What does it mean when your HCG levels are not stable?

I found out I was pregnant on Mother's day and my LMP was in March, but I am irregular.  On my first ultrasound I was told that I was having twins.  If the doctor went with my LMP I would've been 8 weeks pregnant, but the size of the babies were 5 weeks.  I took 3 blood tests to check my HCG levels and the first test was 13,000+, second was 10,000+, and third was 12,000+.  What did that unstable HCG level mean?  My doctor sent me to fetal diagnostic the following week and found no heartbeat and was told that I had a miscarriage, but i haven't had any bleeding or cramping.  Could it be too early to see a heartbeat because I may have ovulated in April or did i really have a miscarraige (miscarriage)?

My family does not want to accept what the doctor told me and wants me receive a second opinion.  I am scheduled to have another ultrasound on 6/13.  What's the latest to detect a heartbeat?  I'm thinking of scheduling for a D&C if there is no heartbeat on this next ultrasound.  Should I wait a little longer? or should I just go ahead and schedule for a D&C?  I want to make sure that I had a miscarriage because I'm going to feel really guilty if they were okay and i went on the the D&C.

My family are trying to give me hope that the twins are going to make it.

Very confused on what to do......

[addysmom]

First of all, let me say I know exactly what you are going through.  I have been pregnant 4 times with only one successful pregnancy.  Secondly, on two of my 3 miscarriages I too was told there was no heartbeat and I had an extremely hard time accepting that.  My thoughts and prayers are with you right now.

Secondly, I know the earliest a heartbeat can be seen is 6-7 weeks....I am unsure if this changes if you are pregnant with twins.  It is possible that you actually got pregnant in April.  

In regards to the varying HCG levels....have you asked your doctor if it is possible that the dip was related to losing one of the twins?  I am not saying that this is what happened...but is it possible?

If you still see no heartbeat tommorow...it may be possible to ask for one more ultrasound prior to your D&C.  I know with BOTH of my D&C's they allowed me to have an ultrasound the day before the D&C to ease my mind....for some reason I just didn't believe that it was possible.  

If you need someone to talk to...I am here...and MOST definitely understand what you are going through.  :)  Good luck tommorow...and let me know!

[momtofourboys]

I hope that  evertything will be okay. I hope they can hear the heartbeat (it is not too early to hear a heartbeat usually 5 weeks along they can hear it) you may have only miscarried ne baby if you were pregnant with twins. I am hoping that thye do an interanal ultrasound t ofind out.
I was 2 months along when I miscarried a baby. they did an ultrasound to cnfirm and I was still guessing myself on whether or not they had the due date right or nt. but I know they did and I accepted the fact that I miscarried and it is hard. I wouldn't recommend having a D and C if you only miscarried one(if you miscarried at all)
Good luck and please know I am hoping that things will be okay
Michelle

[Micky81]

I am praying for you.  I hope all is still well.  I had three miscarriages.  On my fourth pregnancy they told me I had a miscarriage and I was devastated.  They were wrong.  My son just turned 9 years old.  It sounds like your HCG was fluctuating.  I think it would probably keep going down if you miscarried.  I would still hold out hope.