DNC or wait? help?

[Violetasmom]

Hi all. Well its me again. Today's u/s showed nothing in my uterus. My numbres went up last Friday but minimally. Jan 22: 383, Jan 23 : 466, Jan 25 : 535. The doctor woudl like to do a DNC on Wednesday to see what was in my uterus and then do a laporoscomy to rule out ectopic. He says since my numbers are so low and i have no pain, no cramps, no spotting that I can wait until mother nature takes it course. With my last two miscarriages that is what we did. We waited to bleed naturally but I am worried about an ectopic. Any suggestions. Any horror stories of DNC's. I jsut want to do the most healthy thing to get pregnant again. we want a child so badly. Any help or suggestions. THanks!

[Violetasmom]

Yeah...no I had to beg for this one...although I am not opposed to begging...I've lost most of my humilty with these pregnancies! :) THanks for all the good thoughts. I don't know, everything I have read on ectpoic seems to say there is pain and blood and I have neither...so I'll hold out..it just scares me and military care certianly leaves a lot to be desired..they make grave mistakes with no consequneces all the time because they are unable to be sued so it doesn't matter to them really...which is also scary.. In 13 years dealing wiuth the military, I only had one doctor I trusted and he was a reservist callled in for three months! Anyway, I'll keep ya'll posted and I sure Hope all is well and next week's u/s will take away all my fears...I just wish now I could get over this horrid cold!

[MelzieWelzie]

As hard as it is, try to relax.  Your numbers are actually starting to look pretty good.  Maybe you had a "vanishing twin".  Would it help your anxiety to call the dr. office and beg to have the u/s sooner?  I'm not sure how far along you are, but maybe they're choosing to wait to make sure they see something at the time of your u/s.

My thoughts are with you.
Melanie

[melimeli]

looking good!!

[AshleysMom]

You still don't have any pain, right?

I was so worried about ectopic with this preg.  I asked after I got my HCG results back at 507 then around 1200 two days later.  The NP said she wasn't worried about ectopic since I would have likely had some symptoms with levels that high.  

That seems crazy to wait so long.  

Best of luck to you.

[Violetasmom]

thanks. Yeah, my military doctor said to wait and yesterday my HCG levels came back at 1400 but  I AM worried...my doc scheduled me for an u/s but not til next week and that seems so far away...I cringe at every dsicomfort now and i have a cold so I totall;y uncomfortable...I'll keep ya'll posted...

[AshleysMom]

You know, I wouldn't mess around if they think it might be an ectopic.  Your tubes can rupture with levels as low as 6, according to my doctors at Stanford.

I recently went through a similar ordeal.  My levels were super low (lower than yours - I think they started at 8 and went up to maybe 300).  The ultrasound showed nothing, so they did a D&C and that other proceedure where they use a camera.  After the D&C, my levels kept going up very slightly, so it was ruled ectopic.

I had to have two rounds of metho shots.  About 4 months later my levels were back to 0.  A few months later I got preg and am now almost 24 weeks after 10 mcs in a row.

The ectopic sucked, but D&Cs are not physically painful, at least for me.  I've had 6 of them.  

Best of luck to you. Please keep us posted.

[Violetasmom]

thanks so much for teh encouragement Tina..Yep.. I am definitely holding out and won't do anything for a while! God willing this baby will live and thrive or atleast she'll have all the chances I can give her and YES militrya care sucks!!!

[Violetasmom]

thanks so much for teh encouragement Tina..Yep.. I am definitely holding out and won't do anything for a while! God willing this baby will live and thrive or atleast she'll have all the chances I can give her and YES militrya care sucks!!!

[tina1111]

OMG!!!! I am so praying for you! That is very encouraging news!!!! I didn't realize it was a military situation. Don't get me wrong by any means. I come from a family of Marine Corps Lifers. But, military medical leaves a lot to be desired. Usually, you won't see much on an u/s until after the #'s go over 1, 000. Hold out for sure. I, too saw a hb the night b4 and no hb the next day. There was no mistaking the fact my baby was gone. No movement, no hb. I was comfortable with the decision. Your case is VERY different. If they don't see a hb even this time. Wait to see. It is so early and the new info you gave changes everything!!!!

[Oly1970]

I personally wouldn't let them to just go by a HCG results. I would ask for a u/s prior to doing a DNC. I had 3 DNC's this was after not seenig a heartbeat. With my third miscarriage I had no signs of a miscarriage and I had my Dr. do 3 ultrasounds before the DNC. If you do this just know that the u/s may be at your cost. Good Luck

[shesherm]

My DNC went well also...in and out and on the way to recovery.

The wait to MC naturally...ugh after 2 1/2 weeks my body stillhadnt MC.  I'm so sorry for your loss

[Violetasmom]

thanks ya;ll for your kind words! Well, I just got another twist. My military doctor finally called and said taht a DNC is totally off mark right now. My HCG level was 893 today and she said that  I shoudl wait and get a new HCG Wednesday and new u/c Friday. She is a new doctor for me and she said in 15 % of pregnancies HCG levels are low and don't double as they should and since mine was steadily increasing and I had no blood that I shoudl not discount a viable and healthy pregnancy yet. I told her not to give me false hope and she said she wasn't and that a DNC could terminate a viable child. So, now I am waiting...cautiously waiting. thanks for the hug I SO NEED ONE!!!

[vsentz]

well... i don't really think there's too many horror stories about DNC's as there are with natural m/c's. I had one on July 06 and didn't have ANY problem, in fact, im glad i did, otherwise it would've been painful!! i barely bled and was not having any kind of pain... just a little bit of bloating (well, i was 12 weeks too...) and that's it.
The thing i recommend too is the laparoscopy. I had one May 2007, and were able to detect a BUNCH of stuff going on in 'there'.... i had a huge tumor, a cyst, and endo... they cleared it all and now, thanks to that (i could kiss that doctor's feet anyday!!!) i am preggy with my beautiful baby girl after TTC for more than a year and suffering painful losses....

Don't be afraid hun. I am SO SO sorry for your loss... i know what you are feeling, here a HUGE HUG for you... things will not erase just like that, but it will get easier for you, and you WILL be a mommy very soon!!! =)

[tina1111]

Since your #'s are still going up and not down a d&c is probably the best route. I had a d&c last Jan at 12wks 2days and everything went fine. Minimal pain and it only took about 3 hrs at the hospital. My dr said it could take a month or two b4 my body realized the heart stopped. I did not want to carry him that long knowing. I am sorry for your loss and wish you the very best.