Well, my third hcg came back at 7181....not quite as high as I thought would be good. With 2.5 days between tests, that's doubling every 93 hours. I know, I know, once you get past 6000 it can take up to 96 hours to double, but that is cutting it so close. AND my boobs haven't been sore lately. Well, okay, a little, but not very sore. Anyways, I have to go to PT, I'll blog more later.
Okay, so I noticed that the thing I posted above said > 96 hours to double, so 93 hours is probably fine. PROBABLY. I'll say it right now, I don't think this is a viable pregnancy. I'm batting 3 for 3 right now, with a negative initial ultrasound. Speaking of ultrasound, I have another appointment for one on Wednesday the 14th, at 1400L, with the on-call doctor. (Last time I had a appointment with the on-call doctor, she got 'called' and no one bothered to tell us, so we sat in the exam room for over an hour waiting for someone to come. They never did, I finally had to go find someone and ask what was up. I look forward to Wedesday.) And I have to get another quant drawn on Monday or Tuesday. I don't know what I will do when this is over, I'll have so much free time!
Ultrasound tomorrow...well, it just passed midnight so it's actually today...but who's counting, lol? I'll probably call for my blood test in the morning - I had it drawn on Monday, although I'm sure the huffy receptionist is sick of me by now. I'm so tired of them acting like I'm just a big bother, especially when I go out of my way to be polite, at least to their ugly faces.
We can first see signs of a pregnancy at about 5.5 weeks, when, on transvaginal ultrasound, we will see a gestational sac in the uterus about 2 or 3 millimeters in diameter. (We were 5.5 weeks when we had our first ultrasound) Things change daily at this stage of pregnancy. A day or two later we see the yolk sac, and a day or two later the embryo. As soon as we can see the embryo we see the pulsation of the embryonic heartbeat.
At this early stage, we can sometimes diagnose a problem: if the yolk sac is excessively large, that might be a sign the pregnancy is going to fail. If we do not see an embryo or heart beat at a time in pregnancy when we should see that, we need to investigate to be sure the pregnancy dating is correct. We will want to do serial ultrasounds every few days to determine if normal development is taking place.
Around 7 and 8 weeks the embryo is very well seen, (We will be almost 7 weeks today…6 wks and 6 days) and we can try to see four limbs, the head, the umbilical cord and its insertion into the embryo's body, and the location of the placenta. Measuring the length of the embryo (we call it a crown-rump length) at this stage of pregnancy gives us very accurate dating of the pregnancy, plus or minus 3 or 4 days. The further along in pregnancy the first dating is done, the less accurate it is.
Well, I called it. No, I haven't had my ultrasound yet...but my last quant came back at 7664...which makes my doubling time 1022 hours...no way is that viable. As much as I hate this, I'm so relieved that we didn't tell his family THIS time. I think I'm going to ask for birth control at this appointment, at least until we have some testing to figure out if anything can be done. I don't want to have another little whoopsie like that throwing a wrench in my plans. I might post after my ultrasound this afternoon, but I can promise you (Whomever you may be) that it will only show a little black hole in me.
Pretty much the same old, same old. My doctors mercifully called me in on Thursday for a quick ultrasound/quant...the ultrasound showed growth, but no heartbeat. The sac measured 1.2 CM (About a orb a half-inch in diameter)...they didn't measure it the last time so I don't know if that's grown or not. I haven't gotten the quant back yet, I'll get that Monday. Dr. Higgins (I like him a lot better then Dr. Terry...but when he talks he says. "Yeahhhhhh...." before every sentance, like the boss from Office Space. He said if it comes back still in the 7000's or if it has dropped, then we need to take measure to "manage it". Which would be: Waiting, the Pill, or a D&C. I don't want to wait, my body has already proven it will hold onto non-viable pregnancies for WEEKS (2 months in one case); and we are going on vacation in less then two weeks (11 days!)...I just know that it would happen while we are at his parent's house, and we didn't tell them I was pregnant this time. So waiting is out. The pill I've had before, it was fast (For me at least - one of my friends here it didn't do anything for at all, she had to wait two weeks AFTER she had the pill to miscarry) and it caused me to have terrible, terrible cramps. The kind where you're naked on the floor moanng like you're giving birth, curled up with a bloody pad stuck on your underwear. The kind where your abdomen feels cold because it's clenched down so tight. I could put my hand on it and actually FEEL my uterus get hard...it hurt so bad. Those aren't pleasant memories for me. I read somewhere that inducing labor (IT's the same drugs, did you know that?) makes the cramps worse, so it's probably along those lines. A D&C would be quick and (nearly) painless, but I hate the idea of my insides getting scraped out by some doctor who could care less about me...with my legs all splayed while I'm drugged up. I drove a friend to a abortion a couple years ago (Oh how things have changed) and they did a D&C on her...she said it didn't hurt anymore then a pap smear....but still. I hate the idea. I'll post when I get the results of my quant, and maybe when I decide what to do
Well, it's started. Bleeding and cramps that are coming closer and closer together (About 1 minute apart now, yesterday it was 5-10 minutes). Painful, but managable. My appointment is today, I wish I didn't have to drive myself like this...this sucks! At least I didn't have to let the doctors 'manage' this little problem for me. I'd rather they all ended on their own, only if it's just to make sure there was no mistake, that it was a miscarriage. Well, I'm off to the gym. Walking helped speed it up last time...
Ha. It stopped, of course. The bleeding continued but no cramps, and certainlly nothing productive. They gave me 700mg misoprostol orally. Nothing. They gave me 800mg misoprostol vaginally. Less then nothing, no cramps or anything...then on my follow up ultrasound (You have to get one 24 hours after you receive the abortion pill to make sure everything came out) the sac showed up dysmorphic (Like lumpy and misshapen), when before it was nice and round. Doctor Higgins said that was a sign it was 'On it's way out.' How nice, after two doses of the abortion pill for it to be lazily 'On it's way out.' Then yesterday's ultrasound showed just a thickened lining with 'debris' - exact word they used - in it. And I've been blobbing out fat slimy clumps of blood and tissue (My debris) all night at work. Of course, why would it happen when I had time off? That'd be too easy. I like the doctor I saw yesterday though, a young black man, he agreed with me when I asked when I start trying again if he would just write me a prescription for progesterone BEFORE I get pregnant, so I can start it asap. He said his wife has had 3 miscarriages and is now 14 weeks pregnant, and took progesterone with the current one. So he's a believer.
Dr. Terry mercifully gave me a prescription for birth control - I had begged at my earlier appointment but she said they had to track my quants down to 0 first...(I explained that I had gotten preggo this time before they were down to 0 so maybe that wouldn't help for me!) but then when I showed up yesterday there were three pretty hot pink packs waiting for me. With three refills, so a full years worth. Hopefully all our testing will be done and we'll feel like trying again. I'm so burned out and old feeling with it...I just want to be young again...I'm only 20. I want to drink and club (A little!) and stay up late without feeling tired, and drink black tea without feeling bad about the caffine. Just for a little bit. I want to get my body back...4 pregnancies in one year can make for a permanantly bloated tummy. Or so it seems. I've been pregnant 10 months out of the last year...f*ckin' crazy, I know. It's exhausting.