Miscarriage or Two Weeks Off?

Cynthia Flynn's picture
Experts: 

QUESTION

Dear Midwife,
I'm confused. I had my last period January 3rd. I waited until one week after my next expected period to do a pregnancy test. It was positive.

I spoke to an OB/GYN friend who said I should wait until 8 weeks for my first appointment with her, which I did. A repeat pregnancy test was still positive. They took me for a transvaginal ultrasound which was not as expected. There was a sac but definitely not the stage it should be for 8wks and the nurse couldn't say for sure if she saw a fetal pole. They did a quantitative analysis which I don't know the results of and am not to see them back for two weeks. (that was over a week ago).

I have never had bleeding or any other issues, some mild nausea but no true morning sickness. I did have some breast tenderness but that has subsided. Still urinating alot but I have always been that way.

I'm getting really depressed. I do have a long cycle but it didn't seem to make sense by the calendar that we would be two weeks off on our guestimate. Is this possible or are we just delaying the inevitable which is that this is an ovum which hasn't developed and is doomed for miscarriage? If so, by my calculations I should be 10 wks in 4 days. How long should it take for something to happen?

ANSWER

In the case you described, you should have had two quantitative tests so that the values could be compared. If you did, and the values were going up, then it is possible that you do have a viable pregnancy,and that you are just not as far along as your thought. The ultrasound will tell for sure what is happening. Good luck!

-- Cynthia, CNM. PhD.