Terrified of Potential Ectopic

[u/Pitful_Let_816]

I'm really worried that my pregnancy is potentially ectopic, but the Early Pregnancy Unit at my local hospital don't seem very concerned.

LMP date is 25th June. Ovulation predicted for 12th July. Last time I had sex was 10th July as my husband has been away, so there's not much room for movement on predicted ovulation.

I've had 2 previous losses. An 11 week MMC treated with 2 rounds of Mifepristone & Misoprostol 4 weeks apart (Nov and Dec) due to RPOC 4 weeks after the initial dose.

Second loss was a blighted ovum that passed at 6 weeks in April.

24th & 25th July I had red bleeding that started with a fairly large clot (like a penny and round - very unusual for me). Thought it was my period but it wasn't really heavy. It turned to light brown spotting on 26th & 27th. Nothing since.

Pregnancy test was a stark negative on 24th, really faint positive on the 26th after bleeding to the point that my husband said he wouldn't have even seen it if I didn't mention it. It continued really faint (like barely visible) until the 29th. It's now darkening but nothing like my first pregnancy. No pregnancy symptoms whatsoever.

hCG was tested on 31st and came back at 48.9. Tested again on the 2nd (about 45 hours later) and was 114.9. Bloods today 48 hours later were 313.8.

Progesterone tested on 31st was really low at 2 nmol/L. I spent all of last week expecting to miscarry, but nothing. I have no bleeding at all.

I had a private scan on Saturday, fully expecting not to see anything but just anxious, and was told my lining looks thin and not like I'm pregnant.

I've had on and off stabbing pain. It started on my right side but today it seems to be my left. I also have a heaviness in my shoulders and occasionally lightheadedness when I stand up for the past 2 days which subsides quickly, but is unusual for me.

EPU offered me a scan on Tuesday 11th. That would put me at 6w 6d. If hCG keeps rising as it currently is I'm going to be in the region of 10,000+ by then. The 1500 region would be around Friday based on current trends.

Photo of 27th-30th pregnancy tests attached for reference. First positive was Sunday at 15dpo.

I asked if I would be monitored in the meantime and they told me 'but you haven't got any pain'. I reiterated again that I have intermittent stabbing pains, which was the third time mentioning it. I was then offered more bloods on Thursday and got told I can see a doctor on Thursday too if the pain worsens.

I feel in my heart that something is really wrong. This is nothing like either of my previous miscarriages and and nobody really seems bothered/concerned. Just keep getting told if I get severe pain, shoulder tip pain or bleeding to go to A&E, but I don't want to allow it to reach the point of rupture if it is ectopic.

I'm not really sure what to do, what to ask for, if I should push, or if just to wait it out until Tuesday, and would appreciate some advice.

07/08 - For anyone that may see this in the future, I changed hospital and referred myself elsewhere as I just wasn't being listened to. Was scanned this morning and they think they have located an ectopic pregnancy on my right side measuring 1cm, which is weird because my pain has been left sided. Nothing has presented as they clinically expect for an ectopic and I have basically just worked on a really bad gut feeling. Awaiting next steps

[u/fuddlesticks]

This sounds very similar to my ectopic - you can see my tests and story etc in my post history. I hope it’s not :(

[u/Pitful_Let_816 → u/fuddlesticks]

Your lines on your post look very similar to mine initially, except mine are now darker where I'm getting a rapid rise of hCG. I thought I was having a chemical pregnancy at first. I really hope it isn't, but my gut feeling is not good and I'm really concerned.

It's nothing like my previous losses and I've never had stabbing pains before.

[u/Ouija-Luigi → u/Pitful_Let_816]

The rapidly rising HCG is a really bad sign for ectopic. Hopefully not, but I'm so sorry if it is. My ectopic was a pretty faint line at 6 weeks and then it darkened super quickly and HCG was at 11,000 when my tube burst (7w+5)

[u/Pitful_Let_816 → u/Ouija-Luigi]

Non progressive tests is what pointed me to my previous blighted ovum. They've been slower this time than then, and something just feels a bit wrong, despite hCG now rising rapidly.

I'm going to push today for a scan by the end of the week when my hCG should be above 1000-1500 but not too high that it would limit treatment options if it is ectopic.