TTC again after mc in Aug '09
Well here I am again. My last pregnancy didn't go well from the beginning. I will try to make this as brief as possible. I had a blighted ovum (empty sac) in my uterus, and an ectopic in my left tube. They suspected an ectopic from the very beginning - I began to have pain in the area of my ovary on the left side just days after my BFP... they monitored me very closely until it finally became visible on the u/s at my follow-up appt for the mc of the empty sac in my uterus. (Warning, possible TMI to follow - ectopic details) All was clear in my uterus, as well as my rt. ovarian tube and ovary, and I was breathing a sigh of relief that the mc was complete, but when she got to my left side, she stopped and stared and squinted and moved the probe around for what seemed like an eternity, then shuffled through my chart over and over again, looking at previous u/s pics. Finally I asked what was wrong and she showed me - a large 'circular' area in my left tube with a small sac and fetus - no heartbeat. She said she wasn't 100% positive it was a sac and fetus she was seeing, but didn't know what else it could be. It was pretty obvious to me, though. And in hindsight, I don't see how my hcg levels could have still been so high with a clear uterus. After checking my hcg levels, the doctor decided not to do surgery. They were still high, but low 'enough' that she decided my body was beginning to take care of it on its own and had me go back in for a methotrexate shot to dissolve the tissue. I had no idea that you could have an ectopic and not have to have surgery. Apparently it would reabsorb into my body :confused: At that point I was so thankful that my tube had not burst, and that I didn't have to have surgery.
I went through a lot of pain when I thought I was just mc'ing an empty sac in my uterus. At times it was quite excruciating, but it was across my entire abdomen the majority of the time, so I had just assumed it was all part of the mc. However, when I would take ibuprofen, the pain would then localize to the left side only. It also hurt immensely at times to sit down, and to stand up again, all across the bottom of my uterus. That always made me wonder. I had moments where I felt the tiniest "flutters" on the left side as well (which were probably muscle spasms). When the ectopic was finally discovered, I asked the doctor why it wouldn't have been seen before then, and she said it must have been the positioning of it that made it difficult to see on the u/s. She said there was a LOT of blood in the tube (somehow they can tell it's blood on an u/s). Fast forward to after having the methotrexate shot and I wound up in the E.R. in immense pain. They kept me overnight for observation, then sent me home. Several days later I had severe pain again and they wanted me to come to the doctor's office right away for an u/s - apparently the pain this time was from the ectopic shrinking down and reabsorbing into my body, because it was much smaller at that point.
Anyway, here I am. As O approached this cycle, I finally began to feel hopeful again, and the desire to want to be pg again has returned.