(1) Small gestational sac - any chance? (2) Suspected Ectopic

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I am 37. Two previous normal pregnancies.

I am now 6.4 weeks into third pregnancy. Started bleeding early week 5 (varying from spotting to light period level)and still bleeding 8 days later.

End of last week (at 6.1 weeks) I was called in by our hospital as a suspected ectopic on basis of HCG rise 1700 to 2200 in 2 days. They recommended immediate laparoscopy but I held out for trans vag scan first.

It showed appparent 4 mm gestational sac. No yolk sac or embryo visible. Closed cervix. No sign of bleeding (?!). They dated it at 4-5 weeks but I know that my dates are right because we used an ovo kit. Therefore the gestational sac is at least a week behind what it should be.

Latest HGC (6.3 weeks) was 3100 (so doubling every 4 days). Still light bleeding.

My questions are:

1. Is there still any risk of ectopic?

2. Is there any chance of viability or does the small gestational sac (a week behind) + bleeding + HCG only doubling every 4 days + no nausea or tender breasts, mean it is doomeed?

Nobody here (England) seems to know.

Many thanks

--
Ruby

p.s.  I read a number of posts by Patricia with something similar.  Would
love to know what happened to her.

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