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Advice on a new diagnosis please x

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Maisy24
Posts: 1
Joined: Tue May 31, 2022 1:16 pm

Advice on a new diagnosis please x

Post by Maisy24 »

Hello everyone,
Firstly sorry for the long post.
Yesterday I attended the EPU due to bleeding at 6.4weeks. They done a transvaginal scan and stated there was no evidence of an intrauterine gestation sac. I was then sat down by a midwife in a room, told could be misscarriage, could be eptopic, need to go for bloods now, have a set today and come back Wednesday 3:20 for another load. If levels are rising it could be pregnancy was too early to note, if they drop it’s miscarriage, if there’s not much change it’s eptopic. Handed the report and 2 leaflets about miss carriage and ectopic pregnancy. I had a call today from the same midwife who told me the bloods today came back at 793 and I deffo need to go back tomorrow. I asked what the number means and she said it will be a comparison for the ones done tomorow. I’m at such a loss as feel like I’m not getting much information about what is going on, I’m terrified as I’ve read that ectopic can cause death and I’m scared my 2 year old daughter is going to lose her mum. I am still bleeding but only lightly, I have a dull ache on my right hand side and I feel very weak. Im just really looking for some support and advice of what to do next really as I’m not even sure myself what is happening to my body and what the future holds.
Thank you for reading x

EPT Host 20
Posts: 3155
Joined: Thu May 31, 2012 10:58 pm

Re: Advice on a new diagnosis please x

Post by EPT Host 20 »

Dear Maisy,
I am so sorry to hear of the worrying time you are going through.
Unfortunately there are no set symptoms for ectopic pregnancy which can make it difficult to diagnose. Ectopic pregnancy can be life-threatening and thankfully it is rare to cause maternal death, but there is a risk and as I am not medically trained, I would suggest If you are feeling unwell or start to feel worse than you do now, to seek urgent medical advice.
It sounds as though you are being closely monitored at the moment, which is good to hear.

When diagnosing an ectopic pregnancy, doctors use a combination of transvaginal ultrasound scanning and blood tests to check HCG levels. Usually scans take place at around six weeks gestation as there is a reasonable chance of seeing an embryo at around this time. If scans are inconclusive, doctors would carry out a series of blood tests to check hCG levels to see if the numbers are rising as expected. However, in isolation, hCG tests only provide a part of the picture - declining levels indicate that a pregnancy has ended and will be miscarried. It can also possibly indicate an ectopic pregnancy that is "self-resolving". Also hCG levels rising by less than 66% over 48 hours means it is likely (but not certain) that it is ectopic. If levels rise normally, they suggest the pregnancy is implanted in the uterus. You may see from this that hCG levels only indicate certain possibilities and are not in themselves a definitive guide. A positive identification of an implanted embryo on a scan is usually needed before a final diagnosis/certainty that the pregnancy has implanted in the uterus.

I am sorry that I cannot be more precise but you will get more information with your next blood tests.
We will be here for you for as long as you need,
Sending much love,
Karen x

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