hcg

[confusedandwanting]

Last monday i went in for my first ultrasound, nothing was seen in the sack, they tested my levels and they came back at 6,500.  This past Monday, I went in again, he didnt do a transvaginal ultrasound, but rather just a regular and still didnt see anything in the sac, and my numbers came back today at 66,000.  He said those numbers arent good and I am scheduled for a D and C on friday.  Do you girls who know more about hcg levels agree with him, that those numbers dont look good?  When i calculate it doubling every two days, I get that on the day before i got them tested they should have been 52000, and so the next day they were 66000.  That seems ok to me.  And last week he told me they should be around 50,000 this weeks.  But when he called me today he said no, they should be about 250,000.  I just want to cry.  This has been such a horrible experience.

[Berko]

have you had any bleeding? pain? any other symptoms of m/c? i don't really see from what you wrote how he came to that you were m/c, but maybe need more info. please don't schedule any d&c until you're clear on what he's telling you - i don't know why a dr. will just schedule d&c unless he knows for sure there's nothing there - i'm so sorry you're going through this - i think you need to give us  a little more info though cuz i'm confused as to where all this is coming from.

[confusedandwanting]

Thanks everyone for responding, the problem with how far along im supposed to be is I dont get a period but every like two and a half months, so no clue how far i would be, we would have to see a baby and have it measured to know(says my doctor).  But i did to to the ER awhile back, and by their calculations i was 5 weeks.  So last week at my first visit i would have been 7 and this week 8.  But my doctor said those numbers could be way off because of my periods.  I just dont understand, last week he told me the 50,000 range would be really good, and this week he changed his story and said 250,000 would be best.  I cant stand him as a doctor, hes not nice at all to me, very straight forward, which i guess as long as he has been in the business thats what he should be, but i wanted some kind of sympathy and compassion.  Do you think I would be wrong if I called him back and asked for one more blood test before my D and C on friday.  Im just sick to my stomach over all of it.

[duehring]

Don't get a d&c done until you are positive for yourself that there is no chance this is a viable pregnancy. Otherwise you will always wonder.

I would get a second opinion if you don't like your doctor. There is no way I would let them do a d&c on me if I were in your shoes right now. There should be no rush to get one done anyway. If there is nothing in the sac you will probably miscarry.

I am sorry you are going through this. Let us know if you find out anything else.

[MrsBritney25]

I definitely would request another blood draw and possibly another ultrasound prior to the D&C. ESpecially if you are concerned that this may be a misdiagnosis.
I have the same problem.. I have extremely long cycles - due to having those long cycles, the most likely outcome of this is miscarriage.
When you have increadibly long follicular phases, by the time the egg is actually released, in most cases, either the egg is too old to properly fertilize and grow, or the lining of the uterus is too old to properly support a growing fetus.
This is the issue with me. I had a missed miscarriage in January - I should have been around 10 weeks along, but all they could see what something that looked to have developed to about 5 weeks... no discernable fetus..
Most likely, the doctor is correct in diagnosing this as a missed miscarriage.. however, if you are at all uncomfortable with going thru with the D&C without furtner confirmation, I highly suggest you demanding another blood draw and if that is inconclusive, then I would recommend another ultrasound to make sure the baby has not developed any further than last time...

[who_is_this]

The problem is that even with such high numbers they aren't seeing anything.  You should see something at those levels.  

If you aren't sure what's going on, ask for another transvag ultrasound before the D&C, and be sure they clearly explain everything to your satisfaction while you are there.

[kris123]

I just recently had a m/c due to a blighted ovum, depending on how far along you are you may have this.  I was suppose to be 9w but the sac measure 6w6d.  They did not find a hearbeat and did not see a baby.  My hcg levells went up right before my m/c. they did not double.  If it is early then you may be ok don't do the dnc.  I was at 19000 then went to 21421 36hrs later.  Ask him about a blighted ovum, but if you are earlier then 12weeks it may be to soon to see anything - according to what I have read and heard.  I hope it works out for you.

[Berko]

Please go get a second opinion - especially if you don't feel confident in your dr. i wouldn't go in for a d&c without complete certainty that the pregnancy is over and without feeling complete confidence in my dr. i m/c twice, but both times were natural and happened right away - my dr. though followed up to make sure everything out and everything okay. i trusted my dr. to tell me that everything was okay or let me know if anything else needs to be done - but let me reiterate - i trusted him and he's a sympathetic, kind, and intelligent dr. please keep me posted and please don't rush into a d&c if you have doubts in what your dr. is telling you. from the sounds of it (from you've written) i don't think it's clear what's going on with you.

[AnnieBrooke]

OK, let's figure this out.  At what point in the pregnancy were you when you had the 6,500 hCG level?

[ima1]

first of all, how far along are you supposed to be?

[nece]

That was my first thoughts too but each week your levels are supposed to triple if I m not mistaken and if its your first you will be fine I worried my self over a dnc that was painless. Yes, your numbers are growing but not quick enough, I had the same problem and I was so reluctant that I askd my dr if I could wait another week just to find out, he was very supportive and said yes but then instead of a slow growth it was a slow demise. Yes, it is bad news, but it will get better mine happened last friday and just keep a positive attitude. It will get better.

[kris123]

My doctor told me I would m/c and that was it. No more blood tests - nothing.   I did and I passed the sac on the 16th, so do I count this as the m/c date?  I am not real sure that it was a blighted ovum - I only had on u/s and the sac measured 6w6d.  So it could have been to early to see anything.  My dates didn't match up - I thought I should have been 9.  A blighted ovum is where the sac keeps growing and hcg levells go up and there is no baby.  There was at one point something, but it either it passed or was reaborsed by my body.  Very odd I think -  it was still hard.  How long did it take for you do have yr af after your m/c.

[kris123]

My hands are sticky.  How long did it take you to have your af after your m/c?

[Jenny77]

I had a blight ovum myself last year, I found out at 12 weeks. I had no bleeding or cramping and nothing to tell me that I was not carrying a viable pregnancy. I had a D&C after a u/s, I knew for certain I was 12 weeks though, and also had doctors that I really trusted. Honestly, once your hcg levels get that high, 50,000 60,000 range, you should defnitely be able to see a baby on the u/s screen.
My best advice to you is to find another doctor. If this Dr is not giving you the care you deserve, then you have every right to go to someone else. A good Dr would give you another u/s to make sure along with monitoring your hcg levels. Also, even if you do have a blight ovum and need a D&C at some point, would you really want a doctor like that to preform a D&C on you. If he isn't showing that he cares about your situation now, don't let him preform an invasive procedure on you later. I would just find a new doctor that will listen and respect you right away. I do wish the best for you, please keep us posted.

[kris123]

Have you become pregnant yet?  I guess the blighted ovum is more common then you think.  The weriod thing is that there is no baby but your body doesn't know that.  I just pray that it doesn't happen to me again.  I really wanted that baby.  I really thought there was one in there.

[Berko]

i think after my first m/c i got af around 5 weeks and after 2nd around 4 and 1/2 weeks something like that - my m/cs were both very quick and everything passed in a day - had a little more bleeding and did monitor that numbers were going down. if you don't get your af by the end of the month you can always get an hpt, but really you probably won't know anything before then. sometimes people ovulate after m/c and sometimes not (sometimes need firs af) so won't know much till later. sorry - i know the waiting stinks!!

[AnnieBrooke]

The hCG levels you gave are rising at a satisfactory rate, doubling about every 49 to fifty hours, if the tests you quoted were 7 days apart.  I can't imagine why the doctor called and told you the second set should be higher.  But I agree with who is this:  by now at the 67,000 level you should see something on the transvaginal ultrasound.  Even if this indicates a problem, it seems like your doctor is being pretty casual to schedule you for a d&c without even figuring out what is going on for sure and giving it some more time.  (I also don't know how your doctor can say the hCG levels should be at one point or another overall, if he does not have a starting point from which to begin the count.)  As berko says, get an opinion from a different doctor.  At the very least, insist on another hCG draw and a transvaginal ultrasound before doing something as irrevocable as a d&c.  There are lots of stories on this site of the baby being not there and suddenly at some late point (like 9 or 10 weeks) there it was.  Good luck, get a second opinion!  Annie

[AnnieBrooke]

Oh, sorry, confused and waiting not confused and wanting! :)

[1twinmom]

Get a second opinion. Insist on a transvaginal. This early on you can't see a whole lot through the belly. My sisters Dr.  did 3 transvaginals before he said anything about a d&c. He even did one the day of the d&c just to make sure. get another dr. after this too if you can. He sounds like his bedside manor needs a lot of work!

[kris123]

I posted a comment above.  I m/c on the 16th of June.  Have you had a viable pregnancy?  Me and BF are trying cause Dr. said it was ok.  I just want to have a baby so bad.  I have had two "good" pregnancies.

[Berko]

i haven't had any viable pregnancies yet - just 2 m/cs, but according to my dr.s opinion don't have to wait after m/c to try (some dr.s say to wait three months, some a little less). from what i've read on here there are women who have become pregnant even before their first period after m/c and things went well (of course there are those who will tell you that they missed again b/c too soon), but like everything there's mixed reviews and opinions. i think though that one of the reasons dr.s say even to wait till first period is so can calculate and figure out which is new pregnancy and which is old. so the truth is in your case if you got/get pregnant right after the m/c it may be hard to tell if from new pregnancy or old and you may be confused. from your previous post it sounds like you've already started trying (at least not using protection) - i wouldn't worry if i were you - if you do become pregnant before first af - great and hopefully it'll be a healthy, sticky pregnancy!! if not and you get af and want to try i would say to get the opks or go to your dr. to monitor (but this could end up a bigger expense - depending on your insurance - if you have - also i don't know if a regular ob would monitor - i go to a fertility specialist). i know how hard it is the waiting, wondering, and hoping, but really you will get it soon - i really hope sooner rather than later - the truth is some say right after is the best time to try b/c body is already ready for pregnancy. keep me posted and feel free to vent or "talk" whenever you need to. try not to worry too much (i know easier said than done) - i'm thinking of you and hoping all goes well for you. good luck.

[Berko]

oh and another thing - you should expect your period between 4-6 weeks after m/c (sometimes people have had to wait longer), but if haven't received by 6 weeks take an hpt and see what it says - by that time your hcg from m/c should be out - has your dr. been checking up on you after the m/c? (or blighted ovum - honestly i'm not sure what exactly blighted ovum is - if same as m/c)if he has can probably tell you where your hcg levels are at.

[ark730]

Sorry to hear about your situation. I had a b/o 6 mos ago and was 7 weeks pg. My situation is bazaar now.... I went for u/s at 6 weeks with levels at 44,000 and there was no yolksac or heartbeat. Dr. said it didnt look good. Went back next week and everything seems to be ok. I asked him as well as the dr. I was seeing for prior pregnancy and they both agreed that you should see hb when levels are at 20,000. Its so confusing on how long to wait and what to believe. Get a second opinion so you feel totally comfortable with your decision.

[flower2]

Please do not get a D&C tommorow. Your levels indicate a possible twin situation where one may have passed away. These dr's want to jump to a D&c because they make the dr $6,000. Please go to another OB and get another series of ultrasounds transvaginal and abdominal. You do not have a definate answer don't risk it. please. I just had a m/c but in my case heartbeat stopped so there was no ?. You may also consider letting mother nature take its time. (natural m/c)

[glb25]

I agree with flower. Just give it some time as well as a second opinion. It's important for you to understand what is going on with your body. Good luck. I pray for the best for you.