Okay, here is my story. I have been browsing this website for years and was diagnosed with pcos back in 2002 but have never posted ever. But here it goes!
I am desperate for any info, experiences or any hope that can be had. I have been doing injectibles for the past 4 months all with IUI's that have failed. However, on March 17th we had an IUI & we were blessed with a positive pregnancy result on March 31st. The beta HCG number on March 31 was extremely high according to the RE & was over 2000+ so they had scheduled me for an ultrasound yesterday (April 7th) to check for how may yolk sacks could be seen because they were afraid for multiples! They had mentioned that the number for a beta HCG is normally between 200 - 500 for a single pregnancy. So, it turned out at the ultrasound they could not see anything at all but the lab tech mentioned that sometimes nothing can be seen in only 5 weeks of pregnancy. So the next step was that they requested some blood work be completed. They checked the HCG & Progesterone. The results for the HCG were received back and the number had dropped to approx. half of what it was. In the meantime, I haven't experienced any severe cramping nor bleeding. Now, this morning I took a HPT and it is still positive. The clinic yesterday mentioned that it appears that I could of lost the pregnancy and if any severe cramping or bleeding begins to get over emergency for the fact of an ectopic pregnancy.
So now I sit here and wonder "Could there of been more than 1 but I'm still pregnant or am I just grasping at hopeful thoughts"?
Totally confused & hurting! Sorry for the long winded message. Please help.
I can see why you'd feel so confused, I would be as well. I think you should wait another week and have another u/s done, to see if there is anything there or not. It could just be too early, and maybe your original beta was wrong somehow. In the meantime, you could have your bhcg drawn every 48 hours to see how your numbers are doing. If you experience any sort of cramping/bleeding between now and your next u/s, call your doctor right away.
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I would think that until you actually pass the pregnancy, even with dropping betas you are going to have enough HCG to get a +++ pregnancy tests. Pregnancy tests are VERY senstive... a woman can have a +++ and only have a blood level of 100 (or less) (And even once you pass the pregnancy it can sometimes take a while for levels to drop)
I don't know if it is possible that you had more than one and only lost one. It seems possible but I really don't know.
I just had a blighted ovum (fertilized egg that became a sac but no baby) and at 4 weeks we saw a sac and at 6 weeks still just a sac, a little bigger. There are women who have seen empty sacs at 6 weeks and went on later to see the baby so I know you can have an empty sac and have it turn out all right (in my case my betas stopped rising enough and my progesterone nose-dived, which indicated I wasn't going to be one of those long shot miracle cases)
In comparison with my son at ~5 1/2 weeks we saw sac, baby, and heartbeat.
Are you saying they saw a sac with nothing in it or just flat out nothing in your ultrasound? I think that by by the time HCG is 1000-1200 they should be able to see a sac and tell if the pregnancy is in the uterus- if you are saying there was nothing in the sac at 5 weeks, that is not terribly alarming. But if there was not even a sac at 5 weeks, I am not sure what to make of that. There is always the possibility of the ultrasound missing something, but the dropping betas really don't sound good.
Do you have another ultrasound set up in the next week or two? More blood work? If your betas go up again, maybe that would point to the multiple theory?
FWIW I never had cramping or bleeding with my miscarriage. I had to induce it with cytotec (medication).
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Greatly appreciate the responses Diamond & RunnerDuck. RunnerDuck, I'm sorry to hear about your loss. In response to your questions, yes I have another ultrasound scheduled for Wed, Apr 12th and I need to give an update to my RE tomorrow morning about how the weekend went. So, I would imagine that they will be sending me for more blood work. In the meantime, I will try to remain hopeful but not get the hopes up too high.
I'm Totally Confused... 
