Pregnancy of unknown location PLEASE HELP

[lucirose2023]

Hello. I am going out of my mind and the early pregnancy unit keep going back and forth constantly and I'm so scared! I'm meant to be 8 weeks today. I found out I was pregnant at 12 DPO and had a period like bleed 3 days later for 5 days which I presumed was a chemical pregnancy. After the bleeding stopped I took another test and it was darker... Went to A&E who did bloods and said my hcg was only 10.8 and to wait it out. A week later my tests were even darker so I phoned my GP to refered me to the early pregnancy unit. I had 4 scans with them who said I have an empty uterus. Progesterone was very low and last week it was at 18 and yesterday its now 8... my hcg keeps going up and down. It was 380. Went down to 340 and yesterday its now 440... I went to A&E yesterday which is how I got these bloods as I had a private scan the day before as I didn't feel right and my next nhs scan isn't until Monday. They found a small amount of blood in my uterus. A&E basically did bloods, felt my stomach and felt around my uterus and said it's all okay and to wait until my appointment on Monday. I am so scared...surely at 8 weeks this will be close to rupturing if its ectopic which surely it is! All scans have looked at my tubes etc and all seems fine. Just that little bit of blood in my uterus 2 days ago. They won't give me the injection as they can't find the pregnancy! I have had backache, cramps, pain and fullness when I go to the loo, sore boobs ect for 2 weeks now... Has anyone been in a situation like this? I am absolutely terrified xx

Oh bless you, I'm sorry you're going through this. It must be so stressful.
If there was a continuing pregnancy anywhere, at this gestation they would have very likely been able to find it on ultrasound. It may be that wherever the pregnancy was located, it stopped developing in the very early stages. The vast majority of cases resolve on their own, our bodies are very clever. It can just take a while and it's very difficult and confusing in the mean time not having a clear answer. The likelihood is that everything will resolve on it's own and in the mean time keep in touch with EPAU to check your hcg reduces appropriately. There are guidelines that the hospital will be using and you can read these online. If you just google 'NICE ectopic' and 'RCOG ectopic' it will bring up the guidelines on management and it mentions pregnancy of unknown location in there. Hope you're ok.

If it helps, I had a tubal ectopic pregnancy 2 years ago and at my first scan at 7+2 it was very visible in my tube. At my second scan at 7+4 they could see the pregnancy had grown and that my tube had ruptured.

Hopefully the fact they can't see a pregnancy at this stage is a sign your body is resolving it by itself/the pregnancy stopped growing early on.

Have they given you any advice about next steps? I assume more scans and bloods?

I found the ectopic pregnancy Trust very helpful, worth looking at their website.

I hope everything soon resolves for you.

Your body is trying to resolve this I think. Very distressing for you to experience but it doesn't sound like you're at risk of a tubal rupture. They would have seen a developing pregnancy there in your scans. It may take a little while for things to resolve. Are they going to do another hcg?

I was about 8 weeks with my ectopic and they didn't see it on the two scans I had. Have they said anything about when they would offer a Laparoscopy?

Hi everyone thank you for your replies. They found the pregnancy in my left fallopian tube about an hour ago. Waiting for the injection. Thank you for your replies xx