r/CautiousBB • • 22d ago

MOD MESSAGE/ANNOUNCEMENT Community feedback needed (please vote)

12 Upvotes

Hi all,

Our mod team was recently approached by BetterHelp, an online subscription-based therapy provider, to do an AMA within our subreddit by a licensed therapist that specializes in child loss, perinatal mental health, and anxiety. They are willing to provide credentials to our mod team to verify the individual responding to questions, but our team has reached a moral impasse that we need the community to weigh in on.

Up until now, our team has had a blanket rule to not allow any companies, researchers, institutions, or anyone else with private interests to post within our community because our space is filled with so many vulnerable humans going through extremely difficult situations. The fertility space, in general, is ripe with opportunity for those that might take advantage of this vulnerability, much less a space like ours. That said, the message they sent was clearly written very thoughtfully, and the provider they’re willing to assign to the AMA would be willing to answer people’s questions about their worries, maybe provide healthy coping mechanisms, and describe the subspecialties of therapy that could be most beneficial to the people here.

IF we allow this AMA, it needs to be with the majority support of our community, so we are opening a poll for feedback. Other than voting in the poll, upvoting this post and providing even a short comment with your thoughts/concerns/ideas would help boost the visibility of this announcement to the maximum amount of sub members.

Of course, the major issue for us as a mod team is that we are NOT endorsing BetterHelp as a specific company or resource. For folks that are in areas where they aren’t able to find an in person provider, online therapy through any number of companies may be helpful. We are not partnering with them and the language in the AMA will be very clear about that. We will also be making sure that the provider answering questions in the AMA does not promote the BetterHelp brand.

If you’ve read this long, thanks for bearing with us. We appreciate how the people of this community come together to support one another and are grateful to help moderate.

Would you be interested in and supportive of an AMA provided by a therapist from BetterHelp, with the limitations outlined above?

116 votes, 19d ago
18 Yes
90 No
8 Maybe, but I have concerns (outline in comments)

r/CautiousBB • • Jan 27 '26

Ultrasound FAQ Reference Guide

100 Upvotes

As an OBGYN ultrasound tech working at the general level here's a few things I would love the community to know based on common questions I see.

Most important rule of thumb: Worry when your doctor tells you to.

OBGYN docs are going to pay the most attention to the fetal pole and heart rate. Once a fetal pole is seen, the CRL (crown rump length) measurements are gold standard.

I'm worried about the heart rate:
-Check out this resource for pregnancies dating less than 7 weeks. Make sure to refer not to your LMP dates, but measured CRL dates: https://radiopaedia.org/articles/fetal-bradycardia?lang=us
-After 7 weeks a normal heartrate is between 120-180. It can temporarily dip below or temporarily rise above this range, but prolonged time above/below will definitely get your doctor's attention especially in third trimester. Generally out of range heart rates trigger NST (non stress test) or more monitoring.
The measurements are off:
Baby measures behind LMP. This is actually pretty common, we often see dates off up to a week either direction. We don't ovulate on the exact same day of the cycle each month or even have the same length of cycle. With irregular periods, PCOS, or unknown dates even larger gaps can be perfectly fine. If you aren't sure of your dates, trust the ultrasound. Even if you are sure of your dates, don't panic if they are a week off. Ultrasound measurements in early pregnancy are +/- 5 days.
I'm in limbo and don't know if my ultrasounds are diagnostic for loss:
By ultrasound there are strict parameters to diagnose loss. No one wants to get this wrong. Check out this resource for a list of parameters diagnostic for loss: https://radiopaedia.org/articles/early-pregnancy-loss-1?lang=us
Note, there is a second list of "suspicious for loss". Keep in mind the second list is not diagnostic, things can still turn out just fine.
I don't know when I should see what on ultrasound:
Things can vary a bit from person to person and do change *quickly* in early pregnancy. Check out this resource for what you can generally expect to see:
https://radiopaedia.org/articles/early-pregnancy?lang=us
Should I go to a boutique or get a private scan? Or push for an earlier scan?
They aren't legal where I am but here's a few things to consider if you plan to book a private scan. First, what are the qualifications of the person running the ultrasound? An ultrasound is only as good as the one performing it. It sounds as if these boutiques are NOT permitted to give much/any information. Will you spiral if you believe you see bad news and they cannot confirm or deny it? Also it seems that many cannot do vaginal ultrasound, which will make seeing a baby under 7 or 8 weeks challenging. If I had the option of a boutique ultrasound I would personally wait until 8 weeks and I would book it for a weekday. If they see something bad, it is not ideal to find out over a weekend when there is no option to follow up with your doc. An earlier scan often causes more anxiety, not less. It's SO hard to wait. But if you can tolerate it wait until 8 weeks or so.
The gestation sac is small/big:
-Gestation sac measurements are not terrifically accurate. Where I work once a baby is seen the gestation sac isn't measured. A mismatch between baby's size and the gestation sac size isn't uncommon. That said, a mean sac diameter of 25 mm or more without a baby is diagnostic for loss.
The yolk sac is small/big:
It starts teeny tiny, and will get a bit bigger. Once a baby with a good heartbeat is visualized, the docs I work for don't seem to care about the size of the yolk sac. A failed pregnancy with an expanded yolk sac (more than 6 mm) is a suggestive of chromosomal abnormalities.
We don't know where the pregnancy is:
The statistically most likely outcome is either a chemical pregnancy or just coming in for ultrasound too early for visualization. Ectopic can't be ruled out, and many wise ladies in the this sub have unfortunately experienced this and can give more info than I can. Statistically it's believed that only 1-2% of pregnancies are ectopic, but listen to your body. If the location is unknown, you should be getting close monitoring and follow up until the location is known or the pregnancy has ended.
-For a resource on ectopic pregnancy: https://radiopaedia.org/articles/ectopic-pregnancy?lang=us A note, a pseudosac is visualized in only 10-20% of ectopics. Therefore a sac in the uterus is suggestive of intrauterine pregnancy but can't be proven until a yolk sac is also present.
What about my HCG numbers?
I'm not an expert on this at all. But here's a resource: https://radiopaedia.org/articles/beta-hcg-1?lang=us
Why didn't my ultrasound tech tell me anything? And/or why were they so optimistic? Or, I had an ultrasound in the ER and they were very pessimistic.
Many locations an ultrasound tech can very much lose their job if they say aNyThInG. Where they are permitted to say certain things some ultrasound techs may just be hoping the best. We work with the public and we have seen some wild stuff. Additionally no one wants to call it a loss unless its 1000% certain. We know how devastating that news is. A side note here, often an ultrasound in the ER is not an ideal experience for the patient. The ER is staffed with techs that are much more versed in gallbladder and liver scans than they they are early pregnancy ultrasound. Don't hesitate to go the ER if you are having concerning symptoms, but do know the ER doc will make sure you aren't actively dying then will likely refer you back to your OB for follow up.
I'm just so anxious about it all:
Someone awesome wrote out these mantras. Maybe they will help: https://www.reddit.com/r/PregnancyAfterLoss/comments/14uhbdg/commandments_of_pregnancy_after_loss_this_is_now/
Also a podcast I personally found very helpful with anxiety: https://www.oneyoufeed.net/russ-harris-part-1/
https://www.oneyoufeed.net/russ-harris-part-2/

Today you are pregnant and this baby is so loved. I really am hoping the best for each of you. Those of us who have experienced loss.... you didn't do anything wrong, I promise. This is a club no one deserved to be in. And you are not silly, foolish, or dramatic for grieving your little babe for as long as you need to.

This post is written in honor of Eli, who died long before I could meet him. Rest in peace, buddy. I miss you tremendously ❤️


r/CautiousBB • • 1h ago

Spontaneous pregnancy after 7 failed egg retrievals in 3.5 years..

• Upvotes

Started ivf rounds before i turned 35. had a positive twice but pregnancy never progressed. We stopped last year and I had been grieving and trying to make myself accept the reality. We still have sex but nothing ever happens. so I was shaking and in shock when I saw the positive line show up - 3 days late with no spotting. i should be celebrating and be happy but I can’t help but hold back. I’m just expecting the worst..

i’ve been feeling sore in my armpits and felt really weak and ’car-sick’ yesterday. today I feel kinda fine though.

not sure what I should do..


r/CautiousBB • • 6h ago

Advice Needed LUTO in fetus (girl)

4 Upvotes

Hello. I am in my first pregancy with 26w+3d.

During the anatomy scan at my 20th week, we found out that the baby has cyst in her bladder along with mild spine problem and possible clubbing of foot. We were referred to an MFM specialist whom diagnosed the problems as LUTO and the others as congenital.

We have been monitoring the bladders, kidney and my amniotic fluid. The bladders are distended, kidneys are dilated; however, the fluid at this point remains adequate which might show possible partial blockage only.

We have been taking the baby's measurements, and recently, at 26w, her abdominal circumference has advanced to 30w (which is 4 weeks away from her actual gestational age).

I don't know who to ask anymore, there is not much specialist here in my country.

Please share your stories about LUTO and let me know the possible outcomes. Negative or positive will be much appreciated.


r/CautiousBB • • 18m ago

Sad starting to lose hope

• Upvotes

i am currently in the process of miscarrying my first ivf baby. i know i’m early, almost 6 weeks, but the last 6 weeks have been such a rollercoaster of emotions.

i feel like a fool. when i saw my first positive, i couldnt believe it. i was so cautious. when i got my first beta, i let my guard down completely. i called my husband and told him “i’m a MOMMY!!!!” we were so happy. that weekend was the best weekend of my life. i went in on the monday for my second beta and by that afternoon, i felt shaken, as my beta hadnt doubled. all the happiness drained out of me. after that second beta, the high was completely gone and now… i am miscarrying.

at 36, 2 miscarriages, 6 years if trying, i cant even remember how many iuis anymore, and my first failed ivf euploid transfer FAILED… i feel genuinely horrified that motherhood wont be part of my future. if IVF didnt work, nothing will. if i havent had a child in 6 YEARS, i never will. if my body couldnt hold a perfectly good embryo, that even my care team was over the moon about… it never will.

i dont even want to hear success stories anymore. they mean nothing to me. they are in the same vein to me now as comments like “my friend did xyz” or “you need to take a trip!” or “it’ll happen”… that doesnt matter because my body is going to do whatever it wants in the end, and in 6 years it hasnt done anything.

i am overweight, tired, bitter… i nothing like i was before this whole thing infected my life. if this isnt going to work, i want my old self back, and i am scared i can only begrudgingly get the superficial shit back. not my old happy personality, not the genuine happiness for others when they have children… i hate myself.


r/CautiousBB • • 1h ago

Symptoms What were your hgc levels at 15 DPO?

• Upvotes

Hello! I got my beta HGC today and my levels are 1,003
Are these normal levels? I’m scared cause I’ve been cramping a lot lately ☹️ maybe an early implantation, I got my faint positive at 8 DPO, yesterday I got a Dye stealer at 14 DPO. I’m felling a lot of symptoms, I felt the implantation cramps as well at 6Dpo I was sure my period was coming so I couldn’t believe it when i saw the positive.


r/CautiousBB • • 1h ago

Sad Beta hell

• Upvotes

1st time doing IVF. Beta not doubling anymore. Doctor asked to come tomorrow for 18dp5dt hcg test and told the pregnancy is unlikely to be viable. Hcg trend as below-

8dpt 44

10dpt 95

12dpt 169

14dpt 315

16dpt 496

Is there any hope at all? I am worried about ectopic too. Doctor is saying since the beta is so low, placement scan cannot be done at this point.


r/CautiousBB • • 1h ago

Initial HCG? Just looking for encouragement

• Upvotes

Hi! I’m new to the beta world and full of anxiety. My LMP was September 18th, but NC has me at 3 weeks 5 days today based on BBT temp confirming ovulation. My first draw on 10/15 was 49 and second draw yesterday 10/17 was 128. I’m super anxious because my OB said these numbers are on the lower end of normal, despite such a good rise. Can anyone share similar experiences, info, advice? I feel like my OB made me worry unnecessarily. Thanks ladies.


r/CautiousBB • • 2h ago

What are the odds of 4 indents?

1 Upvotes

Between yesterday and today I’ve taken 4 frer all 4 tests had the same faintest line. They appear to be pink but it’s sooo hard to tell since they’re so faint. I’ve been burned by frer in the past and I feel like the line should have been darker today if they were true positives? Ttc after two loses this year, scared to get my hopes up.


r/CautiousBB • • 3h ago

TW/TMI Feeling really uneasy - potential ectopic? *tw - blood*

1 Upvotes

I am estimated around 5w2d currently - I have felt a bit off about this pregnancy from the beginning and here is why:

-Before I got a positive test, I had a morning where I was bleeding - red. Scared me because it was before my period was due, and of course I assumed I was out. The bleeding subsided quickly (hours) so I carried on. When my period didn’t arrive, I tested again and got a positive test.

-I had my Hcg taken since I had a loss last month and wanted to get some peace of mind. At 18dpo my levels were 352, and then 20 dpo they were 572. I wasn’t super comfy with these levels or the rise, but my ob said they were just looking for above 35% increase.

-Immediately after having my betas taken at 20DPO I went to the bathroom and had bleeding - like a considerable amount of period-like blood. It came and went in about an hour and didn’t have more for the rest of the day.

-21DPO I have a good day, but then in the evening I stood up and felt a trickle of blood - went to the bathroom and found my underwear had blood and it was enough to go through. That was it, it stopped as soon as it started and there was no more bleeding at all for the rest of the night or at all the whole next day.

I am feeling pregnant (sore breasts, fatigue, mild occasional cramps, etc.) but I’m super nervous more so that this could potentially be an ectopic situation. Looking for anyone who has experienced something similar and what the outcome was for you.


r/CautiousBB • • 10h ago

Lack of symptoms - cause for worry?

4 Upvotes

I’m 5w4d today. It’s an IVF Pregnancy, and I’ve had two previous losses and no live birth. It’s also been a really tough journey to even get to this pregnancy.

I had strong initial betas, and my clinic won’t do any more - they said there’s no more useful information they can give, and I’m best to wait til my scan. My last beta was about a week ago now.

Apart from fatigue, I have no real symptoms at all.

In my previous pregnancy, I was feeling queasy on and off from 5w. I’m so nervous that my lack of symptoms is a bad sign. My first scan isn’t until 7w1d!

Should I be worried?


r/CautiousBB • • 7h ago

Pregnant after a ectopic in February terrified it will happen again.

2 Upvotes

I’m currently 4 weeks and 2 days pregnant, around 9 months after my ectopic pregnancy, and I’m struggling with so much anxiety.

My last ectopic was such a traumatic experience. I had absolutely no symptoms and didn’t find out anything was wrong until my 8 week scan. I never suspected a thing, which makes this pregnancy even scarier because I don’t know how I’d recognise it happening again.

I’m so happy to be pregnant again, but I’m also terrified of getting excited and going through the same heartbreak all over again.

For those who have been pregnant again after an ectopic:

When did you have your first ultrasound to confirm the pregnancy was in the right place?

How did you cope with the anxiety while waiting for your scan?

Does anyone have any positive stories of a healthy pregnancy after an ectopic?

I’m planning to contact my doctor about an early scan, but I’d really appreciate hearing from others who understand this fear.

This experience has left me traumatised, and I just want some reassurance that things can be different this time. ❤️

Thank you to anyone willing to share their experiences.


r/CautiousBB • • 3h ago

Line getting lighter

1 Upvotes

Hello I’m about a little over 4 weeks along. My first hcg was 39 and it doubled to 78 in 48 hours. I took a test 48 hours after that to assume myself and it is lighter! It is still first response but from a different batch as the logo looks different on the tests. Could it be because of the test batches or am I likely miscarrying? I wanted to attach a photo but can’t figure out how.


r/CautiousBB • • 4h ago

BFP yesterday, nothing today

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1 Upvotes

r/CautiousBB • • 9h ago

Fundal placenta!

1 Upvotes

I am 12 weeks pregnant after a 21 weeks pprom loss. This pregnancy I have a fundal placenta and i was reading a bit about it when I came across a research which says that having a fundal placenta increases the risk of pprom. This has literally freaked me out. I don’t want to go through another loss.
Did any one of you had a fundal placenta? What was your outcome in that pregnancy? Did you deliver early ?

We are considering putting a cervical stitch this time around at 14 weeks .
But i have a fundal placenta which in itself is a risk for pprom as the weakest part of membrane is near the cervix.
People who got a stitched placed and had a fundal placenta what was your experience. Did it help you ?
What precautions should I take, should i skip the stitch.
Please help ease my mind.


r/CautiousBB • • 11h ago

Advice Needed NAC?

1 Upvotes

Currently 6w1d and have been taking NAC since before my positive test. ( Started in June ) but has anyone continued taking it throughout the first trimester and had a successful pregnancy? This is the farthest I’ve made it in a pregnancy and I’m wondering if I should stop taking it?


r/CautiousBB • • 15h ago

Chorionic bump at 7w4d?

2 Upvotes

Hi all,

I am currently having weekly ultrasounds for a 1 week discrepancy in dates and baby is growing well since the first scan, measuring had a scan last week that saw a baby growing well at 6.6mm (6w4d) and having a heartbeat of 115bpm.

No one said anything to me and it wasn’t in the ultrasound report at all, but looking at the photos, there is a large mass in the gestational sac! It looks bigger than the baby. From what I can gather, the internet seems to think it’s a chorionic bump.

My question is, has anyone had one of these before? Was their doctor concerned? I read about increased risk of chromosome issues and miscarriage, which has now added to my concern about measuring 1 week behind.

why on earth did the ultrasound tech not report this? It’s so obviously in there on the pictures.

Thanks in advance. I am stressing out now even more than I was


r/CautiousBB • • 13h ago

Fetal HR at 6 w 6 days?

1 Upvotes

I recently had an abdominal scan at 6w4d but I was measuring 6w6d and the fetal heart rate was measured at 145. Is there any way that can be right? From everything I’ve seen that seems pretty high for how far along I am? I know it being slower than normal is a red flag but is it also concerning if it was that high?


r/CautiousBB • • 23h ago

TW/TMI Just don’t know 😣

6 Upvotes

I wish I had a diary for every time I was pregnant because I just have know clue this time around if I’ve had a mmc…..

Between 25y to 35y I had 5 mc and then at 36y a successful pregnancy. May this year I had a chemical and at the moment I’m 9w5d.

I had good hcg between 7-8 weeks and have been counting down to my first scan tomorrow.

With my successful pregnancy I was convinced I would mc and pushed out my first scan to 10wks like I have done again this time.

My titties have been the only way I have been able to tell I’m still pregnant, and over the last few days the tenderness has subsided. I’m also tired but can’t tell if that’s a thing as I have a toddler.

This week I had a migraine(I get about 6/yr) and one evening of lower back pain where I couldn’t get comfortable until I went to bed - which is annoying as I have a bung back sometimes 😣

I’m starting to feel like this is what one of my mc was like 😖

I don’t know why I’m posting… I’m just lost in my head and getting really nervous about tomorrow.

Anyone had a similar experience? Or maybe some reassurance? It would be so much appreciated ❤️


r/CautiousBB • • 14h ago

Advice Needed Kind of gross question regarding smells & early pregnancy

1 Upvotes

There’s a very distinct smell of period blood that’s sat for a bit. Like a pad after using overnight or changing it after it’s sat for the longest length it can. It’s just an extra metallic-y smell. My discharge smells exactly like that right now. I’m taking vaginal progesterone & I’ve read it can have a smell but I’ve seen multiple people describe it as a hamster cage smell. That’s not what this is, it smells like blood & overall a strong metallic smell. I’m 5w6d today & with a history of loss even the smell of blood is making me freak out I guess. No bleeding or spotting. No concerning cramping. Has anyone had this ?


r/CautiousBB • • 16h ago

Low beta

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1 Upvotes

Has anybody ever had success stories with low beta ? I am going through IVF. I took a blood test yesterday and beta was only 20.7.

Last pregnancy was chemical with similar. I’m expecting it to be chemical again, but I feel sad as it’s been a hard road. I just wanted to know if there are stories out there of positives.


r/CautiousBB • • 17h ago

TW/TMI Possible blighted ovum?

1 Upvotes

Supposed to be 7 weeks pregnant today - LMP was August 29, did not diligently track ovulation but typical cycle is 28-30 days.

Found out I was pregnant at 3wks 5 days, first pregnancy

Yesterday went to hospital for peace of mind as I had two days of light spotting with cramping more on my left side. Hcg rose from 6000-9000 in 3 days.
Ultrasound(abdominal and transvaginal) showed an empty gestational sac in the uterus measuring 12mm or equivalent to approx. 5 weeks gestation. Also showed a small subchorionic hematoma.

Is there any chance this isn’t a blighted ovum?! I don’t understand how I could possibly be 5 weeks.
The NP didnt seem to even know what that was and said this was normal for 5 weeks. However I don’t believe I could be 5 weeks. I think I’ll be following up with a repeat ultrasound in 1-2 weeks and mostly mentally preparing for a loss. Any one have any similar experiences? Any positive?

Also does this mostly rule out any possibility of ectopic? My left ovary wasn’t properly visualized in the imaging.


r/CautiousBB • • 17h ago

Advice Needed 6 weeks pregnant - stretchy yellow discharge?

1 Upvotes

I just noticed quite a bit of stretchy, mucus like discharge when I wiped. It was mostly clear with a very faint yellow tint and had a stringy, stretchy consistency.

I remember experiencing something similar during my last missed miscarriage, around the time my baby’s heartbeat stopped. Now I’m feeling really anxious that this discharge could be a sign that something is wrong with my current pregnancy.

I’m paranoid it’s a mucus plug and sign of a miscarriage?

Has anyone experienced this type of discharge in early pregnancy? Is it normal, or could it indicate a problem?


r/CautiousBB • • 17h ago

Advice Needed Looking for hope (but also realism)

1 Upvotes

I ovulated on the 26th of September so I am 21 days post ovulation. I took my first HCG blood test on Monday at was 72, Thursday I was at 100 and today 123

My OBGYN shared they look for 49%+ so I’m trending much more slowly but still rising. I’m aware of the warning symptoms to look out for but haven’t experienced any yet.

Looking for positive stories/outcomes and community but also realism.


r/CautiousBB • • 21h ago

Ultrasound at 5w & 5d and HR of 97

2 Upvotes

Hi everyone. I’m hoping for maybe a bit of reassurance here. I am almost 6 weeks pregnant after a chemical pregnancy last month. I also have a 16 month old son.
I went today for an early ultrasound at a boutique. Against my better judgment, I opted to do this because my doctor can’t get me in before 8w and 4d, and I don’t want to wait that long with my history. We did this with my son at 6 weeks and his HR was 111.
My HCG is looking great, it was 5,196 at 5w and 3d and then was 9,248 at 5w and 4d.
Today when we went in for the ultrasound, I thought I was 6 weeks but I was measuring 5 + 5. She immediately located the heartbeat and I cried tears of joy. Then, she measured it twice and said it was 97 bpm. She put her hand on my knee and told me it’s low but that it could have just started beating. She acted worried when I asked if she’s concerned. My husband said she definitely said it very somber and serious. I didn’t like it.
I am terrified. I don’t get in to my next appointment for a couple of weeks, and I don’t know how to feel. This is our little rainbow whom I love so much already. Seeing that flicker was the most beautiful thing.
My reason for typing this….should I be guarding my heart? Is this potentially normal? Any and all success stories would be absolutely welcome. I just want to know if I need to brace for the worst or if I can celebrate this milestone.