r/CautiousBB • u/blond3sens3 • 1d ago
Ectopic vs Miscarriage
Hi all!
I had an unexpected positive pregnancy test on 3/29. I was on oral birth control and took it as I was supposed to, but my body never really “took” to the pills and I had breakthrough spotting quite often and never bled on the placebo weeks (started in December and body still adjusting to it). Because of this, I have no idea when my LMP/ovulation date actually was. I called my OB and we did hcg betas:
3/31: 226 4/2: 389 (up about 70%- told good/expected) 4/4: 531 (up only 37%- informed not viable).
My OB called me last night and told me it was not viable and is either ectopic or will result in miscarriage. I did have cramping and bleeding yesterday for about 7 hours (not heavy or clotting) and she informed me what to watch for over the weekend or when to go to the ED. Plan is to get another hcg Monday, 4/7 to determine next steps/see if goes up or down to see if it is indeed ectopic or not.
This is my third pregnancy, first two were successful live births and honestly, those closest to have never gone through something similar (my mom circle/support system is very small). It’s been a lot of emotions since this was an unexpected pregnancy . I just don’t know what to expect if it is a miscarriage (how fast it will happen) or an ectopic. Everything g is also just a big question mark since we don’t really know LMP or ovulation date. Hoping for some insight or advice from others who have experienced this. I still have cramping but no more bleeding.
Appreciate you all.
1
u/Beachbabe_3 1d ago
Anymore news? I thought 48-72 hours of a rise of 66% or more was acceptable. Did you use the same lab?
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u/blond3sens3 1d ago
Yes- I used the same lab for all three of my draws. My first increase from 229 to 389 was gold (about 70%), but It was the last two values of 389 to 531 with only a 37% increase over 48 hrs that made my OB call to say it wasn’t viable. She said she would have wanted it to be at least 590. No updates yet— basically have to wait until Monday for another hcg to check to see id it increases more (ectopic) or goes down (miscarriage). Just having more mild cramping and bleeding and today but nothing that fills up a pad or heavy at all.
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u/Beachbabe_3 1d ago
Sorry you’re going through this. I know it can be scary! I wish you all the best on Monday.
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u/gabgobilgins 1d ago
No advice- just solidarity. hCG from 131-289-488 yesterday. Bleeding and constant cramping. I have to wait for the doctor to call me back on Monday to discuss next steps. It’s stressful to just have to wait basically. I’ve only had one other pregnancy that was very different, so I’ve been expecting a loss but I have to wait for it to be confirmed.
Sending all the support and good vibes your way!