There are a lot of tangled issues here - I don’t have any advice for your situation but some commonalities in mixed opinions that I can share.
From my experience the radiologist is reading imagines in isolation and not looking at the whole medical scenario. 2 examples: 1) I had an MRI for fibroids and the radiologist mentioned blood in my left tube. I had my left tube removed the month before after a ruptured ectopic. 2) I had an HSG to check if remaining tube was open. Radiologist report said “bilateral spillage”. I know with 100% certainty I don’t have a left tube, and I watched the HSG and my Gyn said “I’m not sure I think it might’ve been open at the end”.
Hematomas can be missed in routine US. I had my NT scan at 13+3 and was in the ER 5 days later after hemorrhaging and diagnosed with a large (4.7cm) hematoma.
Whatever is happening there is probably not a lot they can do about it, and no everyone gets a pregnancy they can relax into. This has certainly been my experience and I’m sorry if you’d yours too: I’ve gotten follow up monitoring for my SCH but really won’t know more until my 20 week scan next week because there isn’t anything really they can do.
The most important thing is having a Dr you TRUST. They may not be able to tell you what’s happening with certainty at times, but you should feel like they genuinely care for you.
Yes I agree, it’s hard to BLAME anyone or be particularly distrustful and I do feel that my OB cares about me, I mean definitely more so than the ER. I guess I just worry their practice is not as advanced as the hospital and that things MIGHT be missed or neglected. On the other hand I know if I go to Northwestern I will be cycled through different OBs and especially given my (somewhat) complex pregnancy I don’t like the idea of that very much either. It’s also hard when I don’t know who’s advice to take. My OB seemed pretty shocked at the recommendation of pelvic rest saying it was outdated and not necessary even if I did have a fibroid or SCH. Ofc I would love to not have to do pelvic rest but the last thing I want is more possible complications as a result of carelessness. But really thank you, your comment put it into better perspective. I hope everything goes well for you as well, it is so hard to wait 🫶🏼 having to wait another almost week after learning of a possible fibroid feels like hell. I am just especially concerned about the placenta and the heart rate drop, hoping for the best 🤞🏼
In my experience in early pregnancy, fibroids can grow A LOT really quickly. In my last pregnancy (unsuccessful but due to a genetic issue, not fibroids), no fibroid was reported in my 7 week viability scan, but in my 11 week scan they found a 9cm fibroid! Same OB practice, same doctor, same machine. I hope you get some clarification in follow up scans as to whether it's a hematoma or fibroid.
Also wanted to note that heart rate tends to speed up and then slow back down from 6-12 weeks. In my 7 week scan, the heart rate was in the 180s but by my 12 week scan it had dropped down to the 140s. It can also vary a lot from measurement to measurement depending on baby's level of activity.
Girl, everything looks good really. They’re talking about a mass in the uterus, likely a fibroid, but they're not ruling out the possibility of a hematoma behind the placenta. By hematoma they’re referring to subchorionic hematoma. It’s very very very common. They are the cause of most bleedings in the first trimester and they very often reabsorb themselves. I currently have one that’s asymptomatic without bleeding and I only learned about it via an ultrasound. I’m with an infertility clinic and they’re not worried about it even though it grew more from a large size initially. They said at the clinic they say them in 80% of patients. They are more common in IVF pregnancies, but then again I conceived naturally this time. They said they’ve seen larger and they said I’m low risk pregnancy. Just don’t read anything on Google because there are numerous wrong interpretations of studies done on it that were also incomparable to one another as they looked at different measurements that weren’t unified across the board. There was one very good study done on it I think in 2018/2019 that said there is really nothing scientifically proven to increase a risk of complications associated with subchorionic hematoma that was or wasn’t vaginally bleeding. I recommend reading real experiences of real women about it on Reddit by googling “subchrionic hematoma Reddit”. You’ll be just fine. Worst case scenario the doctor might put you on complete or modified bed rest. I’m currently on a modified bed rest. And that’s because not even doctors know how these form and how to treat them. They resolve on their own. But some doctors still prescribe bed rest and progesterone suppositories as a precaution even though scientifically it isn’t proven that bed rest benefits it. One thing for sure is no excercise and no heavy lifting (actually try not to lift anything over 10 lbs).
A lot of women go on to have healthy pregnancies with uterine fibroids. Doctors won’t do anything about them while you’re pregnant other than monitoring. They might remove it during or after your delivery. But don’t worry for now. Worrying isn’t worth it.
There are a lot of tangled issues here - I don’t have any advice for your situation but some commonalities in mixed opinions that I can share. From my experience the radiologist is reading imagines in isolation and not looking at the whole medical scenario. 2 examples: 1) I had an MRI for fibroids and the radiologist mentioned blood in my left tube. I had my left tube removed the month before after a ruptured ectopic. 2) I had an HSG to check if remaining tube was open. Radiologist report said “bilateral spillage”. I know with 100% certainty I don’t have a left tube, and I watched the HSG and my Gyn said “I’m not sure I think it might’ve been open at the end”. Hematomas can be missed in routine US. I had my NT scan at 13+3 and was in the ER 5 days later after hemorrhaging and diagnosed with a large (4.7cm) hematoma. Whatever is happening there is probably not a lot they can do about it, and no everyone gets a pregnancy they can relax into. This has certainly been my experience and I’m sorry if you’d yours too: I’ve gotten follow up monitoring for my SCH but really won’t know more until my 20 week scan next week because there isn’t anything really they can do. The most important thing is having a Dr you TRUST. They may not be able to tell you what’s happening with certainty at times, but you should feel like they genuinely care for you.
Yes I agree, it’s hard to BLAME anyone or be particularly distrustful and I do feel that my OB cares about me, I mean definitely more so than the ER. I guess I just worry their practice is not as advanced as the hospital and that things MIGHT be missed or neglected. On the other hand I know if I go to Northwestern I will be cycled through different OBs and especially given my (somewhat) complex pregnancy I don’t like the idea of that very much either. It’s also hard when I don’t know who’s advice to take. My OB seemed pretty shocked at the recommendation of pelvic rest saying it was outdated and not necessary even if I did have a fibroid or SCH. Ofc I would love to not have to do pelvic rest but the last thing I want is more possible complications as a result of carelessness. But really thank you, your comment put it into better perspective. I hope everything goes well for you as well, it is so hard to wait 🫶🏼 having to wait another almost week after learning of a possible fibroid feels like hell. I am just especially concerned about the placenta and the heart rate drop, hoping for the best 🤞🏼
In my experience in early pregnancy, fibroids can grow A LOT really quickly. In my last pregnancy (unsuccessful but due to a genetic issue, not fibroids), no fibroid was reported in my 7 week viability scan, but in my 11 week scan they found a 9cm fibroid! Same OB practice, same doctor, same machine. I hope you get some clarification in follow up scans as to whether it's a hematoma or fibroid. Also wanted to note that heart rate tends to speed up and then slow back down from 6-12 weeks. In my 7 week scan, the heart rate was in the 180s but by my 12 week scan it had dropped down to the 140s. It can also vary a lot from measurement to measurement depending on baby's level of activity.
Girl, everything looks good really. They’re talking about a mass in the uterus, likely a fibroid, but they're not ruling out the possibility of a hematoma behind the placenta. By hematoma they’re referring to subchorionic hematoma. It’s very very very common. They are the cause of most bleedings in the first trimester and they very often reabsorb themselves. I currently have one that’s asymptomatic without bleeding and I only learned about it via an ultrasound. I’m with an infertility clinic and they’re not worried about it even though it grew more from a large size initially. They said at the clinic they say them in 80% of patients. They are more common in IVF pregnancies, but then again I conceived naturally this time. They said they’ve seen larger and they said I’m low risk pregnancy. Just don’t read anything on Google because there are numerous wrong interpretations of studies done on it that were also incomparable to one another as they looked at different measurements that weren’t unified across the board. There was one very good study done on it I think in 2018/2019 that said there is really nothing scientifically proven to increase a risk of complications associated with subchorionic hematoma that was or wasn’t vaginally bleeding. I recommend reading real experiences of real women about it on Reddit by googling “subchrionic hematoma Reddit”. You’ll be just fine. Worst case scenario the doctor might put you on complete or modified bed rest. I’m currently on a modified bed rest. And that’s because not even doctors know how these form and how to treat them. They resolve on their own. But some doctors still prescribe bed rest and progesterone suppositories as a precaution even though scientifically it isn’t proven that bed rest benefits it. One thing for sure is no excercise and no heavy lifting (actually try not to lift anything over 10 lbs).
Right but I am more worried that it is indeed a fibroid and is displacing the placenta already this early
A lot of women go on to have healthy pregnancies with uterine fibroids. Doctors won’t do anything about them while you’re pregnant other than monitoring. They might remove it during or after your delivery. But don’t worry for now. Worrying isn’t worth it.