Avatar universal

Saw heartbeat then no heaartbeat, hcg levels have looked good whole time

Ok. So here’s what I know and somethings just don’t make any sense. I’m wondering if anyone else has experienced anything similar and what was the outcome.  

My last missed period was 11/15/18 putting my due day at Aug 22, 2019

Jan 3- First doctor’s appointment. Baby was measuring 7 weeks 1 day on transvaginal ultrasound. Ultrasound tech could not hear the heartbeat yet but could see it and said it was 109. I don’t know levels but doctor said HCG levels looked perfect.

^Loved the office and doctor but the practice was not accepting any more pregnancies. So I had to go to a different doctor/office. First appointment at new office Jan 14th

Jan 14- New doctor measures baby on ultrasound and says it’s measuring 8 weeks 4 days but she doesn’t see a heartbeat. HCG levels 88,700

Jan 16- I come back in for an ultrasound with the technician at the new doctors office to see if she can find a heartbeat. She says she can not find heartbeat either but that baby is measuring 7 weeks 5 days. HCG levels 72,800

Ok, so here’s the problem. I don’t understand how the doctor measured baby at 8 weeks 4 days and then the ultrasound tech measured baby at 7 weeks 5 days. That’s a huge discrepancy when we are talking embryo. Also, if the ultrasound tech was correct and baby was 7 weeks 5 days on the 16th of January then that means I lost the baby Jan 7th. Wouldn’t my levels be much lower than 88,000 on the 14th a whole week later? At first I thought when I seen my hcg levels drop it was for sure a miscarriage. But then I read that hcg peaks around 8-12 weeks and then goes down. I have three children and my morning sickness was usually over by week 9. So I’m thinking my hcg goes down around week 8-9 normally.

Doctor wants to schedule D and C. I’m waiting to see what my body does. I still get nauseous every few hours if I don’t eat. I feel pregnant. I have not had an cramps, back pain, or bleeding. I had three miscarriages very early in pregnancy 5-6 weeks before having my three children. This does not feel like a miscarriage.

2 Responses
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15695260 tn?1549593113
Hello and welcome to MedHelp forums. This sounds very confusing and we are sorry you are going through this.  We do hope it all turns out alright and that your pregnancy continues but with this information, it is difficult to say what the outcome will be.  We are glad you have received help from your physician and we do always recommend that women work with their doctor for diagnosis and to guide them through the next steps.

Here are signs of miscarriage https://www.webmd.com/infertility-and-reproduction/understanding-miscarriage-symptoms#1-1

However, it is hard to determine what is happening with the conflicting information you have gotten with the various doctors and tests you've seen and had. It would be perhaps an idea to have your hcg measured to see if it is continuing to drop. That you have no cramping or bleeding is a positive sign. Normally with a miscarriage, symptoms worsen as it progresses.  But this is your body, baby and life so you should call the shots in terms of whether to have a D&C and when it is appropriate.  We wish you the very best and please keep us updated.
Helpful - 0
Avatar universal
If it were me I would ask for another ultrasound and possibly another Beta HCG. It sounds like this was a natural conception (not IVF). With IVF the dates are pretty much exact. With natural conception dates vary a little. They also could have the measurements off a little. For reasons like this, I would ask for a third scan. I’m going to choose to think everything is going to work out ok for you and your little one. Have your doctor check your thyroid and progesterone levels to make sure everything’s good. Your thyroid needs to be under 4.
Fingers crossed for you!!
Helpful - 0
Thanks for answering. Yes it was natural conception. I’m going to make an appointment at the first place I went to where the ultrasound tech seen the heartbeat for tomorrow. To complicate things I had a tummy tuck 5 years ago after having what I thought was my last child so I have scar tissue which is making it harder to see baby. I want a second opinion and I trust her opinion since her equipment seen the heartbeat before. I’ll also ask them to take my blood again and check hcg, progesterone, and thyroid. I’m hoping for a miracle.
I had another ultrasound today and baby seems to have just stopped growing and lost it’s heartbeat at 8 weeks. My cervix is still high and closed. My body still thinks I’m pregnant. I’m going to wait a week and see what my body does.
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