Hematoma, 11 weeks pregnant after ivf, no support when it comes to staying on cyclogest pessaries or not!

[Sjmackel]

Hi there,

I'm looking for some advice. I'm so happy to be 11 weeks pregnant after a frozen embryo transfer. However I've had off on and on bleeding throughout, one led me to calling an ambulance in the night. After that episode I was sure I had miscarried. However was infact told that I have quite large hematoma (by my nhs doctor). Looking at the scan it is big and right next to the baby.

Have now been handed over to the nhs by my clinic and like a normal ivf setup I am on cyclogest pessaries (four a day) until the end of week 13. However my question to the nhs doctor was 'should I not stay on the cyclogest because i know it can help support you when you have a hepatoma?'. The midwife just keeps saying that she doesn't know about ivf or pessaries etc (even though this is not really an ivf question) And the doctor, who I have spoken with seems oblivious and says to ask the ivf clinic. But the ivf clinic says I am no longer in their care and need to ask an nhs doctor as they don't know about hematoma treatment! I feel like I'm trapped in the middle and no one is giving me answers. In the mean time, the plan would be to stop the pessaries next week but I'm so afraid of having a big bleed and perhaps even losing the baby.....and I feel like I'm banging my head against a wall trying to get answers. I just want a doctor to say 'yes you have a hematoma but you are still ok to come off the pessaries'

Has anyone experienced anything like this?

[DianeArnold Partner Nurse Fertility Network UK]

Hi Sjmackel. I think I would ask if you could wean off he pessaries once you have done week 13. Otherwise you could start to wean off them from week 10, see what they say. I'm sure they will listen to you, when they realise how upset you are by this. A haematoma can immerge as the chorionic villi is transforming into the placenta, so hopefully as the placenta develops more, it will absorb the haematoma. Keeping everything crossed and I shall be thinking of you. Diane

[Sjmackel in reply to DianeArnold]

Thanks Diane. I have managed to make an appointment to see a doc at the hospital tomorrow so lets see what she says x

[DianeArnold Partner Nurse Fertility Network UK in reply to Sjmackel]

Well done, lets hope you get reassured. Diane xx

[PrincessGurn1984 in reply to DianeArnold]

Hi DianeArnold know this is an old thread but searched for hematomas and cyclogest. I came off cyclogest at 12 weeks as standard but I’ve since seen on various forums that being on them can actually help hematomas? Should I ask the NHS if I can back back onto the pessaries? Do they really help hematomas? Like this lady I got discharged from my clinic at 12 weeks and can’t offer me advice as they aren’t insured past that point x

[DianeArnold Partner Nurse Fertility Network UK in reply to PrincessGurn1984]

Hi PrincessGurn. I would speak to your midwife/obstetrician for guidance. Good luck! Diane

[Kelc86]

Hi, I too had a successful FET and after bleeding, found out I had a small haematoma. We were told the risks to baby but nobody ever mentioned that it'd be better to stay on cyclogest beyond week 13 because of this, so I stopped as advised by my IVF hospital. All was fine and luckily the haematoma had gone by the 20 week scan. I'm now 37+2 and eagerly awaiting my little girl's arrival. Hope you get some answers at your appointment but just wanted to share a positive outcome for you. It is scary stopping the meds but they know what they're doing and will only advise what's best xx

[Sjmackel in reply to Kelc86]

Oh thank you Kel, I was looking for a story like this! Congratulations! I am off to see the doctor tomorrow, it's week 13 next week so I'll be stopping after that. I am hoping they may scan me tomorrow so that I can see if the hematoma is growing or reducing. I'll let you all know. Thanks so much x

[PrincessGurn1984 in reply to Sjmackel]

Hey did they end up keeping you on cyclogest longer than 12/13 weeks? I’m in a similar boat now x