I Am Confused If I Misscarried , or If I MAYBE Misscarried a Twin??

I’m so sorry that you’re going through this.
First I’m going to go through all of the scientific junk before I get to the emotional stuff. I apologize in advance for how long this will be.
If you conceived on June 22 then you were, in fact, 6 weeks pregnant on July 21 and you would be 7 weeks pregnant right now. Pregnancies are not calculated by the date of conception, they are calculated from the first day of your last menstrual period. So that means that on the first day of your last menstrual period you were considered to be 1 day pregnant even though you hadn’t had sex yet. Here are some pregnancy calculators that you can use to determine dates such as your LMP (last menstrual period), Conception Date, Due Date and how far along you are at the moment. Using the dates that you’ve given above here’s what the calculators came up with:
http://www.mcw.edu/calculators/pregnancydate.htm
LMP: June 8, 2010
Conception Date: June 22, 2010
Due Date: March 15, 2011
Current Status: During Week 8 (7 weeks pregnant)
http://www.babycenter.com/pregnancy-due-date-calculator
Conception Date: June 22, 2010
Due Date: March 15, 2011
Current Status: 7 weeks pregnant

As for your HCG levels since you actually were 6 weeks pregnant at the time of the test and not 4 weeks like you thought, the nurse was correct that 10,000 was a normal number for a 6 week pregnancy for one singleton baby. You can find a chart for HCG levels here: http://www.justmommies.com/articles/hcg-levels.shtml
The website states that at 6 weeks HCG levels should be between 1,080 - 56,500 mIU/ml
And at 7 weeks they should be between 7,650 - 229,000 mIU/ml
Here is more info and another chart for HCG levels. This one even has a calculator to tell you how often your levels should be doubling, but it doesn’t work if your levels are decreasing rather than increasing: http://www.baby2see.com/preconception/hcg.html
Here are other websites that compare HCG levels of singletons and twins:
http://www.bobrow.net/kimberly/birth/hcglevels.html
http://life.familyeducation.com/multiple-pregnancy/pregna...
If you were having twins then your HCG level would most likely doubled what they were. 10,000 at 6 weeks is more likely to only be one baby.
HCG levels should double every two to three days, not drop. While levels can fluctuate, if your levels dropped half in one day (from 10,000 to 5,000), this is not a good sign regardless of whether you’re having twins or a singleton.

It usually takes about 4-6 weeks for the HCG hormone to complete leave the body. This being said, you could continue to get positive pregnancy tests for the next month depending on how quickly your HCG levels drop. When I lost my baby, it took a month for my HCG level to reach zero.

What came out of you may or may not have been the sac. Did the dr/nurse/tech say that it was definitely the sac, did you show it to them? Although, it does sound like it was probably the sac it could’ve just been a blood clot or other matter. Did anyone ever tell you what they saw on the ultrasound? Did they see a sac, a heartbeat, or anything else? The ultrasound that you had should’ve been an internal vaginal ultrasound. If they did a regular ultrasound this early on they likely would not be able to see anything.

Unfortunately, going by the information that you’ve provided hear I would say that it does sound like you’re having a miscarriage. I do not think that you were ever having twins. However, I could be wrong and I hope that I am. Although it’s usually not a good sign, women can bleed during pregnancy and the baby is perfectly fine in some cases. My advice to you is to make an appointment with an OBGYN at a doctor’s office as soon as possible. Call them and tell them that you need to see someone right away at their soonest available appointment. Explain to the OB everything that happened and ask them if they can do another blood test and ultrasound. Then ask someone to explain the results to you. Tell them that the ER doctors didn’t give you much information and what they did give you was confusing and that you are scared and really need some answers. If they believe that you are in fact having a miscarriage and you decide to have it naturally rather than a D&C, then they will likely have you get blood work done every week to check your HCG levels until they reach zero. In the meantime if you get a fever or have severe abdominal pain, go to the ER.

I noticed that you also made another post a few days ago asking when you can get pregnant again. This is what I was told and I found it to be sound advice: Wait until your HCG levels go to zero. Then wait to have two complete periods before trying again. In my personal situation I conceived in June, found out I was pregnant in July, lost the baby in August, had two complete periods in September and October, and got pregnant again in November. My baby’s first birthday is coming up next week in August.

Awhile back someone else posted a question about having a miscarriage and a D&C. Below is I copied and pasted the answer that I gave them. I hope that this is helpful:

“I am so sorry for your loss. Like the other women here, I too experienced a miscarriage. After 4 1/2 years of trying we got pregnant with our first & I lost the baby just before 12 weeks.
I personally let it happen naturally, which is what my doctor's said they'd prefer. They told me that I could have a D&C if I wanted. They also said that as long as I wasn't running a fever or having severe abdominal pains that I just couldn't stand, that I could let it happen naturally & that if I did develop any of those symptoms that I should call them or go to the ER.
I miscarried two days after I had the ultrasound. It was a painful experience (more so emotionally than physically), but I am glad that it happened that way. As difficult as it was, being there awake & coherent when my baby left my body made me feel more of a bond in a way. I couldn't see anything but blood, although I checked & checked for the sac but never did see it. I continued to bleed lighter more period-like bleeding after that for about two weeks.
I had to go have blood work done every week to make sure that my HCG levels were dropping. It took a month for them to get back to zero. Every week when I got the blood test results back, I would cry again.
My experience may be different than the other ladies on here, because I had a blighted ovum, which is when the sac forms but the baby doesn't form. I had to go through the doctors telling me that there never was a baby & that I shouldn't call it a baby. It was a baby to me. So, there was no possibility of me seeing a fetus. I could see how that could be traumatic for someone. It's definitely a personal decision, because I wanted to be able to see my baby (or at least the sac), but I never did.
Letting it happen naturally can take a very long time. What went wrong with my baby happened clear back at 6 weeks, but since everything "appeared" normal I didn't get an ultrasound until 12 weeks when I started a little bleeding. Although the miscarriage itself happened only 2 days after I found out I was losing the baby, the whole process (with the blood work) took a month. I cried a lot & it was difficult, but I think that I needed that time to work through everything. I asked for another ultrasound when that month was up because I wanted to be certain that I had miscarried completely (& although it may sound stupid I was still hoping to see a perfectly healthy baby on that screen proving everyone wrong). When the ultrasound confirmed that the sac & all of the "products of conception" were gone, it's one of the first times that I didn't cry. Although I was very sad, I had already had time to work through my emotions & now I was glad that the process was over completely.
I am so grateful to God for helping me through the whole process. It was very challenging but thankfully it strengthened me & my husband's faith rather than break it. I came out of the whole experience with an entirely different outlook on life. It helped me to let go of things that just don't matter & concentrate on what's really important in life.
I still think about our other baby every day. Some days are harder than others such as the baby's due date & the one year anniversary of the day we found out I was pregnant. Still, we've tried to find ways to cope & on baby's due date we gave our baby a (unisex) name, & this August we plan on planting a tree in baby's honor with a plaque & having a memorial service with just a few family members. We also want to begin to "give life" every year on baby's passing date, such as going to donate blood & finding a charity that helps babies or miscarriage research & donating to it. We want to take this terrible experience & have some good come from it. It sounds stupid to a lot of people (especially the doctors who tell me it was never a baby...we did switch drs btw), but it was a baby to us...our first child.”

I hope that everything is fine with you and your baby. If not, know that you're not alone. Unfortunately, many of us have went through a similar experience and hopefully we can be of some help to you. Please come back and let us know what happens and how you're doing.

God bless,
J.

It's possible to bleed quite heavily and lose a twin. But it sounds like you are so early that they would really not see a whole heck of a lot. Hang in there. The next couple of weeks should bring the answers you need. I'm sorry for your loss that you know of. I've had 3 miscarriages and what you describe sure sounds like one.

Google "Vanishing Twin Syndrome". A friend of mine had this happen, and she bled, but not very much.
What you describe sounds like a sac but it could have been a large blood clot, too. I would ask your doctor of course

I am sorry to say it definitely sounds like a miscarriage. Please be sure to do the follow-up that is recommended, which can be done through your doc instead of the ER. It can take a little while (few days to couple weeks) for your blood levels to come down, and when they are low enough the urine pregnancy will stop being positive. The discharge you describe and the fact that your blood levels of the pregnancy hormone (hcg) have dropped in half are quite suspicious of a miscarriage. The doctors want to do follow up to be sure that the miscarriage is complete, in others words that nothing is left inside that could lead to infection and interfere with future attempts at conceiving. They didn't tell you what they did or did not see on the US? If they saw nothing they need to repeat later to distinguish between it being too early to see anything and a miscarriage. I wouldn't completely rule out it being the loss of a twin, but it does not sound likely. I am sorry for the difficult time you are going through, good luck to you.

I too have gone through this. I had twins, miscarried one with the same symptoms you describe, and then 10 days later miscarried the other. If your numbers are going down, it is not a good sign of a viable pregnancy. My numbers took a week to drop. It is agonizing and heartbreaking. Please visit an OB to confirm all of this and get more info about it and find out what is best for your body. Unlike the ER docs, they are trained to deal with special cases such as yours. As Sarah K mentioned, to make sure I wouldn't get an infection and prepare my body for future conception, I had to have a DNC. My thoughts and prayers are with you - it's never easy to lose a child no matter what stage of development.

go see a dr. and find out. my cousin miscarried one twin and not the other.. so you never know.. but go to the dr.

Only the doc can tell you for sure. The blood work for the pregnancy test will tell you.

My daughter had a horrible miscarriage, the ER room had blood everywhere and the tissue looked like it had some rib looking material in it. The hormones went down drastically, etc.... A few weeks later my daughter called me freaked out and wanted me to meet her at th ER again, she just knew the baby was still inside and had not come out properly. Her breasts still hurt, she was still puking all day, she still had a poochy tummy, all the symptoms of being pregnant. The ER nurse kept telling her she was just a few weeks pregnant again and kept smiling rather annoyingly. My daughter finally told her to do an ultra sound and see. The monitor showed my daughters heart rate was around 65 and her tummies was 145. The nurse then admitted that it wouldn't show up with that particular monitor until she was at least 16 or 18 weeks along. She had miscarried a twin and the hormone rates changing had thrown everyone off.

Please just be patient and make an appointment with your OB/GYN doc to do the proper testing.