice on my situation as Ive been told I’m probably going to have a MC but they can’t be sure. Also leaving a lot of details as it might help someone in future and I’ll make sure to update this post with what happens.

I’m 42, overweight, have an endometrial polyp no children, TTC for over a year and naturally pregnant being seen and monitored by a fertility clinic after 1 CP 6 months ago. I’m on clexane, thyroxine for low thyroid, cyclogest and 5mg folic acid.

My LMP started Nov 18 and I got a positive ovulation test on Nov 29. Got my first positive FR test on 10th Dec and went straight to the fertility clinic for support.

my hcg was as follows

12th Dec (12 DPO) 25
13th - 34
15th - 69
18th - 222
20th - 527
22nd - 1082
24th - 2137
27th - 4270
29th - 6398
2nd Jan - 14589

progesterone was also always tested and sits around 150 as they wanted it above 100.

I had my first scan at 5+6 which showed a fetal pole of 1.9mm and although I don’t have measurements to my eye the gestational sac and yolk sac looked correct size. Sonographer measured a polyp at 11x6x13 which I already knew I had but only found out a few weeks before I fell pregnant from an NhS scan. sonographer was concerned the GS was low laying but was separate from the polyp.

Second scan at 6+3 and I could see GS had grown, but they could find no heartbeat and the fetal pole was measuring 3.2mm. The doctor who was in the room and took over from the sonographer he said the position was actually not that bad but said “it’s not looking good if I’m being honest”. Due to the lack of heartbeat at this stage.

Third scan yesterday 6+6 and I can see again the GS has grown, and the fetal pole seemed difficult to measure but the sonographer said 3.5mm. She said it doesn’t look good and sent me to do a scan on another machine with a doctor. She also found a paraovarian cyst.
the doctor scanned me for a while and said normally if I had not had other scans she would say this pregnancy looks ok as it’s natural but since I’ve had the other scans and it was the same sonographer doing the measurements she was fairly sure it’s going to miscarry.

I can also see with my eyes that the size of the gestational sac is now so much bigger than the yolk sac and by other reference I’ve seen the embryo should be a bit bigger by now. She could barely measure it. I can even see what she’s measuring.

she told me since it’s natural I should wait a week and go to the EPC but now I’m scared the NHS is going to make me wait weeks and weeks before confirming this. I could take matters into my own hands and stop the progesterone and cyclogest which would likely bring on the MC.
I’m just scared and guilty from the few posts I’ve seen that say sometimes they can be small or slow growing and everything turns out fine.

I might wait until next week and then see if I can get one more private scan and if then after two weeks there’s been no growth and no heartbeat then stop meds. Because I know and am sure of my dates this is what makes me less hopeful as when you hear these stories of a heartbeat finally appearing at 8/9weeks I’m sure that must be mixed up dates? Idk

OP posts:
clasmummy20 · 06/01/2024 08:09

I have no advice however I didn't want to read and run.

I'm sorry it's not looking great for you however I'm hoping that there's a a positive turn of events very soon.

Sending you lots of love & hope x

Mollydog1234 · 06/01/2024 11:12

I'm in a similar position to you. On asprin and progesterone and measuring a week behind with no heartbeat. I'd really like to stop taking the drugs as I'm sure this is a miscarriage but having to go through the motions of the NHS rescans with the tiny bit of hope (from the drs not from me) but feeling like I cant stop the drugs just in case. It's a real shitty catch 22 situation. I have my fingers crossed for a positive outcome for you xxxx

Spiritanimal · 06/01/2024 13:26

Thank you for sending a reply , it has made me feel better ❤️

OP posts:
Spiritanimal · 06/01/2024 13:28

Thank you for sending a reply. I have called the local EPU today and they were actually very compassionate and helpful. They explained although they agree the private findings sound like a MC - they have to do their own scans and base it on their own evidence. They’re going to scan me early next week. If the fetal pole is less than 7mm with no heartbeat I will be called back for a second scan one week later. At that point even if it’s less than 7mm if there is still no growth and no heartbeat they will call it at that point.

I will update next week on what happens.

OP posts:
BellaRuby06 · 06/01/2024 13:39

Hi! So sorry that you are going through this. I hope your EPU are supportive. I had a missed miscarriage in October. I initially went for a private scan at 8 weeks, pregnancy was measuring around 6 weeks which they were concerned about. I then called my EPU to get more information, they rescanned immediately, and found similar findings to the private scan and believed I had miscarried. I then was asked to wait a week, and come back for a confirmation scan. The scan confirmed a missed miscarriage. I know this story isn't one of hope, but I hope it offers solidarity. It's a very unsettling experience, feeling in limbo and the gaps between scans feel like a lifetime. My EPU were lovely and I hope they are lovely to you too. And of course, I hope for a better outcome for you 🧡.

Spiritanimal · 06/01/2024 13:40

Also they told me to keep taking all my medications until they’ve determined it’s truly non-viable.

OP posts:
HopeIVFover40 · 06/01/2024 19:53

You've come this far so keep taking your meds, you’d maybe regret it if you didn’t 🙏 ✨ 💗

Spiritanimal · 24/01/2024 19:13

Update: I was referred to NHS EPU who scanned me a few days later and saw a fetal pole of possibly 4mm but no HB. They said I had to come back in one week for another confirmation scan. I could see my uterus started to look different, kind of like Swiss cheese. The GS was still there but some blood had pooled underneath it. At that point I stopped taking my medications (clexane and cyclogest)

I went back in a week later and same thing, but fetal pole was measuring less and they explained it’s so hard to measure at that size it can be that it’s being measured from a different angle. Again no HB. Uterus looking even more like Swiss cheese now. They brought in a nurse to confirm, and I was scanned by a nurse sonographer.

They then took me into a quiet room and another nurse came in to explain my options. I was offered dnc with or without general anaesthetic or medical (misoprostol). I opted for medical and they gave me the first dose which is something else that stops the progesterone, and sent me home with the misoprostol and a bag of medical sheets, maternity pads, box of 30mg codeine etc. I have to say they were really great and compassionate and kind.

I took the misoprostol two days later in the morning and luckily it worked straight away. Within 20 mins I had contractions. Within 2 hours most of the pregnancy had fallen out of my dilated cervix. That was a week ago now. The bleeding has stopped but I now have horrible bloating and gas.

We saved the pregnancy as we thought we might test it but decided it was not worth it and might not work. We just had a cremation outside.

😢

OP posts:
Ikeatears · 24/01/2024 19:17

So sorry to hear this. Flowers

UrsulaSings123 · 24/01/2024 21:49

I'm so sorry to hear this sad outcome. Sending you loads of love and hugs ❤

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