QuestionHi. I should be 5.4 weeks pregnant. My numbers have been doubling perfectly. However when I went for a transvanginal ultrasound at 5.2 weeks, they found nothing. Nothing in my tubes or uterus. They said I must have miscarried but already passed it. This seemed to be confirmed by the fact that my HGC dropped in half. Then at a follow up appointment at 5.4 weeks (2 days later), still nothing in my uterus or tubes but my HCG doubled. What is going on? They want me to take a metho shot but I am scared. Why did the numbers drop in half and then double and why can't they see anything anywhere at 5.4 weeks.
Thank you so much for your time. Any suggestions/advice is appreciated.
Jen
AnswerDear Jennifer,
It is very unusual that your hCG would have dropped so dramatically and then rebounded back again. I would guess that they will want to do yet another hCG level to confirm whether it is continuing to rise or whether it is dropping again.
At 5 weeks, we would expect to see a gestational sac and quite likely a yolk sac as well. If you are not sure of your dating by a week or more, this can make a difference in not being able to see anything.
If your hCG continues to rise, I would suspect they will want to wait another week or so and try another ultrasound in case dates were off. If your hCG drops, then it unfortunately sounds more like a probable miscarriage situation.
I hope this information has helped and answered your questions. I wish you well.
Brenda
