Looking for realistic opinions. Another miscarriage? High HCG, No Embryo or yolk sac

[Sancor]

Hi all,

I hope any of you smart people may be able to give me an opinion on my current situation. After a FET (7th of july) with a 3BB embryo i got a positive with a high beta of 679 mui / l on 11 DPT. 1777 13 DPT, 14.497 18 DPT, and today being 5 weeks and 6 days i went for my first ultrasound before departing 3 weeks on holiday.

I have a large developed sac for 5+6, and the doctor struggled to find embryo or yolk sac.

Is this normal? Am i expecting an anembryonic pregnancy here? It will be 3 long weeks of holiday with rapidly rising HCG.

In the picture with the arrow, my doctor told me, this could be yolk sac and embryo but he couldn't confirm. What are your thoughts?

He struggled to see anything with transvaginal ultrasound and had to move to abdominal ultrasound.

I am really starting to loose hope with this IVF process.

2 pictures: 1 with blue arrow - potential something + a little bleed & 1 picture without arrow which was the general view he could find. (in comments)

Should i prepare myself for another miscarriage?

Thank you.

Sancor

[Sancor]

General view. Abdominal.

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[Nenad in reply to Sancor]

Hi Sancor, I’d agree with Daisy. It’s way too early for a scan, by 6 weeks + you should be able to see more if things are moving in the right direction. If possible I’d try to get a scan privately in a week’s time while on holiday. Wishing you all the best xx

[Sancor in reply to Nenad]

Thank you, I have a scan next week planned 🙏

[Hidden]

All I know is my clinic won't scan before 6 weeks, and prefer to scan after 7 (and same with EPU) because there is often nothing clearly identifiable as early as you are.

I personally don't think its necessarily anything to worry about, but obviously anything can happen so don't want to say 'all good', but I personally would think its far too early and this is quite normal for this stage of pregnancy. Good luck x

[Sancor in reply to Hidden]

Thank you for your message. I am just concerned about the fact that the sac is +20 mm and my HCG came back at 45.000 today. Based on all the research I do, a fetal pole should be seen. Have you ever heard of that? According to my HCG and sac it looks like I should have been in week 7 despite not possible as we did a FET.

[Hidden in reply to Sancor]

To be honest I know this is easy for me to say but the only thing you can do to influence the outcome is to try and stay calm and think positive. There are so many things that could influence this - could have just been a not very good scan person. Your HCG is good but that’s also a variable number. There is a sac there and it’s early days. Try and think positive. Good luck x

[Sancor in reply to Hidden]

Thanks for your positive thoughts 🙏

[Tarasunny]

Was it an abdominal ultrasound or internal? At this stage I think it would be too small to see anything on an abdominal ultrasound. I had a miscarriage when it stopped growing at about 7 weeks and they couldn't really see anything on the abdominal only on internal.

[Jjpalkz0024]

Hi Sancor , may I know how is it going with your pregnancy? Thank you.