Pregnancy Scare with hCG Levels and Spotting

I am wondering if anyone's seen successful pregnancies with a situation similar to mine:



Unsure of LMP (definitely not in December).

Light bleeding/spotting (not enough to fill a tampon) between December 11-12. Typical sore breasts/bloating, thought period was starting.

Tested positive on December 18th with at home pregnancy test.

Started spotting on January 6th (pink, red and brown) when I wipe after bm or urinating.

January 7th: first hCG levels were 4589

January 9th: ultrasound showed fetal pole, no heart beat and est. 5 weeks, 2 days.

January 10th: obgyn saw cervix closed

January 11th: second hCG levels were down to 4262

Pregnancy symptoms (wicked boob soreness, insomnia) have abated since the spotting started on January 6th, though they picked back up a little bit since January 12th.

January 14th: third hCG levels were down to 4225.


Any guidance/experience would be greatly appreciated!  This is my first rodeo and I'm 31.

[Dr. Kokil Mathur]

Hi!
As you know, a falling HCG levels is not a good indication. Usually points towards a miscarriage. However, since the cervical OS is closed, you can wait until 10-11 weeks (by ultrasound as you do not remember the date) and then if there is no fetal pole and heart- beat, you may need a D & C. Do discuss this with your doctor. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.