Thank you for post on this forum
From your description there are a good number of possibilities for your condition. I'll list a few ( most probable for you and discuss them).
Your beta hCG levels are consistent with a pregnancy that is about 5 weeks from LMP. Bleeding during early pregnancy can come out as a miscarriage without you noticing any products of conception as they are still very very small. Reason why, ultrasound
showed no pregnancy but increased beta HCG levels (positive test). Bleeding and cramping might continue for a couple of days to weeks if incomplete miscarriage. Your doctor would have to perform a D&C.
- Early less than 6 weeks pregnancy
It is possible for pregnancy less than 6 weeks from LMP not to be detected on ultrasound, hence you are having a normally evolving pregnancy with 1st trimester physiologic bleeding which has no immediate hard but can subsequently cause a harm if not managed properly. Hence meet your gynobs.
- Ruptured ectopic pregnancy
Here is another classic possibility. Ultrasound showing hemorrhagic cyst
( could still be a gestational sac
) on the right ovaries. Ultrasonography
is at times not very specific when it comes to certain presentations in the woman's pelvis. If that is the case, your gynobs would surely need to do a culdocentesis / paracentesis
to determine if intraperitoneal bleeding. Emergency laparotomy
will be done.
- Gestational trophoblastic disease
Such as molar pregnancy and choriocarcinoma
are pregnancy related tumors. Normally might be missed on ultrasound. Your above presentation could be as a result of either one of the two. Beta hCG levels need to be monitored and abnormal increase will strongly demonstrate the presence of one of the gestational trophoblastic disease.
- Ovarian tumor
beta HCG levels usually increase when presenting with this plus the fact that an ovarian mass (in your case, a cyst). Your gynobs still have to review especially if your bleeding persist within a couple of days.
While they are a wide range of possibilities in regards to your presentation, the above are the most common conditions we could try to eliminate.
Hopefully this helps