http://fertilityfile.com/2008/07/20/case-of-the-month-junejuly-08-episode-12/ The inside view from a reproductive endocrinologist Tue, 27 Dec 2011 11:04:49 +0000 hourly 1 http://wordpress.org/?v=3.3 http://fertilityfile.com/2008/07/20/case-of-the-month-junejuly-08-episode-12/comment-page-1/#comment-2655 IVF-MD Thu, 01 Jan 2009 17:10:19 +0000 http://fertilityfile.com/2008/07/20/case-of-the-month-junejuly-08-episode-12/#comment-2655 Rachel, based on the limited information, I can't comment definitively on this. Some of the premises given to you seem inconsistent. I will say that if you truly were at 5 weeks and 3 days gestation and the ultrasound showed a sac consistent with 4 weeks, it is highly doubtful that a fetal heartbeat would be seen, especially if it is a few days (you didn't mention how many days between the last hCG draw and the US) after an hCG of 1582. I'm hoping that this confusing picture is due to incorrect information and that your outcome turns out good. Rachel, based on the limited information, I can’t comment definitively on this. Some of the premises given to you seem inconsistent. I will say that if you truly were at 5 weeks and 3 days gestation and the ultrasound showed a sac consistent with 4 weeks, it is highly doubtful that a fetal heartbeat would be seen, especially if it is a few days (you didn’t mention how many days between the last hCG draw and the US) after an hCG of 1582. I’m hoping that this confusing picture is due to incorrect information and that your outcome turns out good.

]]> http://fertilityfile.com/2008/07/20/case-of-the-month-junejuly-08-episode-12/comment-page-1/#comment-2638 Rachel Wed, 31 Dec 2008 05:21:51 +0000 http://fertilityfile.com/2008/07/20/case-of-the-month-junejuly-08-episode-12/#comment-2638 I am curious about the gestational sac... I tested positive for pregnancy after taking one round of Clomid. The initial bHcg was 180 and then a week later was 2386. One week after that it dropped to 1540 and my doctor told me I would miscarry. She asked me to go in for another test three days later.. that number was 1582. So, it didn't drop... they were concerned that the pregnancy was ectopic. I had another bHcg drawn (I won't find out the results until tomorrow) and an ultrasound. I am supposed to be six weeks pregnant. The embryo was 5 weeks 3 days and the gestational sac looked only to be about 4 weeks. There is a fetal heartbeat. Does this always end in miscarriage? If it doesn't should the pregnancy be terminated? So far, I have no cramping or other signs of impending miscarriage. I am curious about the gestational sac… I tested positive for pregnancy after taking one round of Clomid. The initial bHcg was 180 and then a week later was 2386. One week after that it dropped to 1540 and my doctor told me I would miscarry. She asked me to go in for another test three days later.. that number was 1582. So, it didn’t drop… they were concerned that the pregnancy was ectopic. I had another bHcg drawn (I won’t find out the results until tomorrow) and an ultrasound. I am supposed to be six weeks pregnant. The embryo was 5 weeks 3 days and the gestational sac looked only to be about 4 weeks. There is a fetal heartbeat. Does this always end in miscarriage? If it doesn’t should the pregnancy be terminated? So far, I have no cramping or other signs of impending miscarriage.

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