High hcg, no heartbeat, OB concerned- anyone have info?

[mom2D]

I had a dating scan done yesterday because I am not exactly sure when I conceived. I had a positive pregnancy test about 2 weeks ago, so I figured I was about 6 weeks along. There was a tiny blob in the gestational sac, she didn't mention if there was a fetal pole, and no heartbeat was detected. So she sent me to the lab for HCG levels. They came back at like 14,000 ( I have to go back for the next set to see if they double). So I get a call from the Dr. saying that we "should have seen more" on the U/S based on the hcg levels. She ordered a more detailed ultrasound to be done in 3 days.
I am worried about the pregnancy...anyone have this happen? Any positive outcomes? I have had no spotting, and am still having pregnancy symptoms.

[myk]

i'm sorry, that must be scary. i don't think it's unusual for an u/s not to see much at this point, but the HCG is really high! i hope everything works out.

[jessica_s]

Did they test for progestrone? Sometimes that can give you a better picture. Also the doubling time (second draw) will give you a better idea as well.

[kalamos23]

It is VERY common not to see the heartbeat at 6 weeks especially if you are unsure on your dates - you could actually be closer to 5.5 weeks and the heart starts beating around 5.5weeks (I believe it is 22 days after ovulation? ) and then depending on the u/s machine it could be a few days past that before you actually can see the heartbeat. Also if you have a tilted uterus, it is REALLY really common to have troubles seeing things until later. So if you got an early positive at 3.5 weeks, that would put you 5.5 weeks or so and 14k, while on the higher side, is perfectly fine for 5.5 weeks

http://betabase.info/showDailyData.p...=Single&dpo=26

I tend to have higher HCG levels myself, (with DD, I was at ~6k at 5w even, so doubling every 4 days would put me at ~12k at 5w4d). Also do NOT worry if they don't double in 2 days, they slow WAY down the higher they get - after 6k, they expect doubling at 96 hours+. That is why I mentioned if it doubled every 4 days in my example with DD.

Good luck - I think it sounds promising!

[mom2D]

They did test progesterone, and it was 13.5. I am really not sure of my dates, which is why I scheduled the dating scan. I had an IUD removed, and ended up pregnant within a few weeks. I wasn't charting or anything yet, so this was a surprise.
It is reassuring to hear that some have high hcg levels. This is my 3rd pregnancy, and I think I remember my hcg being high with my first as well. My uterus is retroverted, so maybe that is why the ultrasound showed very little yesterday.
I guess what concerns me the most is the fact that the baby looked tiny on the ultrasound, and the OB mentioned on the phone today that maybe the baby isn't growing yet?
ugh...I just hate this waiting game....

[Baby~Braatens~Mama]

Nothing to add, except my best wishes.

[Lyss]

The first time this happened to me, the ER convinced me that it was an ectopic and gave me methotrexate at 6w because my HCG levels were high . It wasn't ectopic, and I should have just walked out of the hospital, although it may have been a blighted ovum. I think my numbers were in the 20-30,000.

The second time, my RE told me to come back in a week and my DD was there, heart pumping away.

I spotted both times. My HCG was on the highest side of normal or slightly outside of normal both pregnancies. I don't remember the numbers, sorry. I never had a quantitative HCG again with a pregnancy.

[finnegansmom]

A "more detailed ultrasound" in doctor speak could mean that maybe they have a lesser quality portable US machine or something in their office which might not pick up much this early and they just want to check you out with a better machine.
You can get a + HPT pretty early, especially with nice HCG like that so maybe you are only 5-6 weeks along?
I wouldn't do anything rash or worry too too much until you get a second HCG and another US. Chances are hopefully that everything is fine!