purpose of the first ultrasound after hcg hits 2000

[Anonymous]

Oh and insurance covered it - it falls under pregnancy not infertility so more is covered I believe (at least for me).

[Anonymous]

Another person with an ectopic pregnancy that caused a ruptured tube, internal shock, damaged organs, etc. I wish I had had an US to make sure the pregnancy was in the correct place! I've actually heard up to 3-4% of pregnancies are ectopic.

And there are molar pregnancies, chemical pregnancies, blighted ovums, etc, etc.

But likely you will see a heartbeat which will be very reassuring since miscarriage rates go way down!!!

[Anonymous]

Oh- and ectopic pregnancies actually happen with IVF as well, even though you bypass the tubes.

[Anonymous]

Maybe other people are closer to 6.5 weeks when they hit 2000? I'll ask if they want to delay it a bit.

[Anonymous]

Anonymous wrote:Oh- and ectopic pregnancies actually happen with IVF as well, even though you bypass the tubes.

REally?!? I am going in for an FET in the next month and so now I am going to worry about this! EEK! I never knew this. How does this happen???

[Anonymous]

I hit 2,000 ten days before my ultrasound. They still did a third beta, and then scheduled the u/s a week later. They said they didn't want to schedule it too early (before 6 weeks) because then I might get worried if they don't see anything yet. This was at SG.

They also do this ultrasound to see how many are in there... I had twins.

[Anonymous]

Anonymous wrote:Oh and insurance covered it - it falls under pregnancy not infertility so more is covered I believe (at least for me).

+1, my insurance didn't cover any fertility treatments, but as soon as I was pregnant they covered every ultrasound whether it was done by the RE or OB.

[Anonymous]

My RE stopped checking my betas once they hit 1800 (close enough to 2000 I guess) and they hit that on the 3rd Beta. He scheduled the u/s for 6w to see the heartbeat. he seemed confident that we should at least see the heart flutter at that u/s and we did. Follow up u/s were at weeks 7w3d (Heard the hb) and 9w (to check the rate of hb and continued growth). I t seems like a lot but if you are like me and went through IVF, then every chance to see the baby is awesome. I think this is standard at the RE but not with a regular OB.

[Anonymous]

With ART, there's a higher chance of ectopic.

Also, those early sonos will give you an idea if it's a viable pregnancy.

[Anonymous]

Anonymous wrote:My RE stopped checking my betas once they hit 1800 (close enough to 2000 I guess) and they hit that on the 3rd Beta. He scheduled the u/s for 6w to see the heartbeat. he seemed confident that we should at least see the heart flutter at that u/s and we did. Follow up u/s were at weeks 7w3d (Heard the hb) and 9w (to check the rate of hb and continued growth). I t seems like a lot but if you are like me and went through IVF, then every chance to see the baby is awesome. I think this is standard at the RE but not with a regular OB.

Is the idea that once you get close to 2000 they can stop checking your betas because you are out of chemical pregnancy territory?

I've had chemicals and I'd like to know when I get to move beyong that and focus on the next step.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Oh- and ectopic pregnancies actually happen with IVF as well, even though you bypass the tubes.

REally?!? I am going in for an FET in the next month and so now I am going to worry about this! EEK! I never knew this. How does this happen???

I'm not sure exactly how it happens, but I know that it does - I am one of the PP that just had an ectopic and it was with IVF. Thank goodness my RE was monitoring things - we were able to catch it before it ruptured and I was able to do the methotrexate shots (it took 2) . Most OB's don't want to see you until you are 8 weeks along - by that point, you are in danger of having it rupture. Take my advice, it is well worth getting the ultrasound done at about 6 weeks. And if you have insurance (even if it doesn't cover IVF) it should cover the ultrasound (and bloodwork).

[Anonymous]

to make sure the baby is in the right spot, see if it's on track for development and to make sure there is only one baby in there!

[Anonymous]

You actually have a slightly higher chance of ectopic with IVF than natural. Suprised me too. Apparently it depends on the placement of the embryo in the uterus. Its possible for it to migrate back into the fallopian tube causing ecotopic.
To the other PP, I think even if Beta hits 2000 its still possible its a chemical pregnancy which is why the 6 week u/s is really important.

[Anonymous]

Anonymous wrote:You actually have a slightly higher chance of ectopic with IVF than natural. Suprised me too. Apparently it depends on the placement of the embryo in the uterus. Its possible for it to migrate back into the fallopian tube causing ecotopic.
To the other PP, I think even if Beta hits 2000 its still possible its a chemical pregnancy which is why the 6 week u/s is really important.

Darn. Well, can we at least say it's a good sign that my chemical pregnancies never got betas anywhere near this high?

[Anonymous]

I believe ectopics can happen when the egg can't implant in the uterus (which seems like the probability wuold be higher with IVF patients) and it starst migrating up teh tube. the most dangerius kind and hard to spot are between the tube and uterus.

but in teh scheme of things its still rare.