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D&C to rule out ectopic pregnancy?
Hi. We're in ectopic limbo, and I think I'm going mad. I've been convinced that there's a problem for 3 weeks now, and I'm befuddled at why my doctor isn't more concerned. We knew that there might be a problem when we got a "low positive" Beta HCG (21) 3 weeks ago after an otherwise uneventful IVF round. While my HCG levels doubled nicely at first, I had lots of brown, strange discharge, and I've had 2 separate days of full-on bleeding. At the same time, my HCG levels went UP, then DOWN, then back UP, and they've plateau'd between 650 and 750 for over a week. Nothing is showing up on an ultrasound.
It seems from everything I've read from this site and others, it's mighty likely that I have an ectopic pregnancy. But my doctor is having me do a d&c tomorrow and then repeat the HCG in a couple of days. At the same time, she's telling me that if I have ANY symptoms of an ectopic to go straight to the ER.
Although I appreciate her not jumping straight to methotrexate, I'm also concerned that waiting raises my risk that any ectopic pregnancy will rupture. Have others done a d&c as part of the process of dealing with a possible ectopic? Has it been helpful for anyone catching an ectopic before it ruptured?
Thanks! B
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Our Team:
me: 40 with unexplained infertility
dp (dear partner): 46
ttc 2 years
donors (yes, 2) - both fabulous
4/06 - very 1st IUI - BFP ; m/c and d&c at 8 wks
10/06 - 3rd IUI - BFP - but chemical and lost at 5+ weeks
6 more IUIs - BFN all
8/07 Surgery to remove ovarian cyst
10/07 1st IVF - BFP; ectopic - d&c and methotrexate 
3/08 IVF with donated eggs
3/31 -  ! beta 95; 4/2 - beta 267  ; 4/7 - beta 2073!!!
4/8 - early u/s - a perfect little dot in its perfect little spot!
4/15 - bleeding scare, but saw the bean measuring perfectly and beating its wee heart!
5/2 - u/s - all's well and hb at 175
7/9 - anatomy scan - all's fabulous!
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