Based on the results and the fact that I was still bleeding, I went in for an ultrasound. It came back clean. What a relief! My uterus was practically empty. Now all we needed was a blood draw to confirm and I'd be good to go (as good as you can be with news of a miscarriage...but it could always be worse). Unfortunately, I missed the easy route. My blood levels raised more questions than answers because they'd increased to 2447. Two days later, there was another increase to 2965. This was not looking good. Miscarriage was looking more and more like ectopic. The doctor said the ultrasound wouldn't be worth it at this point and I proceeded to wait 4 more days for my next blood draw, hoping that something wouldn't burst inside me somewhere.
My blood results came back Monday at 4376. After speaking with the staff, I was told to come in and get and ultrasound and meet with a doctor. The ultrasound came back positive for an ectopic pregnancy. It was a 2.1 cm spot in my left fallopian tube on the bend near the ovary (apparently most of them occur here). There was no fetal pole and no heart beat, which was reassuring in some sense, because your only options are either 1) wait it out and see if it takes care of itself (if it doesn't, your tubes will rupture), 2) get a methotrexate shot (chemotherapy drug that I had w/molar pregnancy...it essentially inhibits cell growth), or 3) have it surgically removed. Apparently I qualified for the methotrexate treatment because the mass was small enough, I have not experienced any pain, and there was no sign of a live fetus. So, that is what we did. I had the shot last night. We are praying that the first shot takes care of the left over placental tissue that has still been growing. They will potentially do one more, but if the second one doesn't work, it is off to surgery. I have 2 blood draws scheduled, one Thursday and one Sunday. There needs to be a 15% decline in the hormone levels between those two days to confirm that the first shot is working.
So here we go again. Round two. Not exactly what I was hoping for with my next pregnancy. I feel like 1 in 100,000 (odds of molar & ectopic...if you factor in complete molar it's 1 in 500,000). The last two weeks I've been grieving in various ways and in some ways I was still dealing with the grief from the molar. Until I have a healthy pregnancy, there is no way to get around the feelings of injustice and jealousy when I hear of others getting pregnant and having kids, but it's something I feel and let go in the moment; it is too ugly of an emotion to allow it to fester and settle in.
Do I understand why this is happening? No. Do I like it? No. Do I trust that God will work this for good? Yes. Will He bring me through this? Yes. Is God still good? Yes.
Please continue to pray:
- That this first methotrexate shot works according to plan.
- That my body can heal without too much scar tissue (I'm now at risk of having another ectopic in the future because of this...15% chance).
- For strength for Dave & I to deal with the emotions/stress of the situation in the midst of other stresses of work.
- For a future healthy pregnancy at some point in the near future and the courage to try again.
- For emotional/spiritual/mental healing through the grief.
- For protection over our marriage from spiritual attack.