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Maternal (Expert Forum)
Strange HCG test results w/ positive HPT
Patient medical question and answer from The Maternal and Child Health Forum. Health topic area and articles about newborn care
Strange HCG test results w/ positive HPT
by Cris__0, May 19, 1999 12:00AM
Posted by Cris on May 19, 1999 at 16:38:06
Please help me figure this out. My last actual MC was on 3/7/9. Went off the pill at this time. No period followed begining of April-although I don't believe I got pregnant until mid-April. Took a hpt on 5/9/99 which came back positive. On 5/11 I started spotting & contacted my OBGYN. She had me come in for an ultrasound on 5/12 which showed nothing, so I was sent for an HCG which came back at a level of 47-which is too high to not be pregnant, but too low for the suspected DOC so I am told. I am still bleeding 8 days later, however it is about half the amount of my normal period. I had a repeat HCG done, but results are not in yet. My Doctor thinks either I am just barely pregnant or having an early miscarriage. Is it possible that I am actually pregnant and this is implantation and how far along would I be, or is it more likely that I've had a miscarriage? I have two beautiful children (my only two preganacys) whom I had no bleeding or any other complications with and am extreemly anxious about this possible pregnancy. (We have decided it's time to have another child.) Thanks for your input.
Posted by Cris on May 19, 1999 at 18:24:20
Update - results are in - HCG now at 13 - Miscarriage...How long must I wait before trying again? (This is my first miscarriage)
Posted by hfhs.md.rcs on May 19, 1999 at 22:05:59
Dear Cris:
I advise patients who are discontinuing oral contraceptives to use mechanical contraception until they have a normal, spontaneous menstrual flow off of the pill. The delay between stopping the pill and the first ovulation is note predictable and it is therefore not possible to date a pregnancy.
This same advice applies after a miscarriage. Use barrier contraception from the completion of this bleeding (the miscarriage) until you have a normal menstrual flow on your own. If there is any concern that that period is not normal, use barrier contraception and monitor the next cycle with a urine ovulation detection kit or a temperature record, talk to your healthcare provider about monitoring the progesterone level in the luteal phase of the cycle, and thereby gain proof that you are having ovulation and making the best possible environment to support a pregnancy.
Early miscarriage (chemical pregnancy) is very common. Without the currently available, sensitive, home pregnancy tests, most of these events go unnoticed. This does not make them any less important or an less a cause of sadness for many women. This grieving can alter ovulation temporarily and it can cause an emotional upset (poor sleep, irritability, appetite change, sexual energy change) that needs to resolve before one feels ready to take on the challenges of another pregnancy.
You have a goal. Equally, listen to your body.
Keywords: chemical pregnancy, miscarriage, conception after birth control pills
This information is provided for educational purposes and is not a medical consultation. If you have specific questions, please speak with your healthcare provider.
