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Is This Really an Ectopic Pregnancy? -or- Can an Ectopic Pregnancy Be Misdiagnosed?

Updated on August 23, 2017
Pablo Picasso
Pablo Picasso | Source

What You May Not Know about Ectopic Pregnancies

It is believed that an estimated 2% of all pregnancies are found to be ectopic.

If not treated immediately, ectopic pregnancies can affect future fertility and are still a leading cause of maternal death during the first trimester.

At the Misdiagnosed Miscarriage site, we often encourage women to be absolutely certain they are indeed going to miscarry before ending the pregnancy. Unfortunately, with an ectopic pregnancy, that just isn't an option. If women are showing signs of an ectopic pregnancy, they need to be treated. Some women prefer to get a second opinion if symptoms are not worsening.

This page is to help clarify whether you may indeed have an ectopic pregnancy, may want a second opinion and the options in treating that pregnancy.

My Disclaimer

I am not a medical professional. The information I share is meant to supplement the information given you by your doctor. If you feel your doctor is not doing enough for you or not willing to listen to your concerns, I strongly encourage you to take what you've learned here and get a second opinion.

According to this article on ABC News , roughly 40% of pregnancies diagnosed as ectopic are indeed viable!"

Frequently Asked Questions - about Ectopic Pregnancies

Source

What is an ectopic pregnancy?

An ectopic pregnancy is one in which the baby implants outside the uterus.

How common is an ectopic pregnancy?

According to the American Pregnancy Association, one out of every fifty pregnancies may be ectopic so they are quite common.

When do symptoms typically appear?

Many women report feeling symptoms between eight to ten weeks when the baby is located in the tube. However, if implantation took place somewhere else (i.e. abdominal cavity, ovary or cervix), symptoms may appear a bit later.

What are the symptoms

Symptoms vary from pregnancy to pregnancy but may include:

-sharp stabbing pain on one side of abdomen or the other

-spotting brown blood

-low hCG levels which tend to either rise slowly or bounce around a bit.

-weakness or dizziness.

-absence of gestational sac on ultrasound when hCG numbers reach 1,000. Keep in mind, many women report much lower numbers with an ectopic pregnancy so if your hCG numbers are under 1,000 and rising slowly or jumping around, you may need to treat this as an ectopic pregnancy.

When do symptoms typically appear?

Many women report feeling symptoms between eight to ten weeks when the baby is located in the tube. However, if implantation took place somewhere else (i.e. abdominal cavity, ovary or cervix), symptoms may appear a bit later in the pregnancy.

What should I do?

Whenever an ectopic pregnancy is suspected, women must stay closely monitored by their physicians.

Depending upon the individual case, some doctors may:

  • decide to simply monitor the pregnancy if the ectopic pregnancy is resolving itself (miscarriage) and the risk of rupture is low.
  • offer a shot to help dissolve the pregnancy
  • decide to perform surgery if the risk to the mother is great.

Are Pregnancies ever Misdiagnosed as Ectopic?

I must admit, I am hesitant to include this information here. Whenever an ectopic pregnancy is suspected, you have to take it seriously! While women can wait out many miscarriage diagnoses, an ectopic pregnancy can have very serious consequences if left untreated.

That said, however, yes, even ectopic pregnancies are misdiagnosed. I am including links to stories of women who have been misdiagnosed. My hope in sharing these stories is that you may read them and decide whether you need a second opinion or whether you need to be treated immediately.

Rethinking How Ectopic Pregnancies are Diagnosed - as well as the myths of hCG doubling rates

Exploding the myths of hCG doubling rates as well as diagnosing ectopic pregnancies. Great take away message, Doctors need to take their time in diagnosing. If you are going through this scare, take a half hour to watch this video!

Misdiagnosed Ectopics in the News!

Normal Pregnancies May Be Misdiagnosed as Ectopic

FRIDAY, Jan. 13 (HealthDay News) - Women with normal pregnancies that were misdiagnosed as ectopic who were treated with methotrexate in the first trimester either miscarried or gave birth to a severely deformed baby, the results of a small study suggest.

An ectopic pregnancy is one where the egg begins to develop outside the womb, which means that the fetus cannot grow normally and will not survive. The drug methotrexate (Rheumatrex, Trexall), which is used to treat rheumatoid arthritis and certain types of cancer, is also known to be dangerous to developing fetuses and can end an ectopic pregnancy.

Researchers affiliated with the Organization of Teratology Information Specialists (OTIS) cautioned that their findings, published in the December issue of the American Journal of Obstetrics & Gynecology, may be a red flag for a larger problem. They said more effective tools are needed to properly diagnose ectopic pregnancies.

"This report describes a subset of cases that occur in the general population and it suggests that this misdiagnosis is not limited to one center or one part of the United States or Canada,"

Sharon Lavigne, study co-author and coordinator of OTIS' Connecticut affiliate, said in a news release from the organization. "There are likely many more of these scenarios out there that our services never hear about," she added.

For the study, the researchers examined eight North American women with normal pregnancies that were misdiagnosed as ectopic. The women were given high doses of methotrexate, which resulted in miscarriage, termination of the pregnancy or the birth of severely malformed babies. The investigators concluded that more accurate and effective tools are needed to diagnose and treat ectopic pregnancy.

"This is a challenging diagnosis, and efforts to accurately locate the pregnancy in suspected early ectopic pregnancies would benefit from improved diagnostic tools,"

another study co-author, Myla Moretti, assistant director of Motherisk, OTIS' Canadian affiliate, explained in the news release.

"Establishing a non-punitive reporting mechanism to explore the magnitude of this problem will be helpful in increasing awareness and possibly preventing these events in the future."

Your Treatment Options

Expectant Management

Expectant management is when your doctor does not try to end the pregnancy with the use of medication or surgery.

Can women just wait out an ectopic pregnancy diagnosis?

Ectopic pregnancies are risky. Sometimes doctors will just wait out a diagnosis. Medical literature indicates that if a woman's hCG levels are low and falling, shows no symptoms and the gestational is still small, waiting for the ectopic pregnancy to resolve itself may be an option. The risk of rupture is still a possibility even in women who meet this criteria. Discuss with your physician the risks when treatment is being discussed.

Medical Studies about Expectant Management

Expectant management of suspected ectopic pregnancies even with rising beta-subunit human chorionic gonadotropin levels. A clinical prospective study

The authors The authors conclude that as long as a woman is showing no signs of complication and her hCG levels are relatively low, expectant management may be a viable option.

Ectopic pregnancy: expectant management or immediate surgery? An algorithm to improve outcomes

Is expectant management an option?

Methotrexate

Methotrexate is a cancer-battling drug that has been shown to make sure the developing baby is reabsorbed back into the body. In women with ectopic pregnancies, the best success rate is with injection.

When do doctors tend to recommend Methotrexate?

If the ectopic mass is less than 3cm and hCG levels less than 5,000 (although levels seem to vary between studies...one study says 15,000!), Methotrexate may be used with a high success rate (averaging about 90% success). If a heartbeat is seen, the pregnancy may be too far along for the drug to be successful.

Are there side effects?

Commonly women tell me they are experiencing nausea and dizziness as a side effect. As with any medication, if side effects seem more severe, call your doctor or be seen immediately. With the drug, you should stay out of direct sunlight and avoid all alcohol. For more information on the drug itself, read the consumer information for Methotrexate online.

Future Fertility

According to Kaiser, with the use of Methotrexate, women have a lower risk of future ectopic pregnancy than if they have surgery.

Important!

Women have had tubes rupture after the Methotrexate. Your physician should want to monitor you until your levels are normal again. Often, they'll look at your levels about two days after the injection and then monitor you weekly until those levels drop. If your levels are not dropping or are bouncing around, you may need surgery. If you don't feel your doctor is doing enough for you, you may need to find a new doctor.

More information about Methotrexate

Single-dose methotrexate for treatment of ectopic pregnancy

A study showing the effectiveness of single and multiple-dose Methotrexate.

Surgerical Procedures

Your doctor may choose between two different laparoscopic surgeries.

What is a Salpingostomy?

This method is considered the more conservative approach. If the ectopic mass is located near the end of the tubes and is not too large (over 2cm) a cut may be made to remove the mass. The tube is preserved although there is a higher risk for future ectopic pregnancies.

What is a Salpingectomy?

This method is a removal of a portion of the tube or the entire tube. This is done if the tube looks as if it is about to rupture or has in fact already ruptured. The risk of future ectopic pregnancy is a bit less with this procedure but still a possibility.

If you've had an ectopic pregnancy, how was it treated?

See results

Reported hCG levels with an Ectopic Pregnancy

Keep in mind, hCG levels vary from pregnancy to pregnancy even with an ectopic pregnancy but here are numbers women have reported with confirmed ectopic pregnancies:

(numbers in parenthesis are days between tests)

A - 1st level: 175 -- (2 days) 187 -- (7 days) 167 -- (2 days) 148 -- (1 day) 172

B - 1st level: 52 --(2 days) 55 --(4 days) 73 --(2 days) 93 --(7 days) 458--(7 days)935

C - 1st level: 19 -- (3 days) 95 -- (7 days) 121 -- (3 days) 278

D - 1st level: 1600 (mass seen in tube)

E - 1st level: 49 --(4 days) 774 -- (2 days) 452 -- (6 days) 651

F - 1st level: 432 --(2 days) 218 -- (7 days) 418 (mass seen in tube)

G - 1st level -31(2 days) 2nd Level-81(2 days) 3rd Level-248(2 days) 4th Level-545 (5 days) 5th Level -3393 (found in right tube)

If you have had a confirmed ectopic pregnancy and would like to include your hCG numbers, please leave a comment below

If you are certain your pregnancy is ectopic or have had one in the past, sharing your levels may help women who are going through the same situation. Please include the number days between each level check as well as when the ectopic mass was seen (if it was seen)

Actual Ectopic Pregnancy Stories

Source

One of my hopes by sharing these stories and links is that women who know of other stories or have their own success story will share them here as well. You can find each of these stories on the Misdiagnosed Miscarriage page:

Diva's Story:

At six weeks, after having cramps and pain, the baby was found in her tube.

Story B:

One woman was told she did not have an ectopic pregnancy. Her hCG numbers continued to jump around and she had spotting, pain and dizziness.

Jennifer's Story:

Despite extreme pain and spotting, one woman had to wait more than a week to be diagnosed with an ectopic pregnancy.

If you have had an ectopic pregnancy and would like to share your story, please visit our miscarriage stories forum.

Misdiagnosed Ectopic Stories

Source

Some women are misdiagnosed and here are a few of those stories. Again, these stories can be found on the Misdiagnosed site.

Story A:

Because her hCG levels were over 10,000, Swolladad believed her doctor was wrong about having an ectopic pregnancy. She sought a second opinion and found out her pregnancy was not etopic...it was twins!Swolladad's Story

Story B:

With hCG levels at 900 and no gestational sac, Jennifer's doctor wanted to give her the shot to dissolve the pregnancy. Jennifer insisted upon a follow-up ultrasound and found her baby.

Read Jennifer's story,

Story C:

Summer was diagnosed with an ectopic pregnancy at the ER. A visit to her RE showed a viable baby instead

Read Summer's story,

Story D:

Ashley's doctor wanted to give her something to expel the tissue due to ectopic pregnancy. Fortunately, Ashley got a second opinion.

Read Ashley's story,

If you have had a misdiagnosed ectopic pregnancy and would like to share your story, please visit our forums.

An E-Mail I Received

worth reading if you are diagnosed as well

"Dear Kay, First of all I would like to thank you for all you do and for all the information you provide. Recently I was diagnosed with an ectopic pregnancy. The doctors were sure, even though I didn't have any of the classic symptoms. They removed my right tube. They thought that the embryo was in my ovary, but since they during surgery found a small swelling on my tube, they decided to remove it... to be safe.(!!) After the surgery my hcg went from 15000 to 8000. They still had suspicions that it was in the ovary, but decided to empty my uterus to be sure. They had seen a small sac about 11 mm (I was then 5+3) but they told me it was a pseudo sac and they saw no sign of a pregnancy inside. I questioned this, as I know that it's not that common to see anything but a sac at this week. But the doctor did not listen to me. The sac grew from 8 mm to 11 in two days, which is normal. What they saw on the ultrasound (that they interpreted as an ectopic) also grew. It was about 28 mm at this time. They found a pregnancy in my uterus. I asked what type of pregnancy and I got the answer that It probably was a normal pregnancy. What they found in my tube was just some small collection of fluid/water. The thing they thought was an ectopic (in my tube) was not what they saw on the ultrasound. What they had seen was corpus luteum. They couldn't tell the difference between corpus luteum and an ectopic pregnancy.

The pregnancy in my uterus did not survive the surgery and I am now left with only one tube. Both my tubes were in a bad condition, but the one they removed were the better one. I have had no problems getting pregnant, so they must have been just fine. The doctor thought that I was further along in my pregnancy than I said, because of my high level of hcg. So he absolutely thought that something was wrong when he couldn't see anything in the gestational sac. I know exactly when I got pregnant. I can feel when I'm ovulating, and even tell from witch side the egg releases. Plus I used opk to know. If he had known this before the surgery... maybe this would never have happened. I live in Sweden. We are supposed to be really good at this stuff, but I'm starting to doubt that. I found almost no information on Swedish websites, and that's how I found your page on squidoo. I hope that doctors become more careful when they diagnose women with ectopic ore miscarriages. Keep up the good work! Best wishes

Johanna

Please, feel free to leave a comment. If you'd like to hear back from me, please feel free to email me at misdiagnosedmiscarriage@gmail.com

Add Your Own hCG Levels - if you've had an ectopic pregnancy

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    • Cari Kay 11 profile image
      Author

      Kay 2 years ago

      I am so sorry. Although it seems that the majority of the women on the site who indeed have ectopic pregnancies have lower levels (often staying under the 1,000 to 2,000 where the gestational sac should show), high levels are not unheard of either. If the gestational sac is not seen and your hCG levels were over 2,000, that's a pretty good sign of an ectopic pregnancy. I'm so sorry :(

    • profile image

      trustworthy 2 years ago

      I had an ectopic pregnancy this april and my tube was removed as high doses of methotrexate didn't worj well for me.Fetal heartbeat was noted and hence lap surgery done.But my hcg levels were very high around 12000 at the first MTX dose which increased to 22000 two days later and was given MTX again but hcg remained at 20000 and signs of tubal abortion were noted in USG hence taken up for surgery.Will ectopic pregnancies have this high hcg levels?

    • Cari Kay 11 profile image
      Author

      Kay 2 years ago

      I am so sorry. Those levels are really high! I've talked to many women who carried their pregnancies to term after an ectopic. Hang in there. Praying for you.

    • profile image

      Anon 2 years ago

      Had surgery to remove ectopic yesterday. Am heartbroken and terrified about future pregnancies. HCG levels were 15000

    • Cari Kay 11 profile image
      Author

      Kay 2 years ago

      You don't want to take chances with an ectopic. I have heard of burst tubes with super low hCG levels so, please, get yourself checked to make sure. (((hugs)))

    • profile image

      Lissett 2 years ago

      I suffered my 1st ectopic at 21 years old. I didn't know I was pregnant was rushed to ER and up to the OR with in minutes. fast forward 4 years later I started to feel symptoms so I checked and sure enough I was pregnant. I went to ER (I am TRAMATIZED from my first and only pregnancy/Ectopic) and my HCG levels were 42 went back 2 days later and my level is at 4. The OBGYN on call says he doesn't worry is a ectopic cause its dissolving by itself. But my pelvic hurts and my shoulder and elbow hurt. same way my first ectopic did. Yes, Im bleeding its more like a period and not spotting like my ectopic was 4 years ago. I seriously have no clue what to do. Im thinking going to the ER but I don't know if this is just that im panicking from my experience. Im just so traumatized. I have no kids and im just afraid to lose my only tube. :( my only chance of having a baby. :(

    • Cari Kay 11 profile image
      Author

      Kay 3 years ago

      You need to see your doctor right away and make sure there is nothing serious happening. (((hugs)))

    • profile image

      anonymous 3 years ago

      i had ectopic in right tube last month but it resolves automatically.

      now left side paining i am verymuch tensioned is it again ectopic if you know any thing please give answer

    • Cari Kay 11 profile image
      Author

      Kay 3 years ago

      Have they checked to see if you are testing positive on a pregnancy test? You can do an HPT and check as well. The shoulder pain is concerning. You might want to get a second opinion.

    • profile image

      zaki 3 years ago

      hi i was perfectly healthy person but on 20 june last day of my period when they finieshed i took postinor 1 emergeny pill.After tha i got borwn discharge in a week time and later i got severe cramps in left side of belly.Beta hcg is less than 2 all the time.But i have lot of constipation with all this and shoulder pain.

      I went for scan both pelvic and abdomin they find nothing wrong.Now its 9 september but i have pinching pain in under my left ribs that goes to back also.some time i feel some thing moving all around belly and near rectum specially when i lie down.Also i receive very less duration and less amount of vaginal bleeding.No doctor is of help as gynacologist say its not gyne problem.Very frustrated

    • profile image

      anonymous 4 years ago

      beta #2-31(2 days) beta #3-81(2 days) beta#4-248(2 days) beta#4-545 (5 days) beta#5-3393Nothing seen on ultrasound, laparoscopy found it on the right tube.

    • profile image

      anonymous 4 years ago

      1st level : 530--(2 days) 836--(2 days) 1020--(1 day) 990Experiencing very dull ache on right side of lower abdomen. Diagnosed with

    • profile image

      anonymous 5 years ago

      150 (2days) 780 (2 days) 1560 (2 days) 2800 rushed to emergency with severe pain. removal of tube. Also experienced severe wind pain on & off from the start.

    • profile image

      anonymous 5 years ago

      my hcg level is 769 wat does that mean?

    • profile image

      anonymous 5 years ago

      going through an "etopic prgnancy" now... but I don't believe it, my hcg level yesturday was 4590

    • profile image

      anonymous 5 years ago

      Hcg level 4590

    • profile image

      anonymous 5 years ago

      I have had two ectopic pregnancies and four miscarriages. I am currently 6 weeks pregnant. Ultrasound tech only say a sac but a small 5x5 mm mass behind my right ovary, and automatically said I'm having another ectopic. My doctor said that 5x5 mm mass is too small and if they were to have surger to look for it they wouldn't find anything. He then mention my Hcg is at 2000 (which is within normal range) and they usually can not see a fetal pole until around 3500. I go back Monday for another untrasound. I am praying for the best. I pray I am not having another ectopic, especially since I do not have my left fallopian tube any more. I can not afford IVF, adoption or any other alternatives...this is my only chance to become a mother.Any help?

    • profile image

      anonymous 5 years ago

      17 dpo - 73, 20 dpo - 419, 24 dpo - 645, 26 dpo - 553, 28 dpo - 694

    • OhMe profile image

      Nancy Tate Hellams 5 years ago from Pendleton, SC

      Very informative lens about Ectopic Pregnancy and I feel sure that many will appreciate reading it.

    • PuttinUpWithSuzy profile image

      PuttinUpWithSuzy 5 years ago

      I had an ectopic and 2 miscarriages last year. (Rough year!) With the ectopic, I got the shots of methotrexate. I was probably around 8-9 weeks. I went to the doc to have my hcg levels checked and they were dropping. A week after the shots I was in the ER having emergency surgery. The doc ended up taking part of my tube. I got pregnant two months later but it resulted in spontaneous m/c at 12-1/2 weeks. I had a D&C with the 3rd pregnancy, as that one was going to miscarry too. This is a great lens. Wish I could've read it when I was going through all that stuff.

    • LouisaDembul profile image

      LouisaDembul 5 years ago

      My ectopic pregnancy turned out to be a blighted ovum. Both are terrible to experience, but the risks are different.

    • profile image

      anonymous 5 years ago

      1st hcg 5, 2days later 32, 2days later 50, 2days later 88, 2days later 98, 6 days later 247, scan showing 2by1.5cm mass in left follopian tube, taken for Laparoscopy where they found nothing, said all looked normal. I have to go back thursday for another scan & more bloods :( had a 4 day bleed & on & off brown spotting. I don think :(

    • profile image

      anonymous 5 years ago

      @anonymous: God Bless you, i just received a shot yesterday and they couldnt see a baby in the uterus or anything.. they said my beta levels were at a +4400 still no sac or fetus. i feel soo lost.. i am 35 and i am afraid this was my last chance to have a baby :(

    • profile image

      anonymous 5 years ago

      when my doctor diagnossed me that i had epitopic pregnancy my BCG levels were 300 in four weeks it dropped to 10 .my only concern is i never received any medical treatment because they believed that the pregnancy is dissolving itself .,but i have stopped bleeding and my mass measurement was 3x3cm.

    • profile image

      anonymous 5 years ago

      1st level: 155 (2 days) 35

    • LovelyGalores profile image

      LovelyGalores 5 years ago

      I hv heard fm 1 of my friend how she suffered ectopic pregnancy and lost one of her ovary but God blessed her with an angle with 1 ovary. And another friend too had it, which damaged her Fallopian Tube thus she cud not have natural pregnancy. She now has a grown up healthy son thru IVF. I hope that women who go thru pregnancy challenges will nolt give up hope and continue fighting...

    • profile image

      anonymous 5 years ago

      387,(5days)810(1 day)652(2days)860(1day)723 N0 mass was seen. 2nd ectopic in a year

    • profile image

      anonymous 5 years ago

      I am so happy to see this happening. I was misdiagnosed at 4 weeks 5 days with 1 hcg and 1 ultra sound my hcg was 1588 but nothing was seen so the said was ectopic and gave me 75 mg's of MTX that same day. 2 weeks later found little one in the utreus and I am happy to tell you we made it the 5% my little one is alive and yes she made it 5 years now and I have been fighting so hard to get this noticed and I am soo happy to see that now people know. I love how you put every thing on this page the HCg and standers and you all did a wonderful job. Thank you so much.

    • profile image

      anonymous 6 years ago

      @anonymous: meant to say - ectopic was apparently on my ovary - had three scans and was told that they could see gest sac, yolk sac and a fleck..3rd scan shown it had grown and they needed to operate as an emergency. Was told it def was not a cyst as she had seen many before and could see the growing embryo etc.. Couldnt believe it when I woke up after, and was told it wasnt an ectopic after all?! I am still in pain now as a result of the surgery - and am praying baby in my womb has not suffered as a result..

    • profile image

      anonymous 6 years ago

      this site is amazing - I am recovering from laparscopic surgery to remove a "confirmed" ectopic pregnancy - my hcg levels were rising slowly and 3 U/S "confirmed" the sac, yolk sac and 'fleck' on my uterus which was growing etc.. I also have an emp[ty sac in my womb and so the whole thing is deeply worrying. I had the surgery 4 days ago - when I came round I was told that I did not have an ectopic pregnmamcy after all?!! In fact, my ovary is scarred and is ticking to my bowel, but they did not operate as they need to see what is going on in my womb. I have been told that I probab;y have a blighted ovum and have a scan in 3 days time.. I will be approx 6 weeks. Thanks goodness for this website - I feel pregnant and whatever the outcome of teh scan in a few days time, I am intent on leaving things to develop normally. The EPU has already opened me up after a mis-diagnosis - I will not be letting them force me into anythinbg else!!

    • Elsie Hagley profile image

      Elsie Hagley 6 years ago from New Zealand

      Very good lens, Yes I nearly lost my life in 1960 with a rupture ectopic pregnancy, it was nearly to late for me, but since that I have had 5 beautiful children. Hope more woman read this great lens it is very valuable that they know about this as I never did..

    • celebrationstat profile image

      celebrationstat 6 years ago

      I recently had surgery to remove a burst fallopian tube due to an undetected ectopic pregnancy. I had no idea I was pregnant and did not suspect that I would be since I had my tubes tied 19 months ago. I recently suffered pain in my abdomen but brushed it off. A couple of days later the pain was unbearable. Went to a walk in med. center and was rushed to the ER via ambulance from passing out. After hours and hours in the ER, I was rushed into emergency surgery because the pregnancy was then found via blood test and ultra sound. Had surgery to remove the burst fallopian tube and had the tube removed. My advice is ALWAYS have yourself checked out no matter how insignificant it may SEEM at the time! It could save your life!!

    • Cari Kay 11 profile image
      Author

      Kay 6 years ago

      @Paul Ward: Absolutely heartbreaking. I am so very sorry to hear about the loss of your friend. Women really need to know that if they feel pain anywhere early in pregnancy, they need to be seen right away.

    • Paul Ward profile image

      Paul 6 years ago from Liverpool, England

      It's just past the aniversary of the death of a good friend: she was pregnant, she felt pain, didn't like to complain so sent the kids out with her partner and went to bed. When she eventuially got to hospital it was too late - undiagnosed ectopic pregnancy. The more publicity for such preventable tragedies the better so great lens.RIP Cheryth,

    • profile image

      anonymous 7 years ago

      First was five, two days later 9, three days later 21, three days later 63, three days later, 141, three days later 279, two days later 249. Bleeding, light spotting and three days of light bleeding between readings 9 and stopped day before 279. Two VUs and nothing in uterus, shadow believed to be a cyst on R tube. If does not go down 10-15% tomorrow morning, want me to start methotrexate. No pain, stopped progesterone at 279 reading and other than starting some hair loss and bleeding mentioned- no symptons since. Hoping it has resolved itself, but at this point not looking good. This is our first try- we are both under 30.

    • profile image

      anonymous 7 years ago

      I have had severly ectopic pregnancies. I am currently going thru the same situation. My doctor said my levels are not going up as they should. 1st one was 119, two days later 204, 4 days later 397, 3 days later 677 and now 2 days later in the seven hundreds. had an ultrasound done and saw nothing in both the tube or in the cervix but my doctor seems to feel that this is another ectopic. I am confused because I have read some women had slow rising levels and still had a healthy pregnancy. I also forgot to mention I am bleeding so this has also been a red flag for my doctor. I am just concerned if I take the methotrexate and they misdiagnosed.

    • profile image

      anonymous 7 years ago

      The doctor never gave me my levels.. My first doctor's visit was on March 17th. They did an ultrasound and said it might be ectopic. The baby wasn't far enough into my uterus as she would like it. I went for a second ultrasound on March 18th and in fact it was ectopic. On March 19th I had surgery. The doctor had to remove my right fallopian tube due to damage. I was 7 weeks and 1 day into my pregnancy.

    • profile image

      anonymous 7 years ago

      1st level: 210 -- (2 days) 540 -- (4 days) 1750 -- (2 days) 3100 - saw mass in tube, nothing in uterus

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      tiaray 7 years ago

      I have just been diagnosed with ectopic at 7w 2days irregular fluid in uterus, no heartbeat on tv scan - HCG 5078, 3 days later HCG - 3700, 2 days later HCG - 2900 and scan showing what they said was a mass near right ovary. They wanted to do keyhole surgery to look inside and see what the mass was and treat it. I discharged myself and said I would go back after 2 days for bloods again as I am convinced I have had a miscarriage as I expelled a mass of tissue the day before last bloods were taken. I felt they weren't listening to me about having a miscarriage and were too hasty in putting me under surgery. Am I wrong to go with my instincts about my own body? Are my decreasing HCG Levels normal in a miscarriage? If anyone knows would be grateful to hear?

    • profile image

      anonymous 7 years ago

      1st hcg 1269 (nothing in tube) 2 days 1609 4 days 2099 still nothing in tubes sac in uterus no baby??

    • profile image

      anonymous 8 years ago

      1st level :3300 (nothing seen on ultra sound) -- (2 days) 3280 -- (5 days) mass seen in tubeI don't remember the exact numbers, but these are really really close.