today's appt went really well considering we definitely do NOT have a baby growing in there.
it is just a relief to finally have answers. the gestational sac has continued to grow, accounting for me getting bigger and all that stuff
. but the yolk sac has now completely disappeared, so this can now officially be called a "missed m/c". My HCG's have dropped to 3500-something, down from 11013 three weeks ago, so basically part of my body is trying to get rid of it and part of it refuses to.
I REALLY like the new place, the u/s tech has been at her job for 30 years, and even she went thru my whole file (which did somehow get all faxed!
) before my appt! The u/s was a neat experience (except for the bad news part) they had 2 screens hooked up, the one she looked at next to me and one just for the patient above the foot of the table. They had the ability to switch it over to the 3-4D u/s while the u/s was still in me, which I didn't know they could do that! It also could do all these other views so even though it was a transvaginal u/s, they showed a side view so we could see from the vaginal area all the way to the top of my uterus. Our old clinic does not have that technology, and I bet if they did the ectopic baby would have been seen right away
.
The new OB not only went thru my whole file, but conferred with 2 - 3 other OB's about me before my appt. So it was nice to finally have an OB agree with me that I'm not normal and statistics do NOT apply to me! We talked about my options to end this and they do NOT want to do a D&C at all, if they had to do one they would wait much longer post-surgery. Too much of a risk of perforation. Now, the OB from old clinic had called me on Monday, she said she'd check up on me 2 weeks after my last appt with her, but it was 3 weeks by the time she called and I'd already decided to NOT go back, she was pushing for a D&C when I let her know I hadn't started bleeding yet. This was the OB that did the surgery, not my regular OB.). Another option is methotrexate, which we refuse to do bc according to my RE it can hurt chances with an IVF pregnancy and we do NOT want that to happen! Another option is to keep waiting, which I don't want to do anymore. I was okay with waiting at first, but now that we know what's going on, I am ready to end it. So, this OB offered me another option, one that the old clinic never did. It's the (for lack of my remembering the official name) abortion pill, which in normal circumstances has to be taken within the 1st 49 days of pregnancy, but this is only a sac and nothing else so it should work. He's going to research it over the weekend and let me know on Monday whether this med will be okay or not. it is an anti-progesterone-hormone pill, so the body stops supporting the pregnancy and then another part of it helps to expel the contents of the uterus and is supposed to have no side effects like methotrexate does. I think it is my best option to end this the quickest with the least side effects - no danger of perforation, no nasty chemicals to reside in my body for months.
I told him how I had wanted to be a little more closely monitored with this pg from the very beginning and was suprised that no other dr's thought I should be (and that it turned out I should have been), and he said, don't worry, we will monitor you like "white on rice" for the next one!
So all in all, yes it totally SUCKS
that we don't have a baby, but at least we can move on. I just hope that either the natural m/c starts very SOON, like NOW or that the one med will be okay to take and that I can take it Monday.
kind of a funny part of today, we had 4 hours to kill between the lab appt and the u/s & dr appt so we did some shopping. I got Iria a new honking duck toy to replace the old one and she KNOWS that there is a toy for her in the bag . . . and went right for it to sniff at it, looking at me like c'mon, please, unwrap it so I can play with it . . .she never does this with all the other shopping bags we bring home but if there's a dog toy in there she's right on it right now! they must have a certain smell
funny dog!
ETA I forgot to add, we talked about future pg's and they were very happy with the way the rupture is healing and there should be no problem with carrying a future baby, just labor/delivery so they will be planned early c-sections. I do have some other non-reproductive issues so we all agreed that knocking me out completely for the c-section is the best way to go.
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bad news for baby but some good news
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