I had a tubal done 13 years ago. Found out through blood test i am 5 weeks and 4 days pregnant. The vaginal ultrasound did not find a sac in my uterus. I had hcg level done and it was 679, two days later it dropped to 279. The only thing they could find is a complex cyst on my left ovary. The doctor is not sure where the baby is. I am so confused. Can anyone help?
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replied March 6th, 2011

Welcome to the ehealthforum and I am glad to help you out. The gestational sac is visible on a transvaginal ultrasound sometime before 5 weeks of gestational age, or by the time the hCG level has reached 1100. I am afraid, from your symptoms the chances of ectopic pregnancy or a miscarriage are there although it can be due to scan done at an early stage. Tubal ligation is not 100%fullproof for prevention of pregnancy and sometimes pregnancy may occur which may be ectopic in nature. If the hCG is above a certain level , but no pregnancy is seen with ultrasound, an ectopic pregnancy is suspected.

I suggest you to get a repeat ultrasound scan done after consulting a gynecologist.

I sincerely hope that helps. Take care.

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replied March 8th, 2011
Thank you for you reply.I went back to the doctors yesterday and my levels went to 89. The doc said I had a miscarriage.Now i am just waiting on my period. The doctor said it would be like 2 weeks before i get any bleeding.I am sad but I know God is with me holding my hand and helping me through this difficult time.
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