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Can hcg levels rise slowly, then double and still be a normal pregnancy?

Forum: The Maternal and Child Health Forum
Topic: Pregnancy - Abnormal

From ToPost
thunder214
6/23/2003
.I found out I was pregnant and we were so excited; things seemed to be going so perfectly in our lives. The initial bloodwork showed that my hcg levels were low and my doctor became concerned. They were at 196 then 2 days later at 254, then 3 days later 500. At that point my OB was certain I was going to miscarry and suggested a D&C. Before I would have it done, I requested one more blood test. It doubled to 1000 (2 days after the 500 titer). My doctor seemed dumbfounded. I'm going crazy worrying about if I am going to miscarry or not and if not, could there be something abnormal with our baby? I have not had one other symptom indicating a possible miscarriage, in fact I feel as pregnant as a woman in her third trimester! I believe I am about 5 weeks pregnant. When I took the first blood test I was just exactly 4 weeeks pregnant, although it's possible I am off by 5 days (previous period was 33 days long as opposed to the normal 28 I am). I'm still having more bloodwork done every 2 days and (haven't received the results) and schedule for an ultrasound in 1 1/2 weeks.

So..any suggestions? ANYTHING good or bad would be extremly helpful.
mlaport
6/23/2003
C1
.OK.... first of all DONT GET A D&C YET. There is no reason to end this now, you have a great chance of this going just fine. My levels were not even doing half of what yours are, and I miscarried. But throughout the whole process my Doctor said as long as they double every 2 to 3 days you should be fine. The fact that you went from 500 to 1000 is a really good sign. I am also on another pregnancy board www.silentgrief.com, and there was a women there who was in the same situation as you - and they wanted her to get a D&C, but she requested a ultrasound first and they found a heartbeat. So don't give up hope - it upsets me that they were just going to give you a D&C that easily...

Keep us posted on your levels, and keep your spirits up.

Lots of baby dust to you!!

Mary

ildike
6/23/2003
C2
.From what I have learned from my former dr, I would say as long as hcg doubles constantly, everythings all right. Plus, if you have symptoms, thats a good sign, too. If there was something wrong with the baby you would miscarry-that is nature's selective way-since the fetus would be unable to develop. If at this age the fetus is growing, that means its healthy, capable to survive. At this stage, its all or nothing...I am going through similar agonies, and what I am trying to do is to send very clear, optimistic,positive thoughts down there. I wish you the same and make sure to rest a lot (both physically and mentally)

mlaport
6/23/2003
C3
.Oh and another thing. Every womens body is different. You'll find that some women don't have ANY symptoms at all, or some that are puking everyday - and both will have a perfect baby. You will also find some women who have really low HCG levels and some with really high HCG levels - and both of them will have perfect babies. There is no "norm" in a situation like this...the only thing you have to be worried about is the doubling every 2 to 3 days...that's all.

Geneva108
6/23/2003
C4
.Please refuse this DC now! wait for an u/s. I had HCG level problems before they say if should double every 72h. or +66% every 48 h. it might vary.. I am now 9 weeks preg. after 2 tubals and miscar. but this time (I had to do IVF w.egg donor) my first hcg on day 10 after embryos transfert was 111!doc. was happy very high than 2 days later 174 than 2 days later 360 than 4 days later we got scared 520!! should have been 900 + but he asked me to go for another hcg test 2 days later 4324!!!!!! go figure therefore don't give up ok!!! no DC continue to test every 2 days or so and do an ultra sound in a week than you will know... it could be all good girl hang in there we are here for you too!
lots of baby dust to you
Take care
Geneva

msklar
6/23/2003
C5
.Quite honestly, I am scared to hear about all the close calls with d&c. It seems some doctors are so worried about being correct (about due dates, ovulateion) that they dont listen to the women and look for things when it is too early for them to show up. Its scary the number of times Ive heard that a d&c was suggested, the women waited and guess what there was a healthy baby. Im beginning to think doctors are too quick to jump for a d&c. I think if it is goiing to misscarry then your own body should have the chance to do it naturally...

Siren
6/24/2003
C6
.I'm going through something similar, where my doctor is stumped. My levels are NOT doubling every two days, however they ARE increasing very, very slowly. He thought I had a miscarriage, due to lots of bleeding and cramping, however the levels continue to rise. At this point he thinks it's ectopic, so is considering laparoscopy to remove the embryo, but first he's doing a few more hormone tests. It's good to have a doctor who is cautious before they get in there with sharp instruments!!! But I'm a little worried about the procedure i.e. risks to future fertility b/c of the scarring, etc. I know the risk is out there, and it's hard b/c this is our first pregnancy. Anyway, I'd have to agree with everyone else who has said to wait until you have a few more levels done - it's obvious that individual cases can be very different and can stump even the best doctors!

silo
6/24/2003
C7
.I agree with everyone as far as waiting a while before getting a d and c. I had to have a d and c on April 24th, but it was only after a month of spotting and 4 sonograms that revealed an odd shaped placenta and no fetus...(Blighted Ovum) I was 10 wks and miscarriage was very inevitable.

It kinda helped me with my decision to have a d and c when I saw the lack of progress each week on the sono. So until you see it with your own two eyes, I wouldn't do a thing.....just wait....I'll remember you in my prayers.

thunder214
6/24/2003
C8
.Thanks everyone for you great comments and suggestions. I should tell you what happened. This is going to really make you think. Earlier when I posted, I did not tell the whole story, I thought it would be too long, but after seeing everyone's comments, I think we could all benefit from it.

I was scheduled for a D&C on Wed. June 25 at 2:00pm. I had to be at the hospital by 12:00. I requested 1 more bloodtest to ease my mind because in my heart, I didn't want to do it. So I went at 10am and had more blood drawn. The doctor requested it to be STAT so the results would come back quicker. Well, it ended up so close that I was laying on the hospital bed in the proverbial "paper gown", already admitted, balling my eyeballs out crying that I didn't want to be there and that it was wrong, when at 1:45 the nurse came in and that is when my numbers finally truely doubled from 500 to 1000. I immediately got dressed and walked out of that hospital not sure what had just happened. They say miracle happen everyday...I'm sure one did on that day. Divine intervention I would call it.


Anyway, I get my results back today from my bloodtest I had yesterday. I will keep you posted as to what the results are. I have a STRONG feeling that our baby is okay. The fact that my pants had a hard time buttoning today was a pretty good indicator that he's/she's growing!

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Can hcg levels rise slowly, then double and still be a normal pregnancy? - Maternal and Child Health Forum