Small sac and thin lining... any hope?

[2ndDestiny]

Just thought I'd see if anyone has had a similar experience and what the outcome was. Please be honest if it doesn't look good.

Am very worried as my last pg was a blighted ovum / mc.

Just had a scan today at 4w6d - stupid to be scanned so early, but I had pain and spotting so we had to rule out an ectopic.

Sonographer did not want to answer questions, nurse then gave me the US report in the corridor, told me everything was 'fine' and to come back in 2 weeks, and sent me packing.

I have now read the US report, and as far as I can tell it is NOT fine, so I can only assume they didn't want to stress me out, since no diagnosis can be made until 6wks+ anyway.

The sac was seen in the uterus but only measured 3x3mm. From what I've read it should be 6-8mm by tomorrow, so that seems quite behind. And my lining was only 10mm, when it should be 15-20mm. Now I think maybe the spotting was my lining thinning as I get ready to miscarry...? My HCG levels look good, having risen from 159 (last Sat) to 729 (Tues) to 3029 (today), so the nurse just focused on that.

I KNOW that I should have stayed away from google ... I have driven myself crazy
Thanks for any help with this...

I've seen pregnancies with linings thinner than 10mm

HCG levels should double every day, and yours do do that (and even more!!!) and it is very reassuring.

so you needn't worry about that now, just relax and wait for your scan. you've done all you can do, basically...

Thanks ShiriDoula for the reassurance. Are you a health professional? I guess not many people get their lining measured!? I kind of wish they hadn't given me the report now, as nothing will stop me worrying.

You might be a day or two out on your dates, Destiny. At this stage two days can make a big difference to measurements, iirc.

Thanks Otter. But I was charting and also had an implantation bleed, so there's not much wiggle room with dates

I recently saw a gynae who cursed charts, OPKs and implantation bleeds because they convince women that they know the exact day/time at which they've ovulated or of implantation. She was completely convinced that these things cannot be measured that accurately (at least not at home). The nurse with her nodded vigourously throughout.

Don't give up hope

I'm a nurse, and I have worked at an IVF clinic for more than 4 years but I don't do nursing now, only doulaing...

Thanks to both of you for your words of encouragement. I am a wreck about the whole thing because it's taken me a year (with PCOS) to conceive after my mc, and I'm just convinced the same thing will happen again. I know I should calm down as if there is a baby in there, this can't be good for it (or me!).

Sorry to keep banging on, but if you're still there ShiriDoula, are you saying that 10mm can be normal even at almost 5wks? I thought it was suppose to double in thickness but then I have NO medical knowledge (and googling I know is asking for trouble!). And can sac measurements vary/ be off at this stage?

I'm saying that you can never know. our bodies are not machines, and they don't follow the "book of rules". you could have ovulated late, could have a late implantation of foetus, anything really.

So you've really done best you can, stop thinking about whether X or Y is "normal" or "by the book" or what it should or shouldn't be.

try take your mind off it, go for a walk or to the shopping centre or watch silly nonsense on TV or something. you'll know more in your next scan, and as they say- when you get to the bridge, you'll cross it not much you can do about it now, anyway (even if it is "abnormal").

((((hug))))