OB refuses to let me come in for an ultrasound

Hey guys, I’ve been lurking here for a while but decided to post this morning to get some of my frustration out.

So I have had two previous losses, I had an ectopic that nearly killed me (literally) last March, and then a missed miscarriage this past September. With my MMC my wonderful OB let me come in at 6 weeks to make sure it wasn’t another ectopic, then again at 7+2 because she had thought the heartbeat at 6 weeks was a little low. It was low still at 7+2 and the heartbeat had stopped shortly after that ultrasound because when I went in at 8+2 there was no heartbeat or growth. I am now pregnant again, at 7+2 today, and like all of the rest of you, am having severe anxiety that something is wrong and I just don’t know it. I have tried EVERYTHING to get my OB to let me come in for an ultrasound, and she absolutely refuses to let me come in until I am 8 weeks next week. She keeps telling me it’s for my own good, and to stop worrying and stay the course and wait until 8 weeks, but I feel like I am going crazy. I’ve told her I think it’s really bad for my mental health to keep waiting, and she just keeps telling me the same things.

Ladies, I’m so frustrated and I’m so scared, and I’m so tired of being frustrated and scared. I can’t focus on work, the progesterone she has me on has me super extra emotional, and I’m just so worried. I see multiple posts on here of women’s OB’s who let them come in early for a scan to ease their minds, and I just want the same treatment :(

I’m sorry this post ended up longer than I wanted it to be, I’m just so frustrated!

Posted Jan 7, 2020, 3:15 PM UTC

2340
mrsparkersfineazz1 BO| 1 MMC| 🌈 due 1/28/20•

Honestly for me, scans before 8 weeks do nothing to curb my anxiety. The earliest I will go is 8 weeks and I don't start to get any reassurance until 10-12 weeks.

30
wyldstallyns111•

It won’t do anything to curb anxiety about the baby but OP is likely worried it’s another ectopic, and an ultrasound could certainly rule that out, and way before 8 weeks.

7
frogsgoribbit737CP 10/16, MMC 3/17 | 💙 4/9•

That's true, but if she isn't having any symptoms of ectopic there isn't any reason to have her come in.

0
wyldstallyns111•

I don’t know if I agree. Ectopics can have no symptoms (mine didn’t except for spotting) and if you’ve had one before your chances of having another one increase by 10.

I don’t want to panic OP, but she’s not overreacting at all IMO. Edit: to be clear I don't mean she's like obviously in huge danger!!!! -- but in her case, I couldn't cope with that level of anxiety, and I'm a fairly level headed person myself.

4
Rochereine•

If you can, I would try to wait as awful as that sounds right now. If you aren’t having any bleeding etc, then the odds are in your favor. The last few days before the appointment are so hard but in reality, you’ll get a much better idea of how everything is going at 8 weeks than at 7. I tried the same thing, except it’s not my dr saying I can’t make an appointment to come in, it’s the receptionist! I tried making an appointment for 8 weeks and she said they were booked. The same for 9 weeks and for 10 weeks she said well, I’ll squeeze you in. . Even though I’ve had multiple miscarriages and I’ve had off and on spotting, once bad enough to go to the er. But funny enough, my sister in law was able to make an appointment on the same day, for the same dr, a couple days later. It’s like she doesn’t think we should be in there more than once a month and just says they’re booked. I’ve done a lot to keep myself distracted (including sleeping) so maybe it would help to go do a hobby that will take up some time.

17
DontWorry_BeYonce•

I’m concerned that you told a medical professional that you’re experiencing life-impacting anxiety and her response is effectively “tough nuggets”. If this were me, I’d be looking for a new OB that listens to me when I tell her what symptoms I’m having. Anxiety is a medical phenomenon, it can’t happen without a chemical reaction, so you’re not making this up— is she suggesting this is “all in your head”? What a profoundly irresponsible philosophy to have on mental health care as a medical doctor.

14
bones_27•

Scrolled for exactly this comment. Anxiety and pregnancy are a shitstorm and she needs to be doing everything she can to help you through that. Does she think that an US will harm the baby or you? So why deny it? And in either case, who are they for anyway? Because if its not harming the baby and it may help you (of course her reasoning is there may not be a heartbeat at that early stage and it might harm you) I would seriously question her empathy and ability to understand your position throughout the whole pregnancy if she thinks she's doing you a favour by denying you treatment, especially without giving you a decent alternative. Ask her whether she thinks the birth mothers state of mind affects the baby in any way, she will have to say yes because it really does, and then what she will do to help curb your anxiety. You may have to consider seeing a mental health team and taking meds but the bottom line is: you want an US because you're anxious, anxiety sucks balls, and medical care is supposed to look after you AND the baby in utero.

6
furmangirl08Son, 33 wks Feb 2019; 🌈👶🏽 arrived on 1/16/20•

This. If your OB isn't being supportive, then switch OBs. Mine has literally done as much as possible to curb my anxiety during my entire pregnancy. I've been seen almost weekly, not going longer than 10 days to curb my anxiety due to our prior late loss. Scheduled my NIPT earlier than they wanted, and has been incredibly supportive. If they're not being supportive now, I worry, for you, that they may not be supportive later on.

5
Collikit•

Totally agree with this. While not medically necessary or even useful, my OB was immediately willing to schedule several scans just to ease my anxiety. She is also very pragmatic and keeps telling me that the early scans won’t mean anything until I’m further along. I feel like I can depend on her but that she will also tell me her straight opinion which is a good mix. If I were in your situation, and would feel that an early scan would put me at ease (which let’s be honest it only does for a day or so), I would get myself booked into another practice even if it’s just for that scan.

3
frogsgoribbit737CP 10/16, MMC 3/17 | 💙 4/9•

That's unfortunately not an option for everyone. My OB wouldn't let me come in for my first appointment and ultrasound until I was 10 weeks LMP which meant almost 11 weeks pregnant. They have been very unsupportive all around honestly, but I don't have a choice.

1
ninal2003🌈 🎀: EDD 7/17•

This! All of these replies! I would absolutely be searching for a new OB. My OB’s practice was wonderful about reassurance u/s with my first pregnancy, and now that we’ve had a loss they are astoundingly empathetic and open to reassurance. By almost 13 weeks, I’ve had 5 u/s exams - three within two weeks. He’s given me a get in whenever I need to, no questions asked and that alone has brought a ton of relief. When he said he’d do them as often as I needed I actually told him he might regret telling me that, that I might call every day! He responded that if that’s what I needed, he’d see me every day. Knowing our insurance was changing dramatically he did the NIPT testing earlier than he would normally plan to, as well. It makes me sad to think any doctor would have a different response! That said, I really think it’s the support and grace they have shown me that have kept me from completely freaking out this entire pregnancy.

4
christina1628•

You could look into a private ultrasound place. They are cutesy boutique places usually but it’s still an ultrasound. My MMC last year was found at one of them. They don’t give out medical advice, but in my experience if something is wrong, they will give you something like, “I’m not seeing what I usually do for how far along you are, you should go see your regular doctor as soon as possible”. They are generally a lot cheaper too. They place I went was $50. The hospital is $599.

8

I was going to suggest a private ultrasound too. They are inexpensive and did a lot to quiet my anxiety.

5
barelyawake92•

I had 4-5 private scans to ease my anxiety. They seem to be getting cheaper and cheaper nowadays and I loved that I could book them at my convenience.

2
frogsgoribbit737CP 10/16, MMC 3/17 | 💙 4/9•

Most of those places won't see you until you've already established viability. They can't tell you if a pregnancy isn't viable because they aren't doctors. It's a legal thing.

2
wonder06731 | FTM | mmc 10.19 | edd 8.14.20•

If you don’t mind a white lie, try telling them you had red bleeding and want to check that everything is okay. I never asked for an early ultrasound, but ended up going in at 6+6 because I was bleeding the previous day. Ended up seeing the heartbeat and determined the bleeding was likely just from having sex the day before. They may tell you to wait it out anyway, but it’s worth a shot.

7
hettcOP•

Honestly, I tried that too. When I say I tried everything I mean I tried everything lol. She responded with “25% of pregnancies have bleeding and spotting in the first trimester, just let me know if it gets worse.”

1
bailey1441 2 MMC (7wks, 12wks) | EDD July 2020•

If she’s dismissing your concerns this early in pregnancy, I agree with a lot of other posters that you should find another dr. Just imagine if she responds similarly if you have bleeding later on in pregnancy, or don’t feel like the baby is moving as much as normal - not worth the toll on your mental health at all

5
wonder06731 | FTM | mmc 10.19 | edd 8.14.20•

Wow that’s pretty frustrating. So sorry you’re dealing with that. Might be worth looking into a new OB if that’s possible. You’re going to want one who actually listens to your concerns and tries to accommodate you as best possible!

2
frogsgoribbit737CP 10/16, MMC 3/17 | 💙 4/9•

My OB didn't bring me in for an ultrasound even though I was actually spotting.

1
VicScuta🌈•

I’m surprised she won’t see you earlier since you have a history of ectopic pregnancy. I also had one and lost my right tube. My doctor saw me at 6 weeks, 7 weeks, 10 weeks, then onto a regular schedule. Is this the same doctor you saw before? If not, you might reiterate your history and your fear of losing your fertility due to a repeat ectopic. At 8 weeks it could be too late to save your Fallopian tube, even if it hadn’t ruptured. Sounds like you’re not having any symptoms of ectopic? And chances are you actually are fine and baby is fine. However, I wouldn’t want to take a chance either and I completely understand why you feel you should be seen sooner (I agree with you). So you might look into getting another OB. I would worry that your current provider may not be doing what is in your best interest and that may carry over to the rest of your pregnancy.

7
hettcOP•

Yes, she’s the same OB that I have had since 2016, she knows my history very well. She has been an absolutely wonderful OB, up until this situation. She brought me in at 6 weeks for my last pregnancy to make sure it wasn’t ectopic so I’m not understanding why she didn’t bring me in a bit earlier this pregnancy to at least make sure this one isn’t ectopic as well, besides the fact that I’m not having any of those symptoms. I’m sure she just doesn’t want me to worry obsessively, but I still am.

2
schwenkkkkLC 05/16, MMC (9w)06/17, BO (10w) 01/18, LC 03/19•

Just a word of warning about the boutique ultrasound places for this early in pregnancy, a lot of them advertise a "heartbeat session" BUT they only do transabdominal ultrasounds and this early on a lot / all can be missed via transabdominal so you could end up leaving more anxious than you were before.

In my case, I went to one because they couldn't fit me in and I had just MMC the pregnancy before and just wanted confirmation that all was well, and they told me I was only 5 weeks (when I was over 8) and ended up clueing me in to a blighted ovum.

6
kathleenkat•

Doesn’t sound like she’s a wonderful OB. Make an appointment at another clinic. It’s not against the rules to change doctors.

4
turquoisebeeMC 06/19 | EDD Apr 24•

Uhg, I’m sorry that’s so frustrating.

I suppose her thinking is that if you come in earlier there might not be anything to see. In my case, at 7 weeks there was a sac and no heartbeat no visible embryo (which combined with other things made me freak the hell out). But at 8 weeks there was a strong heartbeat and a visible embryo.

I guess her thinking is that there will be more to see at 8 weeks, and if you came in at 7 and didn’t see everything you might be more upset.

But from your point of view (and boy have I been there), you want any and all information you can get right now! It’s hard to say if this is an indicator of whether or not she will be more attentive in the future. I find in general some doctors are less inclined to do the extra stuff in the first trimester, but are better later on.

3
Nyx_Shadowspawn•

Go to one of the places for 3D scans. When I went to one, I heard a few from women in the waiting room who had gone there early in pregnancy when their OBs refused to do ultrasounds.

And one woman who had been told by the OB that she had a miscarriage because they couldn't find a heartbeat, but she decided she wanted a keepsake picture of her little bean so she booked a scan for the night before she was set to have a DNC to clean out what the OB called the "leftover tissue." When she came in to the 3D scan place, they found a heartbeat. Her daughter is healthy and 3 now, and she was there for a scan with her second child. She said she has a new OB, too, thankfully.

3
frogsgoribbit737CP 10/16, MMC 3/17 | 💙 4/9•

The OB would have done another ultrasound to make sure before the procedure but it's strange to me that they found it at the boutique. Their equipment is usually much worse.

1
Nyx_Shadowspawn•

The imaging is better there than at my MFM office even. I was shocked at that. I guess they just have really good equipment at that one place I've been to though.

1
ashleyanka1•

Similar thing happened to me. Suffered a missed miscarriage at 8.5weeks and have PCOS. Got pregnant again and was worried sick same thing would happen. Tried to make an Appt for 6 weeks and for them to test my progesterone levels as I had a feeling they were low and I would need progesterone supplements to prevent from miscarriage again. They gave me every excuse in the book as to why they couldn’t fit me in until I was 9 weeks. To me that’s too late if progesterone is what I needed. I ended up telling them I had severe cramping and they still couldn’t fit me in sooner even with them knowing my history. I ended up just physically going up to the obgyn office and demanding an Appt. They then magically had one available for the next day....and I was low on progesterone so thank goodness I was persistent or I probably still wouldn’t be pregnant now at 17 weeks.

3
SouthernNanny•

I would think giving a patient peace of mind would benefit the health of both baby and mom. I mean...if I want to pay an extra co pay and the cost of an ultrasound then let me.

I experienced one miscarriage and that was enough. My last pregnancy I was in labor and delivery some and had over $1,000 in extra cost to my labor. But my fears were eased and that was fine with me

3
dobosininja*Husband | 37/35 | PCOS | Team Blue EDD 6.10🌈 | 21w twin loss•

First off I'm sorry you are having to deal with an uncooperative OB that isn't taking your emotional distress seriously.

There might be boutique places where you can get an ultrasound for like 50 bucks in your area if you want. You could also try a different OB or if you really want to you can try the ER or maybe a womens clinic.

1
tallbarista•

Yeah, I was going to suggest a free women’s clinic too. Even a crisis pregnancy center will give you an ultrasound and probably for free.

3
hettcOP•

I considered the ER, but I don’t want them to judge me for coming in for basically no reason.

1
sarahergo•

I agree with your OB somewhat and you somewhat. I don't think she's seeing that you have a legit medical concern about implantation and frankly I'm shocked that with your history of EP they wouldn't wan't to assure themselves that this wasn't another EP. I think you bring that up to her and say its a serious medical concern not just reassurance and if she cannot cooperate you will find another OB. I agree with her though that constant early ultrasounding is not helpful and creates anxiety unnecessarily in my case. This time around ( after a mmc in july) they began ultrasound at 6 weeks did another at 7 and then another at 8 because the heartbeat was a tiny bit slow at 7 ( sped up) . Each ultrasound for me was just an anxiety trap. I ended up with a hematoma which was meant to be monitored with weekly US until 12 weeks but I'm so glad my OB said to stop them after she saw on dec 23rd that it had shrunk. I asked if I could have one in between and she said no relax and enjoy

1
[deleted]•

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1
iPixieDustEDD 2/24/20 | 1MC & 1CP•

Are you able to go to an emergency room for a scan? I feel that this is technically an emergency since your mental health is suffering. Plus with a history of ectopic pregnancy, I think it would be fine to walk in for a scan just in case.

0
bones_27•

Also this. Throughout the 3rd tri of my pregnancy, during which i had horrific anxiety and depression, they said if I was concerned at all with movement to just go to the emergency room. I almost did about 5 times but actually did once. And they were wonderful when I felt sheepish and silly and was shaking and balling my eyes out for even thinking about going. Baby was fine. But I was not, I was a mess so they took care of me. And the fact that it's so different later on in pregnancy is annoying as hell to me, essentially it's the same thing: a procedure that allows you to check the baby's health.

3
Disputeanocean05/06/2020 💙👶🏻•

Do you have a place around you that does the boutique like ultrasounds? You can pay for a non medical ultrasound. That’s what I do when I’m feeling anxious.

0
i_like_warm_hugs_•

I don’t know how it works where you are but I think you’re pretty lucky to get in at 8 weeks.

I know it’s shit and the anxiety is really bad but even after having a loss (granted for me not one that nearly killed me) the NHS won’t let you have an ultrasound just because you are worried something could be wrong. You wait until 12 weeks like everyone else.

I ended up going for two private ultrasounds before the first NHS appointment because I really didn’t want to get my hopes up for so long and find out after 3 months it was over ages ago.

0
sabrina234•

The NHS don’t allow you to come in for an ultrasound until 12 weeks and honestly it’s the best thing ever.

-1
wee_red_•

This depends on your history, I’ve been offered weekly scans until 12 weeks with this pregnancy due to my history and I had one every 2 weeks with a previous pregnancy (different consultant). If you are under the care of a recurrent MC clinic you do get more scans as studies have shown much better outcomes with this approach. Read Dr Leslie Regan’s book on Miscarriage. She is head of the RCOG and encourages it.

2