Hello,
Thanks for your consult at DoctorSpring.com.
Well, over a two week period, the counts have not risen satisfactorily. Yes, your B HCG values do raise a strong suspicion of an ectopic pregnancy or a miscarriage.
A vaginal ultrasound in expert hands is the only way this differentiation can be seen.
With ectopic pregnancy, rarely a sac like structure is seen intra uterine too. But generally speaking, if a yolk sac was seen, probability of an ectopic is very low.
It all boils down to how good the sonologist was. I would advise an expert transvaginal ultrasound scan before rushing headlong into any procedure, particularly a D and C.
It could be a miscarriage, or a normal pregnancy that is just taking its time to develop , albeit this last option is less likely with low HCG levels. The option for you is get an expert transvaginal scan. Meanwhile, repeat the HCG count if not done lately. Do NOT rush into a D and C without a definitive diagnosis.
Would you be able to enjoy the cruise with all this confusion ? If possible, postpone it till you know the diagnosis for sure.
Take care.
Please feel free to discuss further.
Patient replied :
Thanks for your reply. The other doctor that I went to for a second opinion was the one that performed the ultrasound and she also was the one that wanted to have the wait and see approach.
On the cruise, I think we will be able to enjoy this but I am more concern about my health in case if something happenned. Being on a ship for 7 days does not provide many options if there was a major emergency. From the info I have given, is it safe to go on the cruise. That is really my question.
Till you know for sure whether it is a miscarriage, a normal pregnancy or an ectopic pregnancy, it is not safe to go on a trip.
You might bleed anytime and require emergency medical care anytime.