Non viable pregnancy- 7+6 week scan, ... - Fertility Network UK

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Non viable pregnancy- 7+6 week scan, embryo not grown, slow heart beat. Advice

WanderingWonder profile image

Hi All,

Just got the soul crushing news that the embryo hasn’t grown for a week and has a very slow heartbeat.

I was told to wait a week for another scan by which time the heartbeat should have stopped.

I’m devastated and just hoping for a bit of guidance on what to do next?

should I stop taking the progesterone to help my body to miscarry?

What what your next steps regarding the next transfer? Did you do something different? Are there any tests I should do? Is it just bad luck?

Thank you in advance xxx

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19 Replies
Kitkat10 profile image
Kitkat10

I’m so sorry, it’s a really tough time, I had an empty sac at 7 weeks, it broke my heart. Carry on with the meds and get through until the next scan. The clinic should have some information for you and you can ask for some answers.

I didn’t do anything different for the next transfer but the empty sac was the last of my OE, so I was moving to DE anyway. But I did take away the little positive that the embryo had implanted and then stopped developing so the transfer window, uterus conditions etc must have been ok, but that particular embryo just wasn’t viable.

Be kind to yourself, put yourself first and give yourself time to move forward. It’s just really tough, I feel for you, I remember how devastating it is, I hope you get some answers and best of luck going forwards xx

WanderingWonder profile image
WanderingWonder in reply toKitkat10

Thank you so much and so sorry you had to go through it.

It’s heartbreaking that I’m now just waiting for it to die 😔

I too will try to be pragmatic and take a silver lining that we achieved implantation.

Thank you again for your kindness, I hope your path with DE has been more smooth xxx

Millbanks profile image
Millbanks

Hi lovely,

I'm so sorry - I had a similar situation last year.

I opted to let it pass naturally but unfortunately for me it didn't want to - so I ended up with medical management, which also didn't do the full job and 6 months later I had a D&C.

If I were to do it all again I would go for a D&C straight away as it's painless and efficent - the medical management was excruciating.

In terms of next steps - I'm still waiting for another transfer as it took almost 10 months to finally clear out everything. But like KitKat says, I'm hopeful that as it did implant last time - next time will be ok.

Sending love - its a tough time xxx

WanderingWonder profile image
WanderingWonder in reply toMillbanks

Hi Millbanks,

So sorry to hear that you’ve had such a horrendous time. I really hope youre feeling fully recovered now and mentally ready for the next round.

Thank you for that invaluable advice. I will self refer to the EPU tomorrow and request a D&C. It’s just so sad and mentally damaging to have wanted nothing more than to be pregnant for so long and to now be almost willing that non viable heartbeat to stop so you can try again. 💔

I wish for your next transfer to be smooth and the one that makes all the heartache to date worth while xxx

Millbanks profile image
Millbanks in reply toWanderingWonder

Thanks lovely - yes all good.

You my find that it all passes easily but for some people it's a bit more arduous - I hope it's over soon for you and you cane move on.

Sending love xx

Endofitall profile image
Endofitall

I am so so sorry. I know what it’s like to be waiting for your much longed for pregnancy to stop and go away. There are no words. No advice but hugs and love your way at this awful time. Be kind to yourself xx

WanderingWonder profile image
WanderingWonder in reply toEndofitall

Thank you very much Endofitall, it’s a bit traumatising, but this is the journey.

I’m so sorry you’ve had to go through it too and I really appreciate the support.

I hope my clinic will have some ideas about next steps and changes as I’m not sure I could go through this false hope again.

I hope you are as well as possible and in a positive/proactive place on your journey xxx

HelzBelzUK profile image
HelzBelzUK

So sorry for what you’re going through xx

We had no heartbeat at our 7 week scan last year and it really broke us.

I declined a D&C because my lining is really thin anyway. They’re done by junior doctors who don’t really care about protecting your lining. I opted for medical management and even though it was mentally and physically hard it was a better choice for me.

Maybe if you opt for a D&C you could get the embryo checked to check for any chromosomal abnormalities? Moving forward I had a hysteroscopy and biopsies and we also done another cycle with pgta. After that experience there’s no way i’d ever transfer another untested embryo. Good luck and be kind to yourself xxxx

WanderingWonder profile image
WanderingWonder in reply toHelzBelzUK

Hi HelzBelz

Thank you very much for your message and apologies for the delayed reply.

I’m really sorry you’ve had to go through this horrible experience. The embryo finally gave up on Thursday and my body started to push it out almost immediately; I passed it yesterday and very much hope that at my scan on Wednesday they will be able to tell me it’s all passed! I would have like to get it tested, but it all happened so violently and so suddenly and I was home alone I wasn’t properly thinking when I scooped it all up off the floor. Never mind.

We have six frozen embryos left, I’m torn as there is an increased risk when testing frozen embryos but it would be comforting to know we had reduced our chance of going through this again by testing.

Thank you so much for your advice, I’m hoping you’re well and in a good place on your journey xxx

HelzBelzUK profile image
HelzBelzUK in reply toWanderingWonder

Hey xx no need to apologise for the late reply xx

So sorry for that you experienced I can’t imagine how horrendous that must have been for you. I suppose in a way it’s good you didn’t need any medical management. EPU left me for 3 weeks before they would do anything and it just added to the pain and trauma of the whole situation.

Yeahh thawing them and testing them can damage them but maybe you could discuss this with the embryologists or the genetic councillor. Our clinic doesn’t like doing this but I know people who have pushed for it and they have done it xx

Thank you.. currently on day 11 of stims. Feeling awful but clinic want to push me a bit longer 😩

StarThree profile image
StarThree

hello , i am so sorry this has happened, it really is devastating, and i’m so sorry you are in this limbo. I had no heartbeat at 9 1/2 weeks and then another time an empty sac at 8 weeks. It is your choice but I echo the advice of someone elses comment to opt for a D&C. Both times i was pushed towards medical management and it was awful for me and my husband, i was incredibly ill and in so much pain for days and this has left so much trauma and i ended up having a D & C anyway. So i think opting for a D & C (although no option is nice) is much more effective at keeping you well and without sounding cold (please dont take this the wrong way) it gets it over with. What you are dealing with is such a heartbreaking thing, if you can get the medical side of things sorted then hopefully you can grieve the loss in your own way.

I hope you get good support and I am so sorry xx

WanderingWonder profile image
WanderingWonder in reply toStarThree

Hi StarThree, apologies for the late reply.

I’m so sorry you had to go through that trauma, it’s all so cruel. I hope you’ve been able to heal as much as is possible 🩷

I had a scan at the EPU and unfortunately they were unable to diagnose a miscarriage as there was still a painfully slow heartbeat. However, the doctor asked me what I wanted to do next and I said I would like to move on as quickly as possible with my womb in the best shape possible so the doctor booked me in for surgery this coming Friday, although I have to attend for a scan on Wednesday to diagnose the miscarriage. I hope everything will be out by then as I passed the embryo and some big clots yesterday. It was horrific and extremely painful, but I’m really hoping I’ve been lucky and the worst has passed as I’m now experiencing bearable cramps and smaller clots.

I think they might use a vacuum, which is different from a D&C and I’ve heard can be risky with regard to the womb lining. Did you have an actual D&C or did they use suction?

Thank you again for your advice, it’s so helpful and I hope you wherever you are in your journey, you are feeling as positive about it as possible xxx

Twiglet2 profile image
Twiglet2

I am so so so sorry 😢 this was the hardest time for us when this happened so my heart really goes out to you! I did stop some of my progesterone at this point (was on lubion as well as pessaries so stopped the injections and slowed down the pessaries) and at the next scan the heartbeat had stopped and then j stopped them completely and miscarried at home about 10 days later without needing any intervention. It was a long wait to see if it would happen on its own so you may want to discuss the other options in detail as there is a risk of trying at home miscarriage with nonintervention that you need intervention anyways but my clinic kept in touch over the 10 days and when I back to spot at day 7 they did give me the extra few days before getting me back in to discuss D&C etc. Both the D$C and the medical management had an impact on how soon we could next try again though which was one of the reasons I just let things happen on its own as well as the fact that I’d miscarried at home before (although earlier at 6,5 weeks) so I knew the pain had been manageable and it was again this time for me. The scanned me a few days later to check it was a complete miscarriage and luckily it was.

I didn’t do anything different for next egg collections and transfers and put it down to a chromosomal issue with the embryo (I had previous earlier miscarriages too and was already in extra progesterone and clexane) my next collection got 2 embryos and one of them is my 3 week old son, so for me it was just bad luck but I would discuss any tests your clinic think might be helpful in your particular circumstances so you feel comfortable with that as a reason before moving on. You might also want to PGTA if you are doing any more egg collections (we didn’t though as only had 2 embryos).

For right now though be kind to yourself and take any and all support that is going, thinking of you 💜 xx

WanderingWonder profile image
WanderingWonder in reply toTwiglet2

Hey Twiglet, thank you so much for your reply.

I’m sorry for the delay and that you had to experience so many challenges before getting your beautiful boy! I hope the newborn bubble is treating you kindly and you’re getting some sleep!

My body seems to have reacted very quickly after the heartbeat stopped. Even before I stopped the progesterone I started spotting and I quite violently passed the embryo and some big clots yesterday. I’m waiting now to see if the placenta is still to come. I’m hoping it will all pass naturally, I have a scan on Wednesday, so fingers crossed they will be able to see what’s going on in there.

Thank you for the advice regarding the next steps. I am quite anxious that our remaining embryos may be abnormal. The physical side of the miscarriage is horrible but the dashing of hopes is brutal. We have six in the freezer, i keep changing my mind about whether to try once more without testing or not.

Thank you again and wishing you and your family all the best things! xxx

Twiglet2 profile image
Twiglet2 in reply toWanderingWonder

my heart aches for you lovely 😢 I found the emotional side harder than the physical side of the miscarriage so please do look after yourself and lean on others 💜

Just because this one was a miscarriage absolutely does not mean the next ones will be too! But I get that is now a big worry, I was the same and it’s sounds like you have been through so much with it as well 😢but both my sons came following miscarriages (my firstborn was from the same collection as a miscarriage and was the ‘4th best embryo’ after a miscarriage following embryos 2 and 3) so there is plenty of hope (when you are ready to look to the next steps) especially with 6 in the freezer 🤗 xxx

FMohammed profile image
FMohammed

HI Wandering,

I am going through the exact situation at you. Baby is 7 weeks and it hasn’t grown only 2mm heart beat stopped and was told the blood flow wasn’t going to the baby through the placenta. Feeling really upset and devastated cause I only had one embryo and need to start the joinery again.

I was told to wait until I bleed for the embryo to come out and also on Monday I have hospital appointment where they will scan me and check if the embryo has been out if not they will give me tablets.

Feeling scared going through the process of missed miscarriage.

Hope you are okay x

WanderingWonder profile image
WanderingWonder in reply toFMohammed

Hey, so sorry for the delayed response and that you are experiencing this too.

Do you mind me asking how they determined that there was an issue with the placenta?

I’m not sure if this will be helpful but, here is how I’ve experienced the miscarriage so far:

I believe the heartbeat stopped on Thursday, I started spotting Thursday night. Cramps started Friday morning, more intense by the evening.

Saturday the cramps became borderline unbearable, bleeding became heavy and I started passing small clots.

For about an hour I felt shivery and nauseous. The cramps became so intense I couldn’t get up from the loo. I suddenly had diarrhoea and at the same time felt extremely dizzy and knew I needed to throw up. I threw up violently four times in a row and the pressure of that on my abdomen pushed out the embryo and three huge clots without me really even feeling it.

Since then, the cramps are bearable again and the bleeding is like a normal (heavy) period- I’m wearing maxi pads.

I’m sorry if that’s too much info, I was anxious about what would happen and would have liked to have known beforehand. It may not be over yet, but, the really horrible part lasted three hours and I’m already feeling much better- I hope that brings you some comfort.

Feel free to DM me anytime xxx

FMohammed profile image
FMohammed in reply toWanderingWonder

Hey thank you for your message, I am at the same position I was really emotional over the weekend thinking why it happened. My Embroy came out too but still bleeding and got a hospital appointment for a scan. I asked about the blood flow to the baby they said to me they don’t know and it happens sometimes.

I am here for you too… hopefully i pray to works the next time.

I have put on 5 kgs due to the pregnancy which I need to lose weight before starting the next cycle.

Really nervous man xx

WanderingWonder profile image
WanderingWonder in reply toFMohammed

Ahh im sorry, it is an emotional rollercoaster and there’s nothing anyone can really say, but you’re doing so well and hopefully by the time of your scan it will have all passed and you can start to look after yourself. I’ve read that even if everything has passed the bleeding can continue for a couple of weeks.

It’s too much right now to worry about weight loss, I’m sure once this horrible stage is over, you will be able to sleep better, go for walks, spend more time planning your meals - that will naturally allow your body to get back to some semblance of normal.

Do feel free to DM me and let me know how you’re doing. Fingers crossed it passes quickly and smoothly xxx

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