Tag Archives: ultrasound

22 week ultrasound…

So my cervix measured longer at 3.8 to 4 this time! Thank goodness.

I’m beginning to realize my anxiety about appointments is contributing to my symptoms and seems to increase my Braxton Hicks contractions and cramping. Apparently I need to do a better job relaxing in general. I am ok until a few days before the appointment and then I start to let the anxiety take over. Any suggestions?

Next step is a another cervix check at 24 weeks and the gestational diabetes test. Yay! And the ever so exciting viability at 24 weeks (which I hope to goodness I don’t have anything close to a 24 weeker)!!

20 week ultrasound

So in my true blogging form I am late to the game once again. My 20 week ultrasound was a week and a half ago and I’m happy to report that everything looks within normal limits with the baby! He is measuring on track with dates so far, which is a huge relief. And we confirmed that he actually is a he.

My cervix is measuring 3.2cm which is still in the reassuring range, but of course I’m concerned that it’s been shortening every two weeks. I started in the 5cm range, down to 4cm and now closer to 3cm. I held steady around 4cm for my last pregnancy. Hopefully my cervix check this week will show no change and I can stop worrying about it (yeah right, I am a huge worrier).

Next up is my last cervix check at 22 weeks, and then I will have a growth scan around the 30 week mark. With baby A, the growth scan at 30 weeks was where the IUGR was diagnosed so I’m hoping that history doesn’t repeat itself.

I’ve been feeling movement since 15 weeks but over the last week it’s become very frequent and it’s getting stronger. I even saw a kick through my belly the other night. My husband has been able to feel him this past week as well, which has been great for bonding.

My Braxton hicks contractions have been increasing in frequency over the past week as well. I hate that I feel them so early. I’m always concerned they are going to turn into preterm labor. I’ve also had some period-like pain that I’ve been attributing to round ligament pain (this has been my norm for weeks). It’s been way worse this pregnancy but luckily it’s only severe for 10-15 mins before subsiding.

I finally started telling people at work, and it’s certainly time because I cannot hide I anymore. Hilariously enough I have a co-worker who is due 2 days before me! She also waited until the 20 week mark to say anything. I know she and her husband had a hard time conceiving (although I don’t know the details) so I am super ecstatic for her! Sadly, I have another co-worker who is currently experiencing her third miscarriage in a year. She had a late miscarriage at 18 weeks where her water just broke out of nowhere, followed by two first trimester miscarriages. I’m so sad for her and I did my best to offer her support yesterday when she told me (I disclosed my five miscarriages to her) but I’m still unsure how much support she wants from the pregnant girl so I’ll just keep checking in.

In other news, we are potty training A. She is still in diapers for naps and nights but she’s doing great otherwise. She still poops in her diaper but has also pooped in the potty several times as well. I initially didn’t want to bribe but my husband started giving her 3 chocolate chips if she poops in the potty and that has helped immensely. She doesn’t need any bribing for pee. We had one day this week where she peed herself FIVE times in an afternoon and I though we had completely regressed, but it’s now been almost 4 days and no accidents since then. She is also doing great at daycare using the potty. I hope it keeps going well.

Wishing everyone all the best in the new year!

18 week cervix check

I met with a different doctor to do my 18 week check last Thursday. Thank goodness it’s measuring an average of 4cm. Everything else looked good (strong heartbeat, fluid looks normal) but it was a quick surface ultrasound. My anatomy scan is next Thursday and I am really hoping that everything looks normal and that he is measuring on track.

I have been feeling movement off and on, but it’s getting more frequent which is super reassuring. My placenta is anterior again so it really is a miracle that I can feel anything this early. I feel really lucky!

I hope everyone enjoyed their holidays. We did!

16 weeks and the cervix checks begin…

I had my 16 week appointment yesterday and everything looks good so far! My cervix is measuring 5.15cm which is fabulous. Thank goodness! (Side note, I went in around 14 weeks for intense pelvic pressure and my cervix measured 3.2cm so I am very happy with the longer measurement). My uterus is also measuring on track for 16 weeks.

I asked if she could try and estimate the baby’s gestational age and he is measuring right at 16 weeks 3 days, so perfect growth. I am super concerned about IUGR after last time. It didn’t show up until sometime between my 20 week ultrasound and my growth scan around 28-29 weeks. So I’m reassured that things are fine now but not entirely convinced it won’t happen again. Baby A was somewhere in the 30th percentile at 20 weeks and <3rd percentile at the growth scan so we shall see.

I’m still taking the vaginal progesterone twice a day which is messy and not my favorite thing but I have no interest in seeing what happens if I stop. I took it though the entire pregnancy last time and will be doing the same this time. The new pack of pills are red, which is lovely because it looks like blood when it comes out. I was reading about this on google and someone pointed out that if it was real blood, it would turn brownish on your pad, while the red progesterone stays a bright red. That was extremely comforting and so far only bright on the pads!

I’m also still on the baby aspirin. I’m not sure when I will stop that. Last time I stopped at 28 weeks. I have my doubts that the aspirin actually helped the blood flow later in pregnancy because of when A was diagnosed with IUGR relative to when I stopped the aspirin. We shall see.

I’ve been feeling flutters since 15 weeks which is amazing! I never had flutters with baby A because of my anterior placenta. Only pokes. This time my placenta is partially anterior so better for movement. I’ve also been having some intense round ligament pain. Feels like really bad period cramps only on the right side (the side my uterus is on). It’s not daily thank goodness but several times a week. Very uncomfortable. Otherwise feeling good!

Lastly I’ve already put on 12 pounds so not good! I blame the holidays and needing to eat when I felt crappy. Hopefully it gets a bit better now that I’m feeling better. But I really have to watch it.

Hope everyone is well!

1st trimester is almost done (depending how you look at it…)

As of yesterday, I hit 13 weeks. Since I like averages, I’m in the camp of 13.3 is the end of the first trimester. That is in a couple of days! I spent 4 weeks to 12 weeks pregnant sick with some horrible virus that went from cold to horrific cough to sinus infection so I finally took some antibiotics and it cleared right up. I wish I would have taken them earlier but I also was really hesitant to take anything. I also waited to get my flu shot until I was better and I was even hesitant to get that, but I feel pretty strongly the benefits outweigh the risk. Plus for my job I have to have the shot or wear a mask from November to the beginning of April. No thanks!

Now I’m feeling actual pregnancy sickness. Pretty ironic I missed out on that because I was so incredibly ill! I’ve been super tired as well and incredibly bloated. But that’s it for symptoms so I guess I missed the worst of it. I did throw up once around 11 weeks and that was a pregnancy first (and hopefully last) for me.

We did the harmo.ny prenatal test because I am now almost advanced maternal age (but I feel so young). It took 6 business days and we found out everything is low risk and we are having a BOY! Both of us were shocked as I think we were preparing for a girl after the last loss being a boy. My husband always wanted one of each so I really hope this continues to go well and this is it for us!

I’ve been using my fetal Doppler to check the heartbeat once a week. I tried after my 10 week appointment and couldn’t find it, but I was successful at 11 weeks and it was still going strong as of yesterday. It’s so helpful for me otherwise I’d be in for frequent OB checks and I feel so silly for doing that even though they don’t seem to mind.

My next appointment is at 16 weeks and that is for my biweekly cervix checks until 24 weeks. Here we go again!

Moving right along…

This is a pregnant post, please feel free to skip if need be…

Today I am 9 weeks! It is really a bit shocking to be here and I really hope things keep going well.

I had my last OB appointment this past Friday with my regular OB. She is so amazing and totally squeezed me in so I could see her even when she had no openings. My husband managed to make it after work as well and I was so glad to have his support, especially after the last experience seeing the heartbeat and then having it be gone. My pregnancy symptoms had tapered off again so I was a bit nervous. I was measuring 8w4d, which was a full 3-4 days ahead based off of the last scan. Heartbeat was 180! The baby is so much bigger in a matter of a week. I forgot how much they grow and in such a short timeframe.

I will go back for my prenatal intake appointment next week on Tuesday at 10 weeks. Then if everything looks good I’ll have to see how I’m feeling and if I can wait longer in between ultrasounds (I have a Doppler from last time so I may try it out after my appointment and just use that but who knows if I’ll be able to find the heartbeat…I waited until 15 or 16 weeks to use it last time).

We are going to do the blood test for common chromosomal anomalies this time because I’ll be 35 at the time of delivery (next month…eeekkkk…where has the time gone). I also would like a version of the NT scan but I have no idea if I’ll be able to convince them to do both…it’s apparently one or the other. Hopefully I can work my magic and get what I want!

As for symptoms, they are quite mild, so that continues to make me nervous. My mantra is “I have no reason to believe anything is wrong”. I’ve been saying it a lot. I hope it still rings true for the rest of this pregnancy!

Heartbeat!

Just a heads up that I am talking about my current pregnancy here.

I have been so nervous leading up to this appointment because my pregnancy symptoms have been pretty light to non-existent. I did have one day last week where my boobs were killing me and I was cramping and nauseated, but that all faded away which made me think the worst.

Shockingly, I was so calm this morning. I just wanted to know. My husband was really surprised I was so calm, especially since we were expecting bad news and I was such an anxious wreck this week leading up to the appointment. We were late (which I absolutely hate but OMG traffic and accidents) so I was more stressed about that than the ultrasound itself.

All of my instincts were so incredibly wrong and today we saw a heartbeat of 150 with one baby measuring 7w to 7w 1d. By my charting, I should be 7w 2d so I feel pretty good about those dates. Due date is May 21.

Overall I’m feeling better about this pregnancy because we are the same gestational age today as I was when I miscarried last time after seeing the heartbeat. I’m also quite relieved that the baby is measuring on track according to my charting. I know we are not out of the woods yet (although with my uterine anomaly we are never really out of the woods) but today I feel hope and happiness.

I will have my intake phone appointment with the prenatal clerk next Thursday and then I meet with one of the OB’s at my doctors office on Friday afternoon. I would prefer to meet with my OB but she can’t see me until the 17th and I just can’t wait that long. I know if things keep progressing I will be seeing her soon because I really need the reassurance that things are still going well.

My husband and I both hope this is it!

In other news, A turned 2 yesterday! I took her to a farm about 30 mins from our house and she rode a pony, fed/pet goats, road a train, went in her first bounce house, and went on a hay ride. She LOVED it! Then we had some family over for dinner and she got her first chocolate cupcake, which she proceeded to devour only the frosting and get it everywhere. Our family friend got her some light up shoes that she is obsessed with. She was stomping around everywhere saying “lights on”! It was hysterical.

I am very thankful to have such an amazing and fun daughter. She makes my husband and I so happy.

Saline sonogram 2.0

I had my saline sonogram yesterday on CD10. I found my last one in 2015 to be quite crampy and uncomfortable. It was (and still is) my most uncomfortable experience with fertility procedures. This time I took 300mg Motrin 1 hour before and what a difference! Although maybe it was the doctor’s technique that was better but I literally had no pain (although I was bracing myself for pain the entire time). (Edited to add that I apparently took 800mg of Motrin before my last procedure so it must have been my new doctor’s technique). It took less than 10 minutes.

Fortunately there is nothing in my uterus that shouldn’t be there. He also reiterated that if we didn’t know about my UU, he would never be able to tell based on ultrasound that I had one. Oddly enough I almost wished for a polyp so I could undergo another hysteroscopy. One of my theories is that baby A stuck around because of the hysteroscopy creating an area for her to burrow in deep, sort of like an endometrial scratch. Alas I will never know if that was the magic needed but it’s certainly possible.

I still have the same cyst on my left ovary so I hope it stays for several months so I can ovulate from my connected right ovary for awhile, hopefully increasing my chances to be pregnant for the 3rd time in a year…sigh. When we were on our journey toward baby A I had a cyst on my left ovary for a long time, around 6 months. Maybe that is a more cyst-y ovary, if that is even a thing.

I am so unsure that I will ever carry another pregnancy to term. While I now know my body is capable of doing it, I certainly have pretty terrible odds with pregnancy outcomes. What a weird and lonely journey to be on. Never in a million years would I have expected to have recurrent pregnancy loss. I didn’t even know this was a thing until after I had my first miscarriage. Oh to be blissfully ignorant again.

Kidney ultrasound

This is just a quick update mainly geared toward anyone who may have a unicornuate uterus who reads or finds my blog.

People with mulliarian anomalies are more likely to have kidney problems or be missing a kidney. Back in December 2015 I had an MRI to evaluate my uterus and make sure I didn’t have a communicating or functioning rudimentary horn (which I don’t, I literally only have the right side of my uterus). That test also showed that I have 2 kidneys but it couldn’t evaluate whether or not they are fully functional. My MFM told me I should have the kidney ultrasound done once I was no longer pregnant, which I promptly forgot about until I was reviewing all of my medical records prior to my appointment with the new RE. I asked him if he could order the test for me and he obliged.

Yesterday I had the ultrasound. I had to drink 24 oz of water 1 hour prior to the test and then hold it. The ultrasound tech was really nice and chatty. She scanned my right kidney first with no problems. She then did the left kidney and she had a harder time, even saying that the left kidney likes to hide. Of course I thought that meant something was wrong with it (since that is my “bad” side/on the side that is missing the uterus). Then she scanned my full bladder, had me pee, and then scanned my empty bladder. It went from looking like a huge rectangle to a tiny slit, starting with 500ml of water and ending up with 5ml. At least I know I can urinate well!

I was told I would get the results in 2 days. Well I was pleasantly surprised when 2 hours later my RE emailed to tell me everything looks normal. That is a huge relief!

So I wonder if my anatomy is not normally positioned on the left which is why she had trouble with the left side. Who knows!

Meeting with the new RE

We had our meeting with our new RE this week, Dr. H2. Overall it went well, I liked him a lot. Kind, easy to talk with, organized and no bullshit. He had all my results and his recommendations typed up when we got into his office, and he reviewed everything with us from that sheet (and I got a copy of it)!

My FSH is up to 15.3 (from 13ish in Sept. 2015). So worse, but not by much. My AMH, however, is still 1.2 (I was 1.24 in Sept. 2015) so that is encouraging. Honestly I’m surprised (and thankful) it hasn’t changed more. All of my other labs are normal, and the clotting lab I was concerned about is not even elevated according to Dr. H2 so that’s good news. He did an ultrasound and my AFC is 8ish on CD 6 with 4 follicles one each side (and a huge cyst leftover from last month). So that hasn’t really changed either. He also said I can do a saline sonogram in my next cycle so I will be scheduling that in the near future.

As for his opinion on my most recent miscarriage, he thinks it was likely due to the fact that a unicornuate uterus has areas of poor blood flow. While one treatment for RPL is IVF with PGS, he does not recommend this in my case since they cannot control where that embryo will implant and I do make normal embryos so it likely won’t help. (It makes me think back to how we were gong to do IVF and then I got pregnant and it worked out. I wonder how that would have ended up.) He suggests baby aspirin and progesterone, both of which I’m already doing. I also asked if he thinks more of my miscarriages were normal embryos and he said most likely yes.

I don’t know why but I feel strangely validated by that bit of information. If I had to wager a guess, I would think that 4/6 of my pregnancies were actually normal, although I can only prove 2 (my live birth and my most recent miscarriage). I mean who really knows but finding out that the last one was normal really makes me question the poor eggs theory (although I still believe my egg quality is lower for my age given my AFC and FSH). He is also the first RE who said this to me. Everyone else said it was more likely my eggs (although I don’t blame them bc no one else had the chromosomally normal miscarriage as evidence). I guess I would have liked to hear this sooner but there was no way for that to happen.

Armed with this new information, I am really beginning to believe that it is a miracle that I have my beautiful, spunky, fabulous toddler and I feel even more lucky to have her.

As for now, the plan is to keep trying and hope the next embryo is normal AND implants in the right spot. But who knows if lightening will strike twice!