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Bleeding, low hcg, and small for gestational age

Bleeding, low hcg, and small for gestational age

I realize that all my symptoms are not looking bright, but I am just wondering if there is any cause for hope.  If anyone else has been in my situation.  My LMP was July 8th and I am almost positive I conceived around July 21st, which makes sense with a positive pregnancy test on August 4th (at right around 4 weeks going by LMP).  At 5 weeks I had bleeding slightly heavier than my normal period.  At 6 weeks they started monitoring my hcg levels, which were low and rising slowly.  At 7 weeks one hcg test dropped, but then jumped back up yesterday.  They did an immediate u/s because they were worried about an ectopic pregnancy.  No ectopic pregnancy, but the gestational age was measure at 5 weeks.  I know that I could not be that off on my time line, with 3 positive pregnancy tests at what I assume was 4 weeks, I don't see how I could be off at all, much less 2-3 weeks off.  I have another u/s schedule for next week and my doctor obviously doesn't think there is a lot of hope and I really don't either, just wondering if anyone else has been in a similar situation and everything turned out okay.
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919101_tn?1318719446
I have never been in your situation..but I just wanted to tell you I wish you the best at your next appt.
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Avatar_f_tn
I am currently going through the exact same thing!!! My doctors do not expect this pregnancy to be viable but I keep hoping because my hormones go up (although not doubling) and although I'm bleeding now moderate to heavy for 10+ days I have no pain. At my ultrasound last week they saw what looked like a 5 week gestational sac (I should have been 7+ weeks based on my LMP but I think I ovulated and conceived later) I am desperatley trying to understand if I'm already miscarrying or if there is hope. I have done another HBC test today and OB says if it doesn't come in near 18,000 the fetus is not developing normally. Both my OB & GP suggest my body will miscarry natually I can only wonder why it hasn't yet. I read all sorts of stories of healthy babies born after bleeding, after irregular hormone counts & U/S not showing till 9+ weeks... but I don't see any that have all of these combined. Please let me know how you make out & I'll do the same
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Avatar_f_tn
Hi again... here is my post with more of my details... my thoughts are with you

I am looking for any input on my situation... Dr's seem to be unsure what is wrong with me an I am worried my time is running out. Here's my situation...
I had been spotting but never got my period and on Aug 10 my first HPT was positive. I had an ultrasound on Aug 14th which showed 5-6 cm fibroids in my uterus (lot's of shadows) and no gestational sac was found... still spotting... On the 14th my HCG was 1680 and on the 17th it has gone up to over 3000. still spotting until Aug 21st when I started bleeding moderatley. on Aug 24th my HCG was over 8000 but that evening I passed two large clots (golf ball size) I continued to pass large clots and bleed moderate to heavy (NO CRAMPING) I went for another ultrasound on Aug 28th and they foung a gestational sac appox 5 weeks (no yolk or heartbeat) it was expected I was 7 weeks. I was sure I was having a miscarriage but went for another HCG which came back over 9000. I am still bleeding and still passing clots but no pain at all (except sore breasts)

Today dr sent me for another HCG, blood group & anitbody, coags, fbc, uec and lfts.

My history... I has a DVT resulting in a PE in 2001 (diagnosed that it resulted from birth control pill)

If anyone has any insight as what is going on I would appreciate your comments... I was greiving a misscarriage and now I don't know what's happening...
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Avatar_f_tn
Oh goodness!  I'm sorry you are going through the same thing as well, but it's also nice to know I'm not the only one.  I know what you mean, I've read all the healthy outcomes, but yes nothing so far with all of them combined.  My doctor that as unlikely as it is, sometimes everything looks very bad, and when they think there is no possible way, it turns out okay, but of course that is very unlikely.  

Your hcg levels are much higher than mine.  My last test, on Monday 8/31 was at 1600 and that is when the did the u/s.  I just started have some light brown spotting again, but nothing too big.  I had passed some clots when I initially started bleeding around 8/14 for about 4 days, but the clots were fairly small, much like a normal period.  

Wish we both had more answers.  I was certain I was having a miscarriage too and while that is still most likely the case, I just hope to get some definite answers soon.  I am waiting until 9/10 for my next u/s.  I figured I will give it a little longer so if there is any growth a week and a half should certainly show.  Good luck to you and keep me posted.
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Avatar_f_tn
Nice to hear from you...

My dr's say nothing usually shows up on the ultrasound until hormones are over 2000 and they also don't seem concerned about my u/s showing 5 weeks because of the angles etc... that's about as optimistic as they get!

What country are you in?... I'm a Canadian living in Australia... I wonder if I was back home if there would be more insight to these complications but probably not.

My latestest results look like my hormones might be dropping now... yesterday's results came in about 50 below the previous one... we were hoping for +7000 to bring me up to 18,000. Dr's say to wait for my body to miscarry but they can't give me any indication when. Although douubful, I'm still hoping for the stars and moon to align and overcome this.

Chin up and keep in touch!

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