Dilemma...advice greatly appreciated

Dilemma...advice greatly appreciated

Laura
Laura

May 23rd, 2012, 1:39 am #1

So about a week ago, I started to feel intermittent stabbing pain in the lower left region of my pelvis. I feel it when I stand up or sit down or if I'm lying down and stretch out. Hours after I feel the stabbing pain I feel a dull throbbing ache. Not quite where my ovary is, but a bit closer to my uterus. Naturally, I'm concerned I might have an ectopic. So I called my OB and the nurse called me back saying that pain from ectopic complications isn't felt until about 8 wk, and the pain I'm feeling is probably the CL cyst, even though I told her it's not the same place I feel pain during ovulation. but she "can't check with an ultrasound until 8 wk anyway because it's too early." But we all know that it's NOT too early because we get u/s at 5 wk all the time. So she ordered some b/w because "that will tell us if it's developing normally or not." I don't have the results yet, but she insisted that it was "too early to see on u/s." (Again this was all the nurse talking)

So, my SIL had normal b/w until 10 wk (even though at 8 wk there was nothing in her ute) when she then found out she had an ectopic. At that point the fetus was so large that they had to remove her entire fallopian tube. She went on to have another healthy pg, but she didn't have any issues before then. This terrifies me. I feel like if I lose a tube, that's it. I'm done for.

I'm thinking that I might schedule a 5-ish week u/s with my RE (even though I REALLY don't like him) just to see. I'm going out of town during weeks 7-8 and if it IS ectopic, I want to have it removed before I leave. The problem with this is that my OB HATES my RE and I don't want to call her and say "RE said I have an ectopic, can you remove it."

Anyone else have an ectopic and feel the same pain as me? Or NOT have an ectopic and feel the same? that would be helpful. TIA!
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Joined: June 20th, 2006, 2:07 am

May 23rd, 2012, 2:29 am #2

I didn't have an ectopic but worried greatly about it because I had read that having endo can be a factor (I have stage 4--I HAD stage 4, seems to be gone now. AF too, now. heh. I'm 43--a bit early for menopause but what the heck)

if the cramps get progressively worse, more painful, then that is something to be concerned about.

(forgive me, I don't know your history) is this your first pg?

when I was pg with my DS, I was so crampy that I was convinced it was an ectopic yet the pains stayed in the same intensity level so had to trust that the nurses I spoke to knew their stuff (ya know?? so hard to trust after our long journey. I blame you one bit to want to have a good look-see)

It is true that at 5wks it's hard to find that little nubbin so if you do manage to have your RE do an u/s, maybe schedule it for week 6? as long as the cramps don't get worse.
If you do have to go see your OB with proof of ectopic (knock on wood!) then you can go with confidence that once again, you had to be pro-active and get to the bottom of things where it should have been your Dr who should have.
when it's seen that the nubbin is in the womb, well, does your OB have to know you had a 5-6wk u/s? noooo way unless RE sends a report...

I suppose what you can do is present at the hospital during evening hours and see if they'll do an u/s and blood work. That way you don't have to go see your RE... Besides, isn't that what women have to do (go to the hospital) when a problem is suspected during a pg?

I think (in my case, don't want to speak for you or others) that the cramps are the pg hormones kicking in, relaxing everything, loosening everything up. I had shooting pains, hot-needle-like pains, stretching pains, AF cramps--lots of those. Being pg isn't easy, for me it was painful alot of the time, not to mention the nausea and how fun that was.

I can understand your worries and fears. HAng in there, be sure to drink your water (8 glasses of fluid, count them because enough water really does help and you really need it. your blood volume increases and the amniotic fluid needs it)

Keep us posted

Juliemam
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Erin
Erin

May 23rd, 2012, 2:41 am #3

So about a week ago, I started to feel intermittent stabbing pain in the lower left region of my pelvis. I feel it when I stand up or sit down or if I'm lying down and stretch out. Hours after I feel the stabbing pain I feel a dull throbbing ache. Not quite where my ovary is, but a bit closer to my uterus. Naturally, I'm concerned I might have an ectopic. So I called my OB and the nurse called me back saying that pain from ectopic complications isn't felt until about 8 wk, and the pain I'm feeling is probably the CL cyst, even though I told her it's not the same place I feel pain during ovulation. but she "can't check with an ultrasound until 8 wk anyway because it's too early." But we all know that it's NOT too early because we get u/s at 5 wk all the time. So she ordered some b/w because "that will tell us if it's developing normally or not." I don't have the results yet, but she insisted that it was "too early to see on u/s." (Again this was all the nurse talking)

So, my SIL had normal b/w until 10 wk (even though at 8 wk there was nothing in her ute) when she then found out she had an ectopic. At that point the fetus was so large that they had to remove her entire fallopian tube. She went on to have another healthy pg, but she didn't have any issues before then. This terrifies me. I feel like if I lose a tube, that's it. I'm done for.

I'm thinking that I might schedule a 5-ish week u/s with my RE (even though I REALLY don't like him) just to see. I'm going out of town during weeks 7-8 and if it IS ectopic, I want to have it removed before I leave. The problem with this is that my OB HATES my RE and I don't want to call her and say "RE said I have an ectopic, can you remove it."

Anyone else have an ectopic and feel the same pain as me? Or NOT have an ectopic and feel the same? that would be helpful. TIA!
I had some similar stabbing pain on my R side for a few days during week 4. Since I just had an u/s that showed the gestational sac in the uterus, I believe it was just pain from the CL. That being said, if I were you, I'd want to know one way or another. Dr. D ordered a r/o ectopic u/s for 5wks 2days b/c of my surgical history, and so it can obviously be done. If I were you, I would either find a way to leave a message for the OB to directly call you and tell him/her that you really feel like you need a 5wk u/s. If he/she says no, then I would maybe try the RE or even the ER. It's your body, so whether the OB is pissed about it is really a problem they're going to have to get over. Another thought would be to wait a couple/few more days and see if the pain persists. I believe it's too early for much damage to be done, and since I assume you're not spotting, I think the risk is minimal at this point. If it goes away, then maybe you'll feel more comfortable waiting? Sorry you're dealing with this and hope it subsides ASAP!
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Laura
Laura

May 23rd, 2012, 3:45 am #4

I didn't have an ectopic but worried greatly about it because I had read that having endo can be a factor (I have stage 4--I HAD stage 4, seems to be gone now. AF too, now. heh. I'm 43--a bit early for menopause but what the heck)

if the cramps get progressively worse, more painful, then that is something to be concerned about.

(forgive me, I don't know your history) is this your first pg?

when I was pg with my DS, I was so crampy that I was convinced it was an ectopic yet the pains stayed in the same intensity level so had to trust that the nurses I spoke to knew their stuff (ya know?? so hard to trust after our long journey. I blame you one bit to want to have a good look-see)

It is true that at 5wks it's hard to find that little nubbin so if you do manage to have your RE do an u/s, maybe schedule it for week 6? as long as the cramps don't get worse.
If you do have to go see your OB with proof of ectopic (knock on wood!) then you can go with confidence that once again, you had to be pro-active and get to the bottom of things where it should have been your Dr who should have.
when it's seen that the nubbin is in the womb, well, does your OB have to know you had a 5-6wk u/s? noooo way unless RE sends a report...

I suppose what you can do is present at the hospital during evening hours and see if they'll do an u/s and blood work. That way you don't have to go see your RE... Besides, isn't that what women have to do (go to the hospital) when a problem is suspected during a pg?

I think (in my case, don't want to speak for you or others) that the cramps are the pg hormones kicking in, relaxing everything, loosening everything up. I had shooting pains, hot-needle-like pains, stretching pains, AF cramps--lots of those. Being pg isn't easy, for me it was painful alot of the time, not to mention the nausea and how fun that was.

I can understand your worries and fears. HAng in there, be sure to drink your water (8 glasses of fluid, count them because enough water really does help and you really need it. your blood volume increases and the amniotic fluid needs it)

Keep us posted

Juliemam
This is my 3rd pregnancy. My first one was my DS, born 6 wk prematurely. The second ended in m/c in Feb. I've never been diagnosed with endo, but I've been worried I had endo and was trying to ignore it. I was finally going to see my OB in a couple of weeks to ask about it and then I got a BFP. It's not crampy, but very sharp/stabbing. I also didn't have implantation cramps/spotting with this one, when I did with my other two.

I have an apt with my OB at about 6.5 wk, but that's only a few days before I leave town for 1.5 wk, and since she doesn't have an u/s in her office, I'd have to schedule through the hospital and it's just not enough time before I leave. She doesn't do phone consults unless you call her after hours and her answering service pages her, but that's really for emergencies only. I wouldn't be worried about this at all except for the whole leaving town weeks 7-8...right at the critical time needed to find an ectopic with hopes to save the tube.

That's a good idea about the ER...I actually have a close friend here who's an ER physician and a few weeks ago when I was having some other pain, she offered to take me while she was off and do a quick abdominal u/s. Maybe I'll ask her.
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Laura
Laura

May 23rd, 2012, 3:49 am #5

I had some similar stabbing pain on my R side for a few days during week 4. Since I just had an u/s that showed the gestational sac in the uterus, I believe it was just pain from the CL. That being said, if I were you, I'd want to know one way or another. Dr. D ordered a r/o ectopic u/s for 5wks 2days b/c of my surgical history, and so it can obviously be done. If I were you, I would either find a way to leave a message for the OB to directly call you and tell him/her that you really feel like you need a 5wk u/s. If he/she says no, then I would maybe try the RE or even the ER. It's your body, so whether the OB is pissed about it is really a problem they're going to have to get over. Another thought would be to wait a couple/few more days and see if the pain persists. I believe it's too early for much damage to be done, and since I assume you're not spotting, I think the risk is minimal at this point. If it goes away, then maybe you'll feel more comfortable waiting? Sorry you're dealing with this and hope it subsides ASAP!
And congrats on a good 5 wk u/s! What a relief.

It's strange, I'm not stressing about it, or even worried about it. Maybe it's b/c my other m/c was so recent I'm kind of numb to it. What stresses me out is the fact that I'm leaving town wk 7-8. It's good to hear you had similar pains, I guess, but that it worked out for you. I think I will hit up my friend the ER doctor to see if she can do something to help out. If she can't I will probably call my RE next week. Thanks for the advice!
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Joined: September 22nd, 2009, 7:19 pm

May 23rd, 2012, 1:06 pm #6

So about a week ago, I started to feel intermittent stabbing pain in the lower left region of my pelvis. I feel it when I stand up or sit down or if I'm lying down and stretch out. Hours after I feel the stabbing pain I feel a dull throbbing ache. Not quite where my ovary is, but a bit closer to my uterus. Naturally, I'm concerned I might have an ectopic. So I called my OB and the nurse called me back saying that pain from ectopic complications isn't felt until about 8 wk, and the pain I'm feeling is probably the CL cyst, even though I told her it's not the same place I feel pain during ovulation. but she "can't check with an ultrasound until 8 wk anyway because it's too early." But we all know that it's NOT too early because we get u/s at 5 wk all the time. So she ordered some b/w because "that will tell us if it's developing normally or not." I don't have the results yet, but she insisted that it was "too early to see on u/s." (Again this was all the nurse talking)

So, my SIL had normal b/w until 10 wk (even though at 8 wk there was nothing in her ute) when she then found out she had an ectopic. At that point the fetus was so large that they had to remove her entire fallopian tube. She went on to have another healthy pg, but she didn't have any issues before then. This terrifies me. I feel like if I lose a tube, that's it. I'm done for.

I'm thinking that I might schedule a 5-ish week u/s with my RE (even though I REALLY don't like him) just to see. I'm going out of town during weeks 7-8 and if it IS ectopic, I want to have it removed before I leave. The problem with this is that my OB HATES my RE and I don't want to call her and say "RE said I have an ectopic, can you remove it."

Anyone else have an ectopic and feel the same pain as me? Or NOT have an ectopic and feel the same? that would be helpful. TIA!
Lost my left ovary to an endo cyst, so ovary pain freaks me out. I had it with both pg's. Made them take a close look at the ovary during u/s and it was always just the c/l cyst.

My ob did an u/s for me at 5w with this pg. I was spotting and convinced it was over. His equipment was not as good as an RE's, but could see my tube was clear. We saw something in the uterus, but was unclear if it was a sac or bleeding source.

I'd see if RE could take you for an u/s just to confirm placement in ute. It's probably there. Will ob not see you at all until wk 8? Ob may give different info than nurse, especially with your planned travel. They can send you to high risk specialist for a detailed u/s if their equipment isn't good enough for early u/s.
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Alli
Alli

May 23rd, 2012, 1:53 pm #7

So about a week ago, I started to feel intermittent stabbing pain in the lower left region of my pelvis. I feel it when I stand up or sit down or if I'm lying down and stretch out. Hours after I feel the stabbing pain I feel a dull throbbing ache. Not quite where my ovary is, but a bit closer to my uterus. Naturally, I'm concerned I might have an ectopic. So I called my OB and the nurse called me back saying that pain from ectopic complications isn't felt until about 8 wk, and the pain I'm feeling is probably the CL cyst, even though I told her it's not the same place I feel pain during ovulation. but she "can't check with an ultrasound until 8 wk anyway because it's too early." But we all know that it's NOT too early because we get u/s at 5 wk all the time. So she ordered some b/w because "that will tell us if it's developing normally or not." I don't have the results yet, but she insisted that it was "too early to see on u/s." (Again this was all the nurse talking)

So, my SIL had normal b/w until 10 wk (even though at 8 wk there was nothing in her ute) when she then found out she had an ectopic. At that point the fetus was so large that they had to remove her entire fallopian tube. She went on to have another healthy pg, but she didn't have any issues before then. This terrifies me. I feel like if I lose a tube, that's it. I'm done for.

I'm thinking that I might schedule a 5-ish week u/s with my RE (even though I REALLY don't like him) just to see. I'm going out of town during weeks 7-8 and if it IS ectopic, I want to have it removed before I leave. The problem with this is that my OB HATES my RE and I don't want to call her and say "RE said I have an ectopic, can you remove it."

Anyone else have an ectopic and feel the same pain as me? Or NOT have an ectopic and feel the same? that would be helpful. TIA!
Because my nurse said if I had any left or right side pain to call them immediately. Could you say you are spotting? Maybe that will convince them to get more attention.
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Sara H
Sara H

May 23rd, 2012, 3:18 pm #8

So about a week ago, I started to feel intermittent stabbing pain in the lower left region of my pelvis. I feel it when I stand up or sit down or if I'm lying down and stretch out. Hours after I feel the stabbing pain I feel a dull throbbing ache. Not quite where my ovary is, but a bit closer to my uterus. Naturally, I'm concerned I might have an ectopic. So I called my OB and the nurse called me back saying that pain from ectopic complications isn't felt until about 8 wk, and the pain I'm feeling is probably the CL cyst, even though I told her it's not the same place I feel pain during ovulation. but she "can't check with an ultrasound until 8 wk anyway because it's too early." But we all know that it's NOT too early because we get u/s at 5 wk all the time. So she ordered some b/w because "that will tell us if it's developing normally or not." I don't have the results yet, but she insisted that it was "too early to see on u/s." (Again this was all the nurse talking)

So, my SIL had normal b/w until 10 wk (even though at 8 wk there was nothing in her ute) when she then found out she had an ectopic. At that point the fetus was so large that they had to remove her entire fallopian tube. She went on to have another healthy pg, but she didn't have any issues before then. This terrifies me. I feel like if I lose a tube, that's it. I'm done for.

I'm thinking that I might schedule a 5-ish week u/s with my RE (even though I REALLY don't like him) just to see. I'm going out of town during weeks 7-8 and if it IS ectopic, I want to have it removed before I leave. The problem with this is that my OB HATES my RE and I don't want to call her and say "RE said I have an ectopic, can you remove it."

Anyone else have an ectopic and feel the same pain as me? Or NOT have an ectopic and feel the same? that would be helpful. TIA!
their US equipment is not good enough to see. My RE totally could at only 6 weeks but my OB has a cruddy machine that can't see that much. (rather frustrating but she can see what she needs to and we get great pics from our specialist so it's OK!)

So, I'd go to the RE and, if there is something amiss, go to the other Dr. and say "The RE said they could see with their new US so I gave it a try and found..." (Because hopefully in blaming the equipment they won't take it personally!)

Either way best, I think, to set you mind at ease!
Praying it's nothing at all and keep us posted,
Sara H
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mel
mel

May 23rd, 2012, 3:26 pm #9

So about a week ago, I started to feel intermittent stabbing pain in the lower left region of my pelvis. I feel it when I stand up or sit down or if I'm lying down and stretch out. Hours after I feel the stabbing pain I feel a dull throbbing ache. Not quite where my ovary is, but a bit closer to my uterus. Naturally, I'm concerned I might have an ectopic. So I called my OB and the nurse called me back saying that pain from ectopic complications isn't felt until about 8 wk, and the pain I'm feeling is probably the CL cyst, even though I told her it's not the same place I feel pain during ovulation. but she "can't check with an ultrasound until 8 wk anyway because it's too early." But we all know that it's NOT too early because we get u/s at 5 wk all the time. So she ordered some b/w because "that will tell us if it's developing normally or not." I don't have the results yet, but she insisted that it was "too early to see on u/s." (Again this was all the nurse talking)

So, my SIL had normal b/w until 10 wk (even though at 8 wk there was nothing in her ute) when she then found out she had an ectopic. At that point the fetus was so large that they had to remove her entire fallopian tube. She went on to have another healthy pg, but she didn't have any issues before then. This terrifies me. I feel like if I lose a tube, that's it. I'm done for.

I'm thinking that I might schedule a 5-ish week u/s with my RE (even though I REALLY don't like him) just to see. I'm going out of town during weeks 7-8 and if it IS ectopic, I want to have it removed before I leave. The problem with this is that my OB HATES my RE and I don't want to call her and say "RE said I have an ectopic, can you remove it."

Anyone else have an ectopic and feel the same pain as me? Or NOT have an ectopic and feel the same? that would be helpful. TIA!
I think b/w will at least give you some indication that it may be ectopic. Every pregnancy is different, so even if you didn't feel something with this one that you did with others, I think that is common. If the pain is really bad, then I would definitely go to the ER, and like a previous poster said, they would also be able to give you an u/s.

If I remember correctly, your RE was really insensitive last time, right? Given the fact that you don't like him, I would try to avoid seeing him, if possible. Is there another RE you could consult with? If your friend could help you out getting an u/s, then that may be worth exploring too.

Wishing you good luck!

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jkl
jkl

May 23rd, 2012, 4:49 pm #10

So about a week ago, I started to feel intermittent stabbing pain in the lower left region of my pelvis. I feel it when I stand up or sit down or if I'm lying down and stretch out. Hours after I feel the stabbing pain I feel a dull throbbing ache. Not quite where my ovary is, but a bit closer to my uterus. Naturally, I'm concerned I might have an ectopic. So I called my OB and the nurse called me back saying that pain from ectopic complications isn't felt until about 8 wk, and the pain I'm feeling is probably the CL cyst, even though I told her it's not the same place I feel pain during ovulation. but she "can't check with an ultrasound until 8 wk anyway because it's too early." But we all know that it's NOT too early because we get u/s at 5 wk all the time. So she ordered some b/w because "that will tell us if it's developing normally or not." I don't have the results yet, but she insisted that it was "too early to see on u/s." (Again this was all the nurse talking)

So, my SIL had normal b/w until 10 wk (even though at 8 wk there was nothing in her ute) when she then found out she had an ectopic. At that point the fetus was so large that they had to remove her entire fallopian tube. She went on to have another healthy pg, but she didn't have any issues before then. This terrifies me. I feel like if I lose a tube, that's it. I'm done for.

I'm thinking that I might schedule a 5-ish week u/s with my RE (even though I REALLY don't like him) just to see. I'm going out of town during weeks 7-8 and if it IS ectopic, I want to have it removed before I leave. The problem with this is that my OB HATES my RE and I don't want to call her and say "RE said I have an ectopic, can you remove it."

Anyone else have an ectopic and feel the same pain as me? Or NOT have an ectopic and feel the same? that would be helpful. TIA!
I think it is the uterus growing. But definitely have felt it when I stand up, maybe it stretches the uterus or something. So really I think you have nothing to worry about. I haven't felt it now that I'm 8 weeks.

That said, once you get something in your head it's hard to get rid of it so you should probably have the 5 wk u/s. How many wks are you? Can you stick it out until the 6+ wks and see if there is a heart beat? That would be reassuring. Also I think in many cases the betas for the ectopics are weird, so a beta can be reassuring.

Also, if you have an ectopic, I wouldn't worry about what you have to tell the ob, they just have to take care of it. I agree with others that the ob u/s are not that great so that's is probably why they can't do it that early. Hang in there!

jkl

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