high hcg level - no yolk sac or pole

[axn]

I am trying to figure out how to use this forum. I posted this question already, but to the wrong "community" i think. Anway. Looking for insight that anyone may have on my situation.
Age 37
HCG level: 23,000  (Jan 27)
Vaginal ultrasound on Jan 29 showed a gestational sac... but no pole or 'yolk sac.'
So, doctor had my HCG levels tested that day (Jan 29) -- they came in at ~25,000.

Since the HCG levels didn't double like they should, and there was no sign of the yolk sac, the doctors and nurse are pretty much preparing me for a miscarriage. They have me coming back a week later for a follow-up U/S ... but again, they have pretty much said it looks like a miscarriage.
Any thoughts?

[Bre0896]

I Recently Have A Ectopic In August Im Currently 5 Weeks Pregnant My Levels Went From 1,400 to 2,200 i had a ultrasound just a sag i go back tomorrow very scsted My Nane Is

[mikaleen]

I am sorry you are going through this.  I know how frustrating and heartbreaking it can be wondering what's going on.  Once HCG levels go over a certain level ( I believe somewhere around 15000 or so)  they are no longer expected to double in 48 -72 hours, but they would be expected to rise quite a bit in 96 hours.  Have they checked your progesterone levels?  At this point that level and u/s would be a better indicator than hcg of what's going on...unless the hcg levels started dropping.  I had brown spotting for a few days and then it stopped, and at 7 weeks I had an empty sac.  I was told to wait 3 weeks for another u/s, which still showed an empty sac.  Did they tell you at this point they would expect to see at the least a yolk sac?  If there was a yolk sac it would sound more promising.  I hope when you go back though you get some happy news...it's been known to happen.  Good luck.

[ArmyPrincess819]

Just know that bleeding and cramps especially in early pg are a normal side affect. I hope you get great news. Good luck and let me know what happens!
AP

[axn]

thanks for your quick replies. hopefully i'll be back with good news... but i'm not feeling all that optimistic.  
with the brown discharge that's occuring now (minor spotting) I have very mild cramps. In fact, I'm not even sure if they are "imagined' cramps or real... I'm so paranoid it's hard to say at this point.

[smr08]

I just read your other post and I see that they estimated you at around 6 weeks. As for the brown discharge that could just be old blood, a lot of women spot in early pregnancy. I would just try and stay calm until your next visit (easier said than done). I have also read where some womens numbers don't always double. I wish you the best and please let us know what happens.

            Lori

[ArmyPrincess819]

I'm sorry you have to go through this. I don't want to undermine what your dr's said but I went through an issue with seeing the hb and I went back the next week and there it was. I don't want to give you false hope but they could be wrong. Have you had any bleeding or cramping etc? I'm sorry you have to play the waiting game.  I know it's scary and just awful. I wish you the best. Let me know what happens. Good luck.
AP
Ps There is no specific way to use the forum. Your post was great. I hope we can bring you some support. Welcome to the miscarriage forum.