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Advice for blighted ovum and molar preg


Forum: Recurrent Miscarriage and Pregnancy Loss

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  #1  
January 9th, 2009, 12:28 PM
naysfirstbaby's Avatar Member
Join Date: Dec 2008
Posts: 20
Hi everyone,
I been here reading posts for a year now,and are familair with most of you but i do not post much, but I read a lot on the message boards. But I feel so confiused that I thought I'd better ask for advice.
My name is Naomi, My boyfriend Matt and I have been together for 10 years now and are 31 and he's 33. We've been ttc/charting for 9 cycles / 11 months, from Dec 2007 till Nov 2008 (cycle days are 34-44 days long)
Last LMP was Oct 6th, 2008. Had intercourse Oct 31 st, and Nov 2, ovulation occurred ( according FF) at Nov 4th! On DPO 10 I felt nauseated, and I knew! Got my BFP at DPO 13 and DPO 14 which was CD 43 and CD 44. Went to OB, received confirmation it was true!
Couldn't get U/S and first dr appt. until after holidays, so I waited until Jan 7th for appt. Meanwhile, when I was supposedly at 7 weeks, I got morning sickness , threw up all day, water even, went ER, IV for fluids and advice, given Zofran 4mg sublingul (under the tongue) for vomiting all day and told to come back if I can't eat or hold down fluids again.So I went on Wed the 7th of Jan. and he said my uterus felt 10 weeks, and then he said let's do a vaginal U/S so he looked and he barely stuck it in, like two inches! I thought it would go way up there. But in ten seconds we see a jelly bean looking sac, with empty blackness looking back, he 's said it lookd like 9 week sac, after 30 sec more he say's "well there's something, but it could be nothing", then 10 seconds later he's says " no, it's empty, it's a blighted ovum, we need a D&C" then he say's " it could a molar pregnancy" than after a minute a a half turn it off. and said" well your young, you can have more" I said why is this happening and he said " chromosome damage, many diffrent reasons" then he' said" we don't want to it to be a moral preganacy, so no babies for a year if that is the case" I said "so what does all this mean", if it's Blighted ovum then you can retry in a few months, but lets have you go to hospital draw up blood for HCG levels, and if they are sky high it's a molar if there normal it's a blighted ovum" . Go again on Friday for another check (which is in three hours today) then call us Monday to schedule a D&C.
So that is what is meant. The baby is not there. No baby, all this sickness and happiness was for nothing!
I cried so much wednesday night, I could not sleep a wink, I hate it. I have no pain or cramping or bleeding. I looked up blighted ovum and molar and read all these misdiagnosed stories, which gave me hope, but it it false hope? I've heard it can take more than a few minutes to find a heartbeat or a baby on a U/S, Iv'e heard of it taking 30 to 45 minutes and then all of a sudden it a HB and baby hiding! What do i do? I'm scared. If Im really 8 weeks or 10 weeks or more, would'nt be painful to pass a large placenta? Or should I wait a week to see if there's a baby on the U/S, or would it be seen if the sac is seen? I'm hurt and confused and scared and I don't want get a D & C unless Im sure, but if they look for another "one minute" U/S it will show the same results, so maybe I should get one done at the hospital. If I have a molar the doctor say's " it can be very dangerous, it can kill you if it not removed and it can come back too". All this was so upsetting, and now I am humilated to tell my sister and Mom. My sister has two small boys, who came easy, and I feel like I failed, I feel defective and embarrassed to tell everyone, that the baby is not there. But I still have hope there are wrong for some reason. I feel pregnant, but my belly is still not showing, so maybe they were right.
What would you guys do, wait to miscarry because they might be wrong (suppose if I'm 7-8 weeks because I ovulated later than predicted and it's not showing up yet) or have a D&C next week. I get my HCG results Monday. Can anyone please give me some advice.
I was so happy, this is my first baby and pregnancy. I feel so conflicted and shocked.
Oh yeah also, I thought I was at 11 weeks, as you can see from the ticker of the baby below, the dr said it felt more like 9 or 10 weeks, this TTC is so emotional draining!
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Ob/gyn on Jan 7th, 09, no HB at 10 weeks
11 wks was diagnosed w/ blighted ovum
baby stopped developing at 7 1/2 wks
D & C on Jan 20th
Hoping to try again in 30 days!


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  #2  
January 9th, 2009, 06:25 PM
DawnN's Avatar Mega Super Mommy
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I would definitely get a 2nd opinion before going through a d&c. There's a HUGE difference between a blighted ovum and a molar pg. ((((hugs))))) Praying you get some answers soon.
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  #3  
January 9th, 2009, 09:55 PM
esparando para bebé's Avatar Proud Car Seat Technician
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I don't know much about either of these. BUT I have to say, if you are not convinced, definitely get another opinion!
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  #4  
January 10th, 2009, 05:37 AM
plan4fate's Avatar I may bend, but not break
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I would def get a 2nd, or a 3rd opinion. if your dates were off, there may only be a sac and no baby yet.

and Dawn's right, there's a HUGE difference between a blight ovum and a molar pregnancy.

I would go into an ER if it comes to that and get them to do a new scan.

HUGS
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  #5  
January 10th, 2009, 07:35 AM
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With my first I had a blighted ovum and my OB did a second scan a week later to be sure there was nothing there. I would definately get another scan before having a D&C just to be sure.
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  #6  
January 10th, 2009, 10:05 AM
miraceti's Avatar Veteran
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First of all I am very sorry that you have to go through such rough time and I hope that next week everything will turn to be fine. As other ladies said there is big difference between blighted ovum and molar pregnancy. HCG results are very important now – as your dr said in molar pregnancy HCG levels can be extremely high.
In such situations our doctors perform D&C and do histopathological tissue examination.
Hugs!!!
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  #7  
January 10th, 2009, 07:26 PM
beck12's Avatar Platinum Supermommy
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Firstly I am so sorry you are going through this. I know it is gut wrenching & heartbreaking & confusing! The other ladies are right but I will recap on a few things so forgive me if I am redundant...

A molar pg occurs when the sperm or egg are lacking chromosomal information. There is anything from a partial molar to full molar pg & this means a tumor has formed. In a partial a baby & tumor have developed, in a full molar a baby didn't develop, NOT EVEN A PLACENTA (so it doesn't make sense that your Dr suspects this) - it typically will look like a bunch of grapes on a scan. In such pgs the HcG count is sky high because the tumor is releasing hormones to mimic pg. I find it quite surprising that your Dr even mentioned it as molar pgs are really quite rare - especially compared to blighted ovums. It would make far better sense for him to have simply ordered the bloodwork & said you needed a follow up u/s next week & then proceeded from there. telling you it *could* be molar did you absolutely no good other than to cause undo worry & stress in the meantime. As far as the B/O - it is totally possible for them to misdiagnose it. That is why it is important to have a follow up u/s to double check. I had this dx, I went for my follow up they confirmed it was a B/O, I opted to wait it out & mc naturally & when I finally did I passed a baby - so it wasn't a B/O after all - but likely we were seeing what we should have seen due to fetal demise. Whether you wait it out is up to you - and not an easy choice to make. It can take weeks...for me it was about 4 weeks, before the mc starts. I found that to be a peaceful time for me, as I chose to wait it out & use that time to say goodbye. The one thing I want to discount for you is that in all of this, is that you feel embarrassed with others about it. PLEASE don't. You are pg - whatever the outcome & that is all that matters. You have a right to love that baby & to grieve regardless of whatever the outcome. I remember for my 1st loss, I had found out I was pg and that I was mcing all within about a week & I felt so stupid going back to tell everyone I wasn't going to have the baby. i think what made me feel so bad was the Dr telling me that due to my low HcG numbers I was likely loosing the baby before I even knew I was pg - so I felt stupid...like I had almost lied to everyone about being pg in the first place. Because of that I think I didn't give myself the validation & love I needed to go through the grieving & it made it all even harder.

You ARE a momma RIGHT now - regardless of the outcome. You have a right to have whatever feelings you have & you deserve to be given the love & patience to get another opinion & wait out these tests before a Dr tell you anything specific. Take as much time as YOU want to make this decision. If the HcG numbers do come back high, then a D&C is in order for your own health & safety. If they come back within an acceptable range, what you do from there is UP TO YOU & YOU ALONE. You can have a D&C if you want, you can choose to wait a bit longer, you can choose to never have one (unless of course some odd complication arose).

I am really sorry you are dealing with this Naomi. This should be a happy time for you & you shouldn't be left with so many questions. It stinks. If you have any other questions - feel free to ask.

Much love & prayers for a better outcome on Monday!
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