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MedHelp Member's Question

doubling hcg but declining progesterone

by rmfmom, Jul 26, 2004 12:00AM
On July 6 I had a blood test which measured my hcg at 39 and my progesterone at 30 (25 days LMP).  Two days later, my hcg was at 148 and my progesterone at 34.  Then on Tuesday July 20th, my hcg was at 13246 (5 weeks 4 days (LMP)) but my progesterone down to 21. Transvaginal Ultrasound revealed a yolk sac but no heartbeat. My doctor ordered more blood work this past Friday but I haven't gotten the results yet.  She said that 21 was normal but she was concerned that it was declining.  Is progesterone supposed to steadily increase as hcg does or does it vary from day to day?  I am scheduled for another ultrasound this Friday to try to detect cardiac activity.  Should I be concerned? Thanks.



Member Comments (16)

by FIREMANSWIFE, Jul 26, 2004 12:00AM
I AM GOING THROUGH THE SAME THING. MY HCG, WHEN FIRST TESTED WAS 3,010 PROG 17 ONE WEEK LATER MY HCG WENT UP TO 28,368 AND MY PROG. FELL TO 16.1 I AM NOW ON A PROGESTERONE SUPPLEMENT (PROMETRIUM) 2 TIMES A DAY. I WAS TOLD BY MY NURSE PRAC. THAT THE PROGESTERONE LEVELS, ALTHOUGH HASN'T BEEN OFFICIALLY VERIFIED YET, CAN BE THE REASON WHY SOME WOMEN MISCARRY. IF YOU GO INTO THE FORUM, LAST WEEK I POSTED A SIMILAR QUESTION AND A FEW WOMEN GAVE ME SOME FEEDBACK YOU MIGHT WANT TO READ WHAT THEY HAD TO SAY. THE QUESTION SAYS "PROGESTERONE?????"



HOPE IT HELPS.

by Debra_Maine, Jul 26, 2004 12:00AM
I'm sorry that I can't answer your question. I wanted to post to everyone and there was no room for a new question today. I have been reading and responding on this website for the 6 weeks that I have known I was pregnant. I felt like a voyeur at times where I had never had a m/c, had no bleeding and felt great. Well, Saturday night after my husband and I were "together", I had blood. I was assured by the on call doctor that it was just my cervix irritated due to sensitivity during pregnancy. My regular doctor sent me for an ultrasound this morning just as a precaution (I'm 10 weeks). Well, they didn't see what they were supposed to. I was devastated. No signs of a problem, nothing to prepare me at all. I woke up this morning feeling the same as every other. They took blood to test my hcg levels, but I am now cramping and having back aches and I fear it has begun. It is amazing how it can all change in a day. I thought I was one of the blessed. The lucky ones who get pregnant and have a baby. Like most of the women in my life (except my sister who had 2 blighted ovums). All of my friends have had no problems and have healthy babies. I hope I will be back on here soon as I plan to try again. Thanks to those of you who chatted with me.

Debra

by tresmathews, Jul 26, 2004 12:00AM
To: debra_maine
I am so sorry. You are welcome here when ever you need to chat. about anything. This board is not for pregnant or TTC women only. Please keep us updated.

by Debra_Maine, Jul 26, 2004 12:00AM
To: tresmathews
Thank you very much. I appreciate it.

by tura, Jul 26, 2004 12:00AM
To: debra_maine
I'm sorry about your loss.  I wish I had a magic wand so that I could wave it over all of us ttc and we would all end up with healthy babies!  It certainly seems easier for some people doesn't it?

by angelblever, Jul 26, 2004 12:00AM
To: debra-maine
Oh Honey I can soooo empathisize.  Did Dr. say that you were having a miscarriage.  Was there no heartbeat?  I know the devastation that you ferel, the anger, I found out on Wed. AM that my babys heart stopped beating.  Had a DNC on Thursday.  Today is actually the first day that I am among the living.  My heart breaks but it is not aching. You willget through it.  Please feel free towrite to me if you feel the need.  ***@****  Good luck and God Bless  Lynn

by Debra_Maine, Jul 26, 2004 12:00AM
Thank you all for your kind words. It is comforting to know that I'm not alone. It means a lot.

by JustME9, Jul 26, 2004 12:00AM
To: debra_maine
I'm SO sorry for what you are going through! Just wanted to let you know I was thinking about you!

by Debra_Maine, Jul 27, 2004 12:00AM
To: kellieD
Thank you :o)

by babygirl22, Jul 27, 2004 12:00AM
To: debra_maine
My thoughts are with you....nothing anyone can say will make this time better.  Take care of yourself and we're always here to talk.

Chrissy

by Niki73, Jul 27, 2004 12:00AM
To: debra_maine
First I am very sorry for your loss. You know I have had the same thing happen to me twice. I disagree with the doctors when they say it's normal to have a little pink spotting after intercourse because both times I did I miscarried also! I don't think it had anything to do with the intercourse at all I think something was already not right but I did the same thing I called the doctor right away and he told me the same thing that it is normal and I miscarried 3 days later. The same with having a pap smear at 3 months with my third miscarriage I started to spot after it and they told me that was normal I miscarried that time also. They found that my progesterone levels were low and they think that's why I miscarried all those times but with my fourth pregnancy no intercourse until 13weeks along and no pap smear until I deliver! Isn't that funny they would tell me that after all that. I delivered a healthy baby girl that time. I am 15 weeks pregnant with my second baby now and the same thing no intercourse for the first 13 weeks and no pap smear. So far so good but again like I said I have been taking progesterone injections also so it's probably that but I found it interesting that my doctor told me none of the two with my so far normal last two pregnancies. I just thought I would share my experience with you since it was similiar. Everytime I use the rest room or have intercourse I am scared to death to see blood! I know with some people they go on to have normal pregnancies and do blood through out but I think the with the norm bleeding means something may not be right. Again I am so sorry but it wasn't anything you did....

by Debra_Maine, Jul 27, 2004 12:00AM
To: babygirl22, niki73
babygirl22, did you get a bfp???



Niki,



Thanks so much for sharing. It is so helpful hearing stories that are similar to mine with positive outcomes. Dh and I will ttc as soon as we can which is looking like September. I am having a D&C at 3:00 (est). I just want it over and to move on. My numbers have gone from 28000 to 9000 and I am bleeding and cramping heavily. It's over and I am so disappointed and sad, but I know I will be okay. Everyone in this forum all seem to have the strength to try again and that is encouraging. Best of everything to you and your one on the way and thanks again.



Debra

by babygirl22, Jul 27, 2004 12:00AM
To: Debra_Maine
AF is due either today or Thursday (my cycle has been two days longer since my d&C), but I took an early test this morning, and got a BFN  :(  I totally understand what you mean about getting it over with.  I felt like I was dead inside until I had my d&c, and afterward it was still very difficult, but more bareable emotionally.  In the days I waited for the d&c, dh wouldn't even come near me to console me because all he could think about was the dead baby inside of me.  Sounds awful, but I guess he couldn't help the way he felt.  Best of luck at your appointment and afterward - take some time to relax and do something that distracts you, like read a book or rent some movies - that's what I did to try and put myself in a place anywhere but where I was.  Take Care.

Chrissy

by Debra_Maine, Jul 27, 2004 12:00AM
To: babygirl22
I'm sorry to hear AF sounds like it's on the way. I'm sending lots of baby dust your way. I'm nervous about the D&C, but feel that the finality of it will help me move on. I'm glad you are once again having the support of your dh, that must've been tough. Please keep me posted. You may email me directly if you'd like: ***@****. Take care of yourself.

Debra

by Niki73, Jul 27, 2004 12:00AM
To: debra_maine
I know exactly how you are feeling right now. I wanted to get the D & C over with right away too it was sad going home from the doctors office knowing your baby was inside of you not alive. You will get through this and I think looking forward to trying again helps a little with the healing process. You will be emotional for a few weeks after your hornomes will off still. I remember going grocery shopping a few days later and seeing kids running in the aisle and just break down crying...I was so sad. But it does get better...this is your first miscarriage? That is good too because it's not uncommon to have one miscarriage meaning most likely there was just a genetic problem with the forming of the baby and your next one will be fine!!!! I was really worried by my third miscarriage really feeling something was wrong with me. But again if you do have future problems don't get too upset they will do testing and find what the problem is I am proof!!! I wish the best and get lots of rest and good luck when you start again - keep us udated!