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My Blighted Ovum Story: What I Wish I’d Known to Expect

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“At least there wasn’t really a baby.” I heard this phrase so often after my blighted ovum miscarriage (BO) that I actually stopped telling people what type of loss it was. I just couldn’t take it anymore.

For years, I’d tried to have a baby. For more than a month, I’d dreamed of my child’s life. And then, two miserable ultrasounds sent me into the tailspin of a blighted ovum miscarriage process. This is my blighted ovum story. 

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What is a blighted ovum?

I’m going to answer this question two different ways. First, with a technical answer. Then, with a story. 

Medically, a blighted ovum (also known as an “anembryonic pregnancy”) occurs when “a fertilized egg attaches itself to the uterine wall, but the embryo does not develop. Cells develop to form the pregnancy sac, but not the embryo itself” (American Pregnancy Association).

That’s the official explanation. In lay terms, that means the pregnancy stops growing before an embryo even develops–by the time you get your menstrual period, your chance of a healthy baby is gone, but your body may show no signs of anything being amiss.

For this reason, it’s one of the most frustrating types of miscarriage because it can take a long time to learn that your pregnacyt isn’t viable, and people are sometimes awful about it.

A Blighted Ovum Often Looks Like Any Other Pregnancy

But let me tell you what it really means to have a blighted ovum, from a physical and emotional perspective.

My first pregnancy was a blighted ovum, and do you know what it was? A pregnancy. Here’s what happened.

Husband and I spent a year-and-a-half trying to conceive. As we sat on the couch one night making a list of questions to ask my GYN at my annual appointment the next day, I noticed a sharp pain in my left breast. Oh, the irony.

It suddenly hit me that the nausea I’d felt all weekend, the food aversions, and the outlandish craving for chicken sausage might not be a coincidence after all.

(That’s one thing a lot of people don’t tell you about a blighted ovum: you can still experience full pregnancy symptoms. I know; It’s totally unfair.)

I rushed to the bathroom, having taken hundreds of pregnancy tests but having never seen a positive one.

I knew before the second pink line showed up that I would finally see a positive pregnancy test, but after trying for what felt like so long, I couldn’t possibly believe it.

That immediate and dark second pink line still wasn’t enough to convince me. I was in shock.

positive pregnancy test
My first ever positive pregnancy test. The second line was immediate and unmistakable. How could something so obvious have already stopped developing properly?

Blighted ovum symptoms

I was thankful I had a doctor’s appointment the next day, where we would confirm my pregnancy. I tossed my list of fertility testing questions into the recycling bin, never imagining that I could need them again.

After all, I was pregnant. I was finally going to have a baby!

My doctor confirmed my pregnancy the next day via a urine test, and we started doing blood tests and watching my human chorionic gonadotropin (hCG, aka “the pregnancy hormone”) levels rise. Once they got high enough, we would do an ultrasound.

Everything looked great. My hCG levels were doubling more than properly, and my pregnancy symptoms were through the roof.

I spent hours a day hovered around a toilet, rubbing my belly, eating nothing but bananas and chicken sausage. This sounds gross, but I didn’t really care because I. was. pregnant.

I had intense heartburn, so I carried a photo of my doctor’s list of pregnancy approved medicines. I downed Tums like it was candy (let’s be honest; it basically is) and always had Mylanta on hand so I could keep the nausea and reflux at bay to every extent possible.

At work, I always had Gin Gins in my mouth, hoping I could make it through teaching my classes without rushing out to the bathroom to be sick.

In that bathroom, I talked to my baby.

I was in a new job after 6 years of grad school, and I felt lonely. But because of the growing baby in my belly, I knew I wasn’t really alone, and I took comfort in that. Amid the nausea, of course.

Blighted Ovum Miscarriage: What to Expect

Here’s something I really want people to understand about a BO. The mother’s experience is just like any other pregnancy!

  • Some women will have morning sickness. Others won’t.
  • Some will have cravings. Others won’t.
  • Many will experience food aversions. Others won’t.
  • Heartburn is common in some women. It’s not in others.

These are all normal early pregnancy symptoms! And there are so many more!

Bloating, sensitivity to taste and smell, fatigue, sore breasts, round ligament pain, metallic taste in your mouth–all the normal and unusual early pregnancy signs can still be present with a blighted ovum.

That’s something most people don’t tell you to expect with a blighted ovum, though it’s true with any type of missed miscarriage. If your body doesn’t recognize the loss, you can still have normal pregnancy symptoms.

Because hormones are still increasing.

The gestational sac is still growing.

As far as your body knows, it is growing an embryo.

The only difference is that, internally, there’s no embryo.

But unless you have a spontaneous loss, your body doesn’t recognize that, and God knows your heart doesn’t either.

That’s part of what makes a blighted ovum so hard to emotionally grasp. For so many women, the problem with their pregnancy is absolutely symptomless.

I did not bleed, or even spot, or have any indication of an issue until I walked into the most miserable ultrasound of my life. I had no early miscarriage symptoms.

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My blighted ovum story

Husband and I prepared for our first ultrasound with nothing but sheer excitement. I had told him he wasn’t allowed to tell anyone about our pregnancy because it was “too early” to tell friends and family (I no longer believe in that concept, by the way), but I didn’t actually think anything would go wrong.

Ever practical, Husband was more realistic about the possibility of miscarriage than I was. But watching my morning sickness and insane food aversions, he also thought everything was fine.

We sat in the waiting room at my doctor’s office filling out paperwork, and we looked over to see another couple sitting together excitedly, nervously, too early to show.

We knew they were there for the same reason we were. I silently thought I should befriend this girl. After all, our babies would be about the same age.

To this day, I don’t know what held me back. But something did. Thank God something did.

I should’ve found out that day

My doctor wasn’t in the office that day, but since it was a routine ultrasound test, no one was concerned by her absence.

When we were ushered into the ultrasound room, Husband’s reaction was hilarious. Apparently (and understandably), he didn’t know what women experience at the gynecologist.

He would learn far too well over the coming years of recurrent miscarriage.

The ultrasound technician told me to empty my bladder and put on a paper skirt. I followed her instructions with equal parts elation and nerves. Then, I plopped onto the table and put my legs up in the stirrups.

The color drained from Husband’s face. “What is she about to do to you?” he asked.

I chuckled at him. How could I not?

“I’ve never done this before,” I said, “But I’m pretty sure she’s going to stick a probe in my vagina and look around to show us the heartbeat.”

I’ve never seen his eyes so big. I could see exactly what he was thinking. “Dear God, I’m so glad I’m not a woman.”

He didn’t say it out loud, but I could see that it was there. All I could think was, “I hope this isn’t the first time you’ve realized how many ways a woman’s life is harder than yours.”

It wasn’t.

There should’ve been a heartbeat

Based on my last menstrual cycle and likely ovulation date, I was supposed to be about 7 weeks.

There was supposed to be a heartbeat.

The ultrasound tech was supposed to put the probe in my vagina, move it around uncomfortably a little, and then turn the screen in my direction and turn up the volume so I could hear that beautiful sound.

Buh-bum. Buh-bum. Buh-bum.

She was supposed to show me the flicker on the monitor and tell us it was our baby’s heart. Husband would take my hand, and we would look at each other and smile, teary-eyed.

That’s how this moment looks in the movies. That’s what I expected.

When the ultrasound technician got up to leave the room without turning up the volume or showing me the screen, I felt my heart drop way down to the bottom of my gut.

“You can get dressed,” she told me. “A doctor will be in shortly.”

I started shaking. The room was suddenly very cold, and it was spinning a little. I got up, but I didn’t feel quite stable on my feet.

Was I feeling lightheaded, or were we having a small earthquake?

I couldn’t look at Husband to find out. I didn’t want to see him.

If I had looked at him, I’d have seen that he had no idea what was happening. He didn’t know the protocol or what was supposed to happen. He still thought everything was fine.

I should’ve asked for my ultrasound to be medically reviewed

A few minutes later, the ultrasound technician returned.

She hadn’t been able to find an available doctor, so she was going to do what she wasn’t supposed to do. She was going to give us the news herself. Sort of.

“There’s no heartbeat yet,” she told us. “Your gestational sac looks good, but there’s not a yolk sac or fetal pole.”

I later learned that the yolk sac develops inside the gestational sac and is where the embryo grows. The fetal pole is the flicker that is the earliest sign of a heartbeat.

Shaking even more, and with the weight of this reality hitting Husband for the first time, I asked if there was any chance of viability.

I fume to this day when I recall her answer. Because it was utter bullshit.

“It could really go either way at this point,” she told me. “You might be earlier than we thought, or the pregnancy might not be viable.”

The only way to be sure was to wait a week and follow up with another ultrasound. She told me the chance was about 50/50.

Bullshit.

I should’ve waited for a doctor. A doctor would’ve been able to diagnose a blighted ovum as the likely scenario, even though I’d have still been told to come back a week later to confirm.

Questions to ask when you have a suspected blighted ovum

There are times when the ultrasound tech’s words would’ve been true. But they weren’t true in my case, and I know that now because I know what questions I should’ve asked.

But at the time, I took her word for it and spent the next week in fear, waffling between predicting impending doom, and assuring myself everything was fine because I wasn’t bleeding or cramping and my signs of pregnancy were intensifying.

Had my doctor been there, she probably would’ve used words like “threatened miscarriage” and “possible blighted ovum.” These are among the many different types of miscarriage.

But she also would have prepared me for the fact that this was almost definitely a blighted ovum.

If you find yourself in this situation, first, I’m terribly, terribly sorry. And second, please ask this important question:

“What is my gestational sac measuring?”

Had I known to ask this question, I could’ve processed my pregnancy loss earlier. I would’ve known that my empty gestational sac was measuring 7 ½ weeks, and that no heartbeat, not even a yolk sac at that point in pregnancy meant that my pregnancy was VERY likely not viable. I say very likely because measurements can be off for women with a tilted uterus (which I don’t have.)

[Editorial note: if you would like to know more about gestational sac measurements, we found this scientific article to be very helpful, and this article to be helpful for a general audience. The second article includes a gestational sac measurement chart reproduced from a medical study.]

I would’ve known that my follow-up appointment a week later was to confirm a loss, not to check on my pregnancy.

But I didn’t know these things.

Blighted ovum treatment options

The week after my first ultrasound was absolute Hell. Husband’s uncle passed away, so we flew to Ohio for his funeral. Surrounded by family with small children, I continued to imagine my life with one of my own.

I conspicuously tried to hide my refusal to eat deli meat, and I wore maternity clothes to hide the incredibly bloated belly that made me look 18 weeks pregnant, not 8. For all these reasons, along with the lack of bleeding and cramping, I convinced myself all was fine.

This is where all those success stories served me wrong. This is how I convinced myself that all was okay. This is what led to a shredded heart just a few days later.

Despite what should’ve been a warning, I was completely blindsided the next week at the doctor when it was confirmed: my pregnancy was not viable.

My doctor explained that are three primary blighted ovum treatment options:

  1. Take cytotec (also called misoprostol), a drug that induces miscarriage when your body isn’t recognizing your loss and expelling it naturally. (We have an article about the misoprostol experience we recommend that you read before considering this option. But keep in mind that all experiences are different.)
  2. Have a dilation and curettage (D&C), a surgical procedure where the doctor expels the “contents of pregnancy” (don’t even get my started on that phrase) from your uterus 
  3. Wait to miscarry naturally

Making a Decision about Treatment & Risks to Consider

My doctor strongly advised against waiting to miscarry naturally. Some doctors recommend that you wait in case you’re earlier in your pregnancy than you think.

But after the follow-up ultrasound, we knew that wasn’t my case.

With a gestational sac measuring 8 ½ weeks and HCG numbers still rising, there was no sign that my body would recognize the loss anytime soon. 

My doctor also discouraged waiting because of the physical and emotional toll such a decision would take on me. 

Carrying a nonviable pregnancy can lead to infection and even sepsis, and knowing you’re carrying a nonviable pregnancy is extremely emotionally difficult. 

Despite my doctor’s urging, I initially wanted to wait to miscarry naturally.

Until I spent that night on a towel on the floor, hovered around a toilet, and fully realized it was all for nothing. 

I had read far too many horror stories about cytotec, stories like Arden’s misoprostol experience, and I knew I couldn’t handle the uncertainty of taking that medicine. 

So, I opted for a D&C because it felt like the most controlled option to me. 

Katy, aftering being prepped for surgery, waiting in the hospital room before surgery
Preparing for a D&C to end the physical saga of my blighted ovum story. The emotional and hormonal toll would continue.

(I should mention that it was freakishly expensive, but that many other miscarriage management options can be, as well.  You can read  more about that in an article I wrote on the financial and emotional cost of miscarriage for Romper.)

Is it possible my blighted ovum was misdiagnosed?

I get this question constantly, so there are a few points I want to be clear about here.

A blighted ovum is diagnosed by ultrasound, and if you don’t trust your ultrasound, then wait and have another. But know these things.

  1. There are instances of misdiagnosed blighted ovums, but they are very rare. This is why knowing how far along your sac is measuring is helpful.
  2. Blighted ovums are usually diagnosed by ultrasound, and it’s common to wait 1-2 weeks between ultrasounds. If there is any question in yours or your doctor’s mind about the viability of your pregnancy, then by all means, wait! Have a follow-up ultrasound. Feel certain. You never want to intervene in a wanted pregnancy only to wonder if your doctor was wrong.
  3. But also, be realistic. If you’re supposed to be 10 weeks pregnant and your gestational sac suggests that you are, but there was no heartbeat, I wouldn’t get my hopes of for the next ultrasound.

I can’t tell you the number of times I Googled terms like “blighted ovum success stories” and “no heartbeat at 7 weeks, healthy pregnancy.”

But ultimately, what I found served to hurt me. It gave me false hope that I didn’t know not to have.

And while temporary hope can be helpful for some women, it absolutely broke me when I found out my pregnancy was definitely not viable.

Knowing Your Gestational Sac Measurements Can Help Determine Your Chance of Being a Success Story

If you suspect a blighted ovum, the primary question to ask your doctor is about the measurement of your gestational sac. This will give you a good idea as to whether you should hold on to hope or prepare to relinquish it.

Because there are times to hope. 

A friend of mine had a similar experience, only she was measuring 5 ½ weeks at an appointment that looked like mine at 7 ½. 

Based on her last missed period, she should’ve been 8 weeks along. But because her sac was only measuring 5 ½ weeks, there was a definite chance of miscarriage, but also a chance that she simply ovulated very late that cycle. 

That pregnancy turned into her beautiful baby girl. According to my GYN, most women have an “off” cycle 1-2 times per year.

By asking what her gestational sac was measuring, we didn’t know that everything was okay with my friend’s pregnancy. But we did know that it truly could go either way; whereas if I had asked, I could’ve accepted my reality a week earlier and seen the follow-up as a confirmation scan.

I would’ve been much more prepared. 

Questions to Ask Your Doctor

If a blighted ovum is confirmed, here are other questions I would ask my doctor, if I were doing it all over again:

  1. Is there any chance of viability? Should we do another ultrasound in a week? (You never want to risk intervening in a pregnancy if you aren’t fully convinced it’s nonviable, even if your doctor is sure. It’s not fair to ever have to question your decision.)
  2. If you (the doctor) had to choose an intervention right now, what would you choose and why?
  3. How many of your patients who choose to wait to miscarry naturally or who take cytotec still end up needing a D&C?
    • How many of those patients end up in the ER during their physical loss?
  4. Do I have any physical restrictions right now?
  5. What are the restrictions on my daily life if I choose a D&C? For example, when can I exercise again, when can I take a bath, etc? What about if I choose a medically managed miscarriage (cytotec)?
  6. What is the financial cost of a D&C? An ER visit if it’s necessary during miscarriage? (You may have to call your insurance company to answer these questions, U.S. mamas, but some hospitals and clinics have set pricing.)
  7. If you choose a D&C, should we do genetic testing? (You have the option of testing the “products of conception.” If this is your first miscarriage, most doctors will urge you not to pay for the testing. They’re probably right, as your risk of miscarrying again is low, and most BOs are caused by chromosomal abnormalities. BUT, as someone who went on to have 3 subsequent losses and never again had the chance to test (because 2 losses were spontaneous and one was ectopic), I wish we had tested my BO. If we’d discovered a normal chromosomal structure, we might’ve known to look for physiological causes of my losses sooner, which ended up providing answers and a healthy pregnancy. You can read more about my success after recurrent miscarriage here.)
  8. Do you have the contact information for a good therapist who can support me through this time?

What I want you to know

Oh mama, if you’re in this position right now, I am so sorry. And there are a few things I want you to know:

  1. First, you’re not alone. Blighted ovums are among the most common type of early miscarriage. So many of us have been there. 
  2. Second, YES, YOU WERE PREGNANT! Your body produced all the hormones and went through all the motions. You imagined your pregnancy, your birth, and the life of the your child. The fact that you learned at an ultrasound that those hopes would not become reality does NOT take away your experience. 
  3. Third, people will say hurtful things, even more so if they know your loss was a blighted ovum. Ignore those people! Also, send them this link so they can learn what not to say to someone who had a miscarriage, which again, includes you!
sad woman sitting in bathroom
This is how I spent much of my time around my blighted ovum. Sitting, staying, yes, even in the bathroom. I felt so alone, but I promise, you are not alone.

What do you wish you’d known about the blighted ovum miscarriage process?

General FAQ


At what stage do blighted ovums usually miscarry?

Blighted ovums miscarry at different stages. Some occur as spontaneous losses very early. Others are not discovered until a first ultrasound, which can occur as late as 12-14 weeks gestation. They most commonly expel naturally between 7 and 12 weeks.

How long can you carry a blighted ovum?

While you don’t want to carry too long due to risk of infection, research suggests waiting until 9 weeks of pregnancy to intervene on a blighted ovum.

What does a blighted ovum miscarriage feel like?

A blighted ovum may miscarry spontaneously, with bleeding and cramping like many other miscarriages. However, a BO can also be asymptomatic and feel like a normal pregnancy, requiring medical intervention after an ultrasound proves nonviability.

Is a blighted ovum a real pregnancy?

YES! When a blighted ovum occurs, a sperm and egg still come together, but a problem occurs as it develops into an embryo. A gestational sac implants into the uterine wall, and women produce pregnancy hormones and grow a sac. Early pregnancy with a BO feels just like traditional early pregnancy.

How common is blighted ovum?

Blighted ovum miscarriages are relatively common. Up to 1 in 4 pregnancies is believed to end in miscarriage, and up to 50% of early pregnancy loss results from blighted ovum.

What causes a blighted ovum miscarrige?

The reasons for a blighted ovum are unknown, but it’s suspected that most are caused by chromosomal abnormalities in the what would normally grow to be the embryo. If you have a D&C, you can ask your doctor to test the gestational sac to determine if this was the cause.

More miscarriage articles

Healing from miscarriage

More miscarriage stories

28 thoughts on “My Blighted Ovum Story: What I Wish I’d Known to Expect

  1. During my last ultrasound the person who did the ultrasound told me that things didn’t look well as the sac was empty and she couldn’t even see a yolk in it. However my doctor asked me to wait one more week to do another ultrasound. The problem is that I am not sure when my last period was, so she wants to make sure is not too early.
    I think I was around 7 weeks when I had the ultrasound done, so there should have been something in there by then. I have almost any hope that the pregnancy will be viable and the wait until the next ultrasound is killing me. I just want all of this to be over. We are in the middle of this pandemic, I work full time, my child is not attending childcare due to restrictions around covid… and now this. I have pregnancy symptoms and I feel miserable. I just want it all removed from my body to be able to move on.
    Thanks for sharing your story. It’s good to know there is someone out there that can understand how this feels.

    1. I’m so sorry you’re going through this. There are plenty of women out there who know exactly how you feel, and we’re here to support you through it. Times are too hard to have to deal with this on top of it. Sending you so much love!

  2. I went for my first ultrasound on Tuesday. Apparently I was measuring 7w2d. I’ve had no bleeding, I’m having terrible morning sickness, I thought all was well. They saw a yolk sac but no fetal pole, no heartbeat via transvaginal ultrasound. They said no big deal, come back in two weeks (when I will be 9w along) but from everything I have read, I feel like it is a big deal and I should prepare myself for a non viable pregnancy. Would love some advice. This is my first time ever being pregnant. Thank you for sharing your story.

    1. I’m so sorry for what you’re going through. Honestly, I agree that you should prepare for the worst. There are success stories that come out of situations like these, but they’re extremely rare, especially if you were measuring over 7 weeks already. It’s good that your doctor is waiting to be sure sure, though. I’m here if you need to talk. The easiest way to reach me is through Instagram DMs @undefiningmotherhood.

    2. I am going through this too same as you measuring the same. I see this is from 2020, if you don’t mind me asking was everything ok or was it indeed a BO?

  3. I had my first ultrasound yesterday and she told me it was a blighted ovum but they would check my hcg levels with bloodwork to make sure my time frame is right. I should be 9w3d as of yesterday. This is my first and we are devastated right now. Part of me wants to hold on to hope but the logical side of me says not to. I started having spotting and stomach cramps yesterday also. Can you please tell me what to expect for a natural miscarriage since that seems to maybe be what is happening? I feel in the dark about this whole experience and I appreciate your candor and words of wisdom as I took screenshots of every one of your questions for when I get the call with the hcg results.

  4. Thank you for your words of encouragement during this extremely difficult time. I am currently naturally miscarrying at 10 weeks with a BO. After my ultrasound I was left so confused and told to wait a week or 2 and see if timing was just off. Which was the hardest news to hear as it just didn’t make sense to me. I knew that wasn’t right and the fact that there was no yolk or heartbeat at 10 weeks was bullshit to give me hope that everything could be ok. At the time I was having very light. Very small spotting and was told that could be normal. 2 days later I started to naturally miscarry and am currently going thru it. It is very difficult. It helps hearing someone who has gone thru the same thing as me and validate my feelings. I too have heard well, at least it wasn’t a real loss. There was no baby. I even thought this at first as I was processing my loss in the form of denial as a way to cope. I still am in my process of grief and your story helps me recognize that it is ok for me to acknowledge the loss of my baby and pregnancy. Thank you. ❤

  5. Thank you for sharing your story. My BO was confirmed today at my follow up ultrasound. I too was given false hope at my 8w4d ultrasound that maybe I was off with my dates, but I knew I wasn’t. It’s comforting to read yours and others stories here and know that we aren’t alone. I want to miscarry naturally but my doctor seems to be encouraging me to go with a medical management approach. I am feeling slight cramping so hoping things can progress sooner. I am grateful to live in Canada where any option I chose is covered.

  6. Even I’m experiencing the same situation now. I’m 9 weeks 6 days. But my second scan shows 6 weeks 6 days. And an empty sac with no fetal pole or embryo. Its a very depressing situation.

  7. Longing for answers and thankful to have found you. My sweet daughter in law miscarried her first baby at 9 weeks. It was very difficult and extremely painful. She spotted and cramped the whole pregnancy but never had breast tenderness or nausea. We were so excited to see a very strong heartbeat at 8 weeks, in spite of the spotting and cramping and the doctor was very encouraging. The loss was devastating. Today she, at what she tabulated as being 12 weeks gestation, had her first appointment. The fear of the first loss caused her to wait until what she felt the greatest time for loss was passed. She was told that her gestational sac measured 12 weeks but their was no HB and only a fetal pole. They told her the fetus appeared to have become non viable at 6 weeks. She still has pregnancy symptoms and no cramping and no spotting at all. They urged her to make a decision quickly to reduce infection risk. We are supposed to go back Friday. What questions if any should be asked. Her heart is so broken. Could there be any possiblity of a viable pregnancy at this point?

    1. I am so, so sorry for your loss and hers. If it were me, I would not expect any chance of viability. She needs to make a decision that’s best for her, but there are things to know. If she chooses a D&C (surgery), she can ask to have the fetal tissue tested for genetic abnormalities. It will be expensive, but as a second loss, I would personally do it if financially possible. D&Cs can be very expensive, though, even with insurance. Her other option is likely to take misoprostol/cytotec. Since the gestational sac has continued growing, it will likely be a more intense physical process than the last one (if she passed the last one naturally). She might even have full contractions. I would encourage her to scroll through our miscarriage resources if she needs help making the decision. This article is a good place to start: https://undefiningmotherhood.com/what-to-expect-when-you-miscarry/. I’m here if she needs to talk.

  8. I was told I had a blighted ovum last week and this is my 2nd loss in 5 months. We are beyond devastated. I wanted to hope for the best- but at 7 weeks, my fertility doc did 2 ultrasounds on 2 machines and nothing. Then that Thursday (4 days later), my OB confirmed the same thing. Nothing inside. And he moved that wand all over (ouch).

    Today I should be 8 weeks and I started cramping and barely spotting. I plan to take the meds prescribed to naturally expel. I’m just so so very sad. But grateful we got pregnant naturally 2 times in 6 months and I’m 42!

    Any wisdom on future tries? I’d rather not do a D&C due to invasiveness and possible cost.

    1. I am so, so sorry for your loss.
      If it were me, I’d push my doctor for recurrent miscarriage testing just to be safe. We have an article on it that’s really helpful. And please reach out if you have questions or need an ear. Sending you so much love!

  9. I had an 8 week ultrasound yesterday by my fertility specialist. She swapped from the abdominal ultrasound to a trans vaginal ultrasound. She said I had a blighted ovum and gave me my three options. My sac measured 6mm and my hcg the week before was 32,000 and something. I was not given an option for a wait and see and didn’t know that was a thing until I got home and started reading up. I chose to go with the medication to bring about miscarriage and am now unsure about whether to take it or not. How do I make sense of all this?

    1. I am so sorry you’re going through this. My understanding is that ultrasounds from 8+ weeks are considered to be pretty accurate for diagnosis, and REs have higher quality machines. If it were my doctor, I would assume she feels certain. But what matters is that YOU feel certain. If you feel ready to take the pills, that’s your call. If you don’t, I would personally call the doctor on Monday and insist on a follow up for peace of mind. But this is all about you and your comfort. I am so, so sorry you have to be here. Sending you much love.

  10. I’m in a similar situation now. We had a BO in July 2019, a successful pregnancy with a healthy baby in April 2020, a miscarriage in June 2021, and now a possible BO. I had an appointment a week ago where I should have been 5 weeks but the sac measured 3 1/2 weeks. My follow up appointment is this upcoming Monday and I’ve been trying sooo hard not to be too excited and to prepare for the worst at this upcoming scan.

  11. Hello, first of all thank you for sharing this. Secondly i was supposed to be 13 week pregnant according to my first HCG pregnancy test but on ultrasound it is measuring at 6.5 weeks with yolk sac seen but no fetal pole or heartbeat. I have my next scan on friday but i am very worried. I jad intense cramping and bleeding once and the sac was fine. But i had bleeding and cramping again a day ago. Do you think if it’s a blighted ovum? This wait is killing me

    1. I’m so sorry you’re going through this experience. The wait is just awful! If I were in your position, I would definitely prepare myself for the worst. But I think we all hope as long as we can. It’s only natural, but it definitely makes the wait even harder. Sending you so much love!

  12. Hi, I just read your blog – thank you for all the info and all around encouragement. I have a suspected blighted ovum. Long story short I started bleeding and it got pretty consistent. I was sure I was passing everything. Dr. had me get Hcg labs done and when I got my levels, they went up from 1192 – 1788. I had thought since I was already in 3 days of bleeding that my levels would start to decline. I have already had an ultrasound that identified a sac (but was only measuring 5 weeks 1 day) and I was 6 weeks 4 days…they wanted to rule out ectopic. So while I know that levels still go up with BO, do they still go up when you have started bleeding? I should find out answers tomorrow, as second blood draw and US is tomorrow morning – hope to get some answers and some closure. Thank you for your story!

  13. Thank you for posting your story. I am literally experiencing this now. I had my 1st ultrasound (7 wk) yesterday and will have my 2nd to confirm it’s not viable. I had a bad gut feeling the moment I saw an empty sac. This was an IVF pregnancy. I will be taking misprostol next week as well. Sadly, it was my 1st pregnancy and 1st miscarriage after trying for 5 years. We haven’t lost hope but the emotional and physical impact is extremely devastating. This story helps a lot! Thank you.

    1. I’m so sorry for what you’re going through, Susan! It’s so awful, and even worse after such a long infertility battle. I’m here if you need support. If you reach out on Instagram, I’m also happy to point you to lots of support resources in that space. Sending you so much love!

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