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Missed Miscarraige(miscarriage)? 9 weeks, High Hcg levels, No fetal he...
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Missed Miscarraige(miscarriage)? 9 weeks, High Hcg levels, No fetal heartbeat

I am about 9 weeks along in my second pregnancy, after using high dose (150mg) clomid for several months. Mu son was born with no complications 3 years ago. My OB is considering this pregnancy high risk due to the fact that we had so much trouble concieving. I have a vaginal ultrasound two weeks ago. The tech recorded a strong fetal heartbeat (110). I also have Hcg numbers at that time within the normal ranges. On Tuesday, my OB was unable to find "anything" on an in office ultrasound so I was sent for another vaginal. The tech was also unable to locate a heartbeat, although the yolk sac and fetal pole was clearly present. My doctor advised me that he was 98% sure a miscarriage was imminent although I have not had any cramping or bleeding, and that I should start thinking about a D and C procedure. He opted to send me for another Hcg test to verify these fears. However, the blood test came back yesterday with a reading of over 36,000, well within the range for the 8/9th week of pregnancy. He wants to run another Hcg tomorrow, and pending the results, another ultrasound.

The waiting and not knowing what is happening is almost more that my family can take. I was hoping that someone out there who may have had a similar situation can share their outcome so that we can better know what to expect. I have been reading about missed miscarriages as well, as they seem to fit my situation, although I have not foudn any information regarding Hcg levels in a missed miscarriage situation.
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14 Comments Post a Comment
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589816_tn?1332980371
I'm sorry you're having to go through this. I had a missed m/c at 9w3d. My baby had stopped growing at 5 weeks. Looking back my hcg levels were low early on. I wish I could help you more. You and your little peanut will be in my prayers. *hugs*
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770344_tn?1235067410
Many thanks for sharing Steph.
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623156_tn?1322869451
I don't want to give you any false hope but it is very common to be off on your dates and the baby is just nor far enough along to see the hb. I always have low hcg numbers but as long as they are rising that is a good sign. I'm suprised you are a high risk pg. It toom me forever to become pg with this pg and I was not considered high risk until almost the 2nd trimester. I would think having that told to you doesn't help your panic mode. I would maybe get a 2nd opinion. Just try to relax and rest. Take care of yourself and your baby. Best wishes to you if you need to talk I'm here. Please let me know what happens...
AP
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770344_tn?1235067410
Thanks to you as well ArmyPrincess. I've been searching for info and stumbled upon this forum. I am greatful for the welcoming atmosphere.

I think my high risk status is also due to the fact that I have had pretty serious gyno probs in the past, including being placed into chemical menopause twice for severe endometriosis.

In any case I appreciate your feedback. I have been considering getting a second opinion, but having been with this OBGyn my whole mature female life, I worry no one else will be able to appreciate my history. False fears maybe, but I would hate to go through all this testing all over again with the same result.

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Avatar_f_tn
Not to be negaitve, but im just giving my opinion and some facts.

is not uncommon to have a missed m/c and still have your hcg levels rise. The reason they will rise in that type of situation is bcuz the placenta is still sending signals to the brain that you are preggo, thats also a reason your body will still have pregnancy symptoms.(<--fact) Once a heartbeat is detected, it is not normal to go back weeks later and not be able to detect one, unless baby was moving, positioned funny and tech just really didnt put effort to find it.  I had a missed m/c at 10weeks 3d, u/s showed baby stopped growing 10w1d and there was no fetal heartbeat. I waited a week to see if hb could be detected later and to see if the fetus growed anymore. Neither happened.

The best thing to do is what your dr is recommending, you should get another u/s to see if the fetus has grown anymore, in my opinion, hcg levels in a situation like this really dont matter, unless the fetus is growing. Normally, once the brain has recognized that the baby is dead, the body will attempt to m/c naturally, bcuz its designed to. Most dr recommend d&c instead of offering the client to wait it out.  And there are some cases that the body will not m/c on its on, but its a chance women take if they want to wait to see if the body will do it on its on.

I will keep you in my prayers and hope a hb can be detected.
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Avatar_f_tn
I'm sorry for the stress you are going through.  I know what it's like to try for so long and so hard (2 years) then to finally get that BFP and find that it is being snatched away from you.  I really think the only thing you can do is just wait it out and do what your dr has suggested.

I wish you the best of luck and you and your family will be in my prayers.
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770344_tn?1235067410
Latrice- I sincerely appreciate your comments. I have a premed background and worked in the field for a while, but am by no means an expert ( I see your a nurse) and I suspected the hcg levels may be misleading for those reasons. I was surprised to learn that the hb may not be detectable after an initial find. That is a little reassuring. I am trying not to hold onto false hope, and suppose we will just have to wait and see what happens. Thanks again for your comments!
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770344_tn?1235067410
Thanks for yoru thoughts and prayers Bam1014. We truly appreciate them.
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Avatar_f_tn
MomofLilPNut- I'm sorry you're going through this uncertainity. Try the website www.misdiagnosedmiscarriages.com I think the stories there will give you the much needed hope at this trying time. I went through something similar and the stories on this site gave me so much hope. I'll keep you in my prayers.
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770344_tn?1235067410
Just an update... after another round of tests yesterday, we found that my hgc levels are dropping and the sac is measuring only 6w 5d. I have opted for a D&C on monday.

I thank all of you for your help and support.
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551885_tn?1300387422
I have been following your post and hoping for the best.  I am so sorry that it has turned out this way.  Please remain with us here if you need a place to talk and help you through this horrible time.  I wish you and your family the best.  As far as the future goes, when you are ready, there is a ttc after a m/c group here that as hard as it may seem now, made it so much easier for me to deal with after my loss and a fun way to finally get my bfp again.  Best of luck!
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623156_tn?1322869451
Mom- I'm so sorry. I'm here if you need to talk. You will be in my thoughts......

AP
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Avatar_f_tn
So sorry to hear the sad news.  The group of women here are incredibly supportive, so if you need to vent or cry or ask any questions, please feel free to post.

Big {{{{{{{{HUGS}}}}}}}}}}}}} and prayers for your family.
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750579_tn?1234871201
i have been in tha same situation weeks ago, last week only i started bleeding,& passed out everything completely & cleared my uterus, that's why a D&C was not done to me.I know how paiful it is,both emotionally & physically.But we need to end that chapter of our life & start to move on...its not in our hands anyway.Stay strong.God bless
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