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Low/slow rising hcg levels & possible miscarriage in early pregnancy

Mar 15, 2008 06:15AM - 219 comments

My LMP was 2/06/08.

I took at early results pregnancy test on 3/03/08 with a positive result.

I had my first blood test on 3/04/08 or aprrox 13 DPO hcg = 50

On 3/06/08 or 15 DPO hcg = 73

OB-GYN said there is no chance this will be a normal, viable pregnancy, and suspects spontaneous abortion over the weekend.

On 3/10/08 or 19 DPO hcg = 181.

Hcg levels lower and doubling time still slower than normal.

OB-GYN recommends another blood test 2-3 days later.

On 3/13/08 or 22 DPO hcg = 430.

Hcg doubling time has increased but numbers still lower than should be for 5 week pregnancy.  OB-GYN thinks more than likely ectopic pregnancy.  Advises to call his office right away if I experience any unusual pain, especially bleeding or sharp, stabbing abdominal pain.

So far, I feel physically normal with a few dull back aches and a few occassions of dull abdominal pains lasting less than 1 minute.  I have not had any vaginal bleeding.  I have experienced some nausea, but it could be from the stress and anxiety of possible miscarriage.  My breasts are sore, especially in the morning right after I wake up.

I will have another blood test and a vaginal ultrasound on Monday, 3/17/08.

Waiting and not knowing what is going to happen is the worst part.  I feel scared and alone, even though my husband and family have been with me the entire time and have been so supportive.  I remain hopeful and have tried to keep a positive attitude, and I don't feel like anything bad is going to happen.  At the same time, I want to be realistic.

I have done extensive research online re hcg levels and ectopic pregnancy.  I do not have any of the pre-existing conditions that lead to ectopic pregnancy.  This was natural conception, and my husband and I have been trying to conceive for 14 months.  My worst fear is that I have a tubal pregnancy and may have to terminate and have part of a fallopian tube removed.

I pray for any other women going through the same situation as I know how difficult it is to cope.  This is the worst thing I have ever had to deal with in my life.  I still remain hopeful, and I am anxious to have the ultrasound on Monday to see the progression of this pregnancy.

Comments
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by another_penny, Mar 16, 2008 09:40AM
I'm sorry that this is happening to you too!  You sound just like me...even our dates are darn close.  Here's my story:

3/2 +HPT  (seemingly 14dpo)

3/3  13 hcg

3/5  19 hcg (no doubling) Told that this preggo would not continue

3/5-3/10 (Bled a Normal AF...seemingly)

3/10 63 hcg (4 days later)

3/12 216 hcg (more than tripling)  (Told I should be "awed"...by my dr.)

3/14 Results coming on Monday, March 17

3/15 Scheduled Dr. Appt

I'm sorry I don't know what to tell you now.  But, since our days are so similar, hopefully we both experience a positive surprise and can celebrate!  I'll let you know as soon as I find out!


by another_penny, Mar 17, 2008 09:30AM
New results:

3/14=454

I'm so nervous I feel sick!  Please let me know how your appointment goes!

by Mommy2be2, Mar 18, 2008 09:29AM

another_penny:

I really felt sick, too, and it's not morning sickness yet!  The worst part was waiting to hear the results from yet another blood test!  Hopefully you'll be able to get an ultrasound soon!  Your numbers are looking really good!  I think you probably started checking early or conceived later in your cycle like I did!  I'll be praying for you!  Keep me posted!

by Mommy2be2, Mar 18, 2008 09:32AM
UPDATE:
My HCG level was up to 1104 (a little lower than I was hoping), but I was able to get a vaginal and pelvic ultrasound yesterday.  My OB-GYN said progesterone levels are not very reliable so they don't even check them.  It turns out that I must have conceived late in my cycle, around  2/25/08, but I don't know how that is possible based on my LMP!

We were able to rule out ectopic pregnancy, and the sac is in my uterus and measuring at 5 weeks!!! (Instead of 5 weeks and 5 days, what I thought based on my LMP.)  We were unable to see the fetal pole or yolk sac, which is normal for 5 weeks.

I'm going back next week for another ultrasound, and we should be able to get a better idea, see the fetus and hopefully hear the heartbeat!  I am finally able to relax and stop worrying about numbers!  My OB-GYN said, "Babies don't always go by the book!"

I'll feel much better once we detect a heart beat!  I have remained positive and just had a good feeling the whole time, even though the numbers weren't looking good and the doctor kept giving me bad news.

My advise to anyone in this situation is: Don't worry about HCG levels!  If you can wait until 5 or 6 weeks you'll be able to get an ultrasound, and it's much more reliable than HCG numbers!

by another_penny, Mar 18, 2008 09:02PM
Thanks for keeping us up-to-date on good news!  I read through so many medhelp boards where people had asked incredible questions, but never responded to share their findings.

I'll post my new hcg levels tomorrow.  I can't wait to stop living day-to-day with the stupid numbers.  Not testing would almost be better b/c I'm starting to hang on every single digit of each number, as if 1 point even makes the difference.  It's just a whirlwind of craziness!

Can't wait for next weeks U/S,,,for both of us!

by Mommy2be2, Mar 26, 2008 07:13PM
My ultrasound is tomorrow, and I should be about 6 1/2 weeks!  I'm so nervous and anxious.  I feel like I can't be too happy or excited until I see the baby's heartbeat.  I'm tired, my boobs hurt, I'm thirsty all the time, and I feel like I have to pee as soon as I drink anything.  I crave meat (like steak or a hamburger) every day!  I don't remember feeling like that when I was pregnant with my daughter.  I'll post an udpate tomorrow after my appt.

by Shabbz, Mar 26, 2008 10:44PM
Hi,

Girls i hope all goes well for you both. I am in a similar situation. Im new to this so lets see how i go if i stuff it up im sorry..

My LMP was 7/2/08 I am 7wks today. The time is not going quick enough. But i have slow rising levels too. I have no morging sickness and im not really tired so i am a little worried.

HCG Tests as follows:

10/3/08 - 48
12/3/08 - 334
15/3/08 - 885
22/3/08 - 2900
26/3/08 - 3600 ( cant remember the exact figue but that is close)

My Progesterone is at 140 - 120 ish so that is good the Dr said.

I also had an ultrasound 26/3/08 and there was a heartbeat @ 130 beats/minute.

I am still stressing as having tried for a few months and the Hcg levels not rising enough i am scared i will loose this one. I have a bub who was 2 in Jan ( with her at this stage i am positive i was feeling crook already) and prior to her i had an ectopic and lost my tube. I go for a better scan on Monday and hope that it give me a better result.

I hope all goes well for all.. Here is praying and hopeing...



by Mommy2be2, Mar 27, 2008 10:43AM
Best of luck to you, Shabbz!  Thank you for sharing your information with me/us!  I will keep you in my prayers.

I think that if your hcg levels are still rising and you were able to detect a heartbeat, then your chances of a miscarriage at this stage are greatly reduced.  It sounds like the fetus is in your uterus (and not ectopic), which is another good sign!

I have read so much about hcg levels, and once the fetus is detected on ultrasound, hcg levels are no longer important (unless they decline).  I really don't think we should make too much of hcg numbers; It has just caused me a great deal of undue stress and loss of sleep!

Don't worry about not having symptoms yet either.  Some women do not have symptoms until they are further along into the pregnancy.  As long as you do not have any pain, abdominal cramps, or bleeding, you should be fine.

It sounds like we should be due around the same time!  My LMP was 6/2/08, but my Dr. thinks I ovulated later in my cycle - which is why my hcg levels seemed so low at first.

I'm having my second ultrasound this afternoon, so I'll let you all know how it goes!

I'm begin very optimistic, for myself and everyone that is going through this now!  Keep being hopeful!

by Shabbz, Mar 27, 2008 06:40PM

Hello,

Good luck to you for the ultrasound this arvo i hope they see that little beating glimmer of hope.. It makes you feel better once you know that things are progressing the way they should and you know that your little miracle is fighting on..

Im a worry wart so when i got the results i was expecting the worst, but i am trying to be positive its just so hard when the days go so long and the weeks go past like years till we all hit that 12 week mark.

Like you said once you get the the ultrasound stage they no longer use the levels i bet we are all worrying ourselves sick over something we dont need too..

As we are all in the same boat - i pray all goes well for all of us.

I feel like i want another blood test to see if they are still going up - but i think it is better not to know..

Well goodluck with the ultrasound fingers crossed all is progressing smoothly...

Prayers all round for everyone.
xx

Leesa

by Chessie528, Mar 27, 2008 10:51PM
Hi all,

I felt I had to do a post as I am the same situation.
I have spent alomost every day on the internet trying to find hope that it will all be OK..
Here is my story so far..

Suffered a missed m/c at 12 weeks Sept 05 and have beeing TTC ever since..

15 Mar 14dpo BFP faint postive
19 Mar visit to the docs and he took a negative test.. I was devastated..
Packed off for blood test 18dpo HCG 77
Ultrasound the same day confirmed pregnancy was not eptopic and they could see a sac in my uterus for 4 weeks 5 days.. the wait continued as it was Easter w/end..
24dpo HCG 168.. has risen but not enough...
I have had another blood test today awaiting the results..
I have very sore boobies like you mommy2be2 first thing in the morn and eve, no sickness just very tired but Im sure its just emotional..

I have no signs of m/c.. last time I had cramps a lot during the first few weeks...

We have recently moved to Brisbane Australia due to my fiance's work and all my family are in the UK, I feel very alone...

I you all have postive outcomes from your u/s..

Please let me know how you get on. I will be thinking of you all..

xx



by colorado_g, Mar 28, 2008 03:07AM
omg . I wish you all the best. But I got scared for myself. March 5 i took a pregnency test when I woke up at 4am. Possitve, and m period was 6 day late. next day i went to a place to take another one. came negative but it was afternoon, so i went to ER and told them what is going on, that i am nausea and about test. The doc rejected to do blood test, urine one came negative he told me that I have a virus. RThat day I got my period less blod more pain. For the last week I am expierienceng a hot flashes dizziness, nauzea, tender brest. Can I be in the situation they u all are???
Best wishes to all of you, i will keep my fingers crosed
Colorado girl (26)

by Chessie528, Mar 29, 2008 02:35AM
Sorry to hear this Colorado Girl.. Have you spoken to your doc about your symptoms?

I have just received another HCG test result of 257.. 3 days ago it was 168 so I know its not happening again for us.. we are so so so sad..
Doc is supportive and I am having another blood test on Mon but I just want it over so we can begin to mend and try to think about trying again..

From a very sad Chessie x

by Mommy2be2, Mar 29, 2008 07:08AM
I'm so sorry to hear your situations colorado_g and Chessie528!  It is an emotional roller coaster!  I don't understand why this happens to so many of us.  It doesn't make sense to me.  I believe that everything happens for a reason, but I can't find any good reasons why a woman would have to go through the loss of a pregnancy/baby.  I guess that in a way, it might make us stronger later, but right now I feel so weak and I don't want to do anything.  I just want to be alone and not talk to anyone.  I have been through every emotion, and I'm kind of at the still sad and angry stage.

I wish you all the best.  I am trying to be positive and hopeful, and I know we will all have babies someday soon!

by Chessie528, Mar 30, 2008 06:32PM
Thanks for your kind words Mommy2be2..

They have given me some strength and you are right I know we will soon have babies soon..

This is my 2nd M/C now I cant help but have negative thoughts that something is wrong. We have a lovely doctor here and once this sad time is over we are going to talk to a fertility doctor in the hope of falling pregnant again and it all working out..

I am the same as you and I want to stay in my home away from people who cannot understand what we are going through.. I dont have many friends here yet and I miss my family so much!

I am praying for everyone and hoping it all works out..

I have my 4th Blood test today but I have had some light bleeding so deep down I know this time is not for us! xxxx

Take care x

by Mommy2be2, Mar 30, 2008 09:57PM
Chessie528,
Don't lose hope!  I told myself this morning that I am not going to mourn the loss unless I know for a fact that it is a lost cause!  It is so emotionally devastating.  My faith in God is keeping me going right now, and I am praying that His will be done in our lives.  A friend told me that if God closes one door, it's because he has something better in store for your future.  My husband says that, if nothing else, it has made us feel closer to each other, like the bond is stronger between us.  I am praying for you!

by Mel1969, Apr 07, 2008 04:13PM
Hello, I just wanted to write and say I understand exactly what you are going through.  I am going through the same myself as I type this.  I am 39 years old and have three children, my youngest being 7.  I recently had an incomplete miscarriage 6 months ago and underwent a D & C.  Each month I would rush to get a new test to have a negative test result then in January a home pregnancy test was slightly positive so I rushed in to the doctors to find that  in fact I was not pregnant. Thats when I decided to relax more and not be so focused on becoming pregnant as I had been. LMP was March 6, 2008 and was having all the symptoms of being pregnant so bought a digital home test with positive test result. Went into the clinic for confirmation where their test was positive as well.   March 4th I had a small amount of pink spotting, my doctor asked me to go in to have HCG level known and in 48 hours to repeat.  So on March 4th my HCG level was 120 and 48 hours later the level was 162.  Slow increase but not double as was predicted.  I am scheduled to have a repeat HCG tomorrow afternoon and 48 hours later again, and was told I would most likely have a scan done this week depending on numbers to rule out an ectopic pregnancy. I will keep you in my prayers as I understand fully how difficult these days are, the waiting, the unknown is just about driving me crazy.  
God Bless,
Mel

by Mel1969, Apr 07, 2008 04:17PM
Sorry for the typo.  First sign of spotting was on April 4th not March 4th.
Mel

by colorado_g, Apr 07, 2008 07:03PM
good luck to you Mel1969

by Mommy2be2, Apr 08, 2008 02:53PM
Mel1969,
I am so sorry to hear about your previous D&C and what you are going through now.  It has been very difficult for my husband and I, and I am still trying to heal physically and emotionally after my D&C last week.  I really don't understand why we have to go through this.  It is a loss that I cannot put into words.  The emotional roller coaster is the hardest part.  I was so excited to be pregnant after trying for over 14 months, but every other week we got different news after the doctor's visits.  I will pray for you and your family.  

by imgonnabeamommy111608, Apr 08, 2008 03:24PM
the thing about when you hear your baby's heartbeat and see it and everything is false. i heard and saw my baby at 6 weeks and 1 day, two weeks later found out my baby's heartbeat wasnt there anymore. and the next day i had a natural miscarriage. i hope none of you experience this. good luck to you all.

by emhope, May 13, 2008 04:33PM
o my god I was thinking Iam all alone in this world with this problem after ttc over 2years I finally concived hear is my story.
I was diognosed with PCOS Iam only 23 but i got married young and we always wanted to have a baby. So I went to the fertility clinick and  they gave me clomid for start 5omg didnt help 100mg no effect 15o worked but not good enough finally 200mg worked and they thought to give me HCG shoot to make me ovulate wich actually helped and I concived
my lmp 4/6/08 on day 3-5 took clomid on day 17 had HCG schot 14 days after shoot got first urine resolt that Iam pregnant I was so happy then they asked me to do HCG to see how pregnancy is progressing
day14 after ovulation  5/6/08 1st hcg =51
day 17  5/9/08 2nd HCG=95
day 20 5/12/08 3rd hcg =99
when i got my hsg 95 nurce already told me it dosent look so great it might be ectopic pregnancy or mistcarrage
when yesterday they did for me the 3rd HCG and it was 99 they were  so sure that it is misscarrage no bleeding sharp pains
i was taking in vaginal progesteron to keep it high  i got my ultasound yesterday that didnt show any thing but a thik  lining in uterus i dont know whats going on if the fetus is still there or i already miscarraged? Iam going for another hcg tomorrow iam so scared  i pray to god for help and hope but Iam ready for the worst.

by basill1970f, May 14, 2008 08:59PM
as each person states.. Wow I can relate as well.
My history
IVF one cycle 3 implants 05... failed
Tubal Reversal may 06 .. considered successful
October 06 m/c about 4 weeks in due to lack of progesterone (get this checked ladies its very important) it holds the pregnancy all together.
August of 07 m/c found out i was pg the morning i flew out for a cruise could not get prog or bloodwork, m/c 4 days later... rough vacation
Jan 08 pregnant but m/c again 5 weeks in
Finally dr started me on prog with each ovulation.  
April 18,08 yeah positive digital test. hcg = 32 prog only 7.2 i was devastated after all the testing i knew that prog was low... but still the highest its started with my pregnancies.. dr upped prog to 200 mg per day. and i prayed/cried/prayed/cried until next test
april 22, hcg 233 and prog 31... oh my gosh i was ecstatic.. the prog suppositories as gross as they were.. were finally working.. i was thrilled
april 25 hcg =1180 prog 21 ;( ugh devastated again why is the prog going down.. i was very sad but still hopefull all wkd long.
april 28 hcg=3346 and prog 41.. wow once again i was thrilled... (Imy gosh i like roller coasters but this is insane)
april 29 dr called and was disappointed numbers arent higher and schedules ultrasound ( now evertying i read on line those numbers are awesome) so now once again i am still upset and confused.
5/2 had u/s ... devastated again no gestational sac or yolk ... being told maybe its just too early...
5/9 went for another u/s   guess WHAT!!!! yep they see a sac and embryo but no fetal pole,,, wow two ups and one i dont know what that fetal pole was.. but i sure do now ;(  once again maybe just tooo early...
5/13 hcg 36000 prog 31.. ok well hcg is good but prog went down again... what on earth am i using these wax things for 4x per day for it to go down.
5/14   fertility dr called today he is releasing me to regular obgyn.. oh my gosh ecstatic again ive never made it this far.  
5/14 called regular dr they wont see me until 10 weeks even with my history? i was shocked let down... i begged for earlier to get u/s they said NOPE>>>>>>>>>>>>>>.
5/14 called and left msg with fertility dr hopefully he will track me until that june 9th apt so i can have some peace of mind.. although all those test what kind of peace of mind can i have..

p.s. boobs feel like they are going to fall off every time i roll over in bed otherwise feeling just fine..

im blowing baby dust on everyone and also spraying some tacky glue in the air ;)


by felicia80, Jun 04, 2008 09:08PM
Hi everyone,
Im a first time user and so glad i found this site. It's nice to know that me going nuts right now is somewhat normal!!! I just finished my first ivf cycle and my first hcg was a whopping 25 may 20th. Talking about disappointed. Well, 2 days later it went up to 47, then 98, 351,1024 and now 1750. I am 6w2d today. Although my levels have been going up the ultrasound shows an empy sac. Im scheduled for another ultrasound on Friday. I'm praying that they are able to see a yolk, pole, and heartbeat. Has anyone had a similar experience with hcg levels rising after starting out so low?

by Luisa76, Jun 11, 2008 02:01PM
Hi there,
I'm new to this thread. I found it while researching low hcg levels early on in pregnancy. I went in for a blood test on 6/7/08 and was sooooo pleasantly surprised to find out that we had a big fat positive! After 2 years of actively trying, it was surreal. My hcg was 156 on 6/7 and then on 6/9 it was only 254 :( .  I was feeling bloated and tired but have totally lost that bloated feeling and feel like something is not right. I went back to the dr. today for more bloods but they haven't gotten back to me and I'm so eager to know what my levels are today. My big fear is that they haven't gone up or have dropped and that this pregnancy is now lost.  My husband and I have been trying for so long.  This will be devastating. We were so happy for 2 days and are now feeling very down. I know I should be hopeful that the numbers have gone up but like I said, I just feel too "normal" to be pregnant, I think.

Thanks for listening,
Luisa

p.s.  felicia80 -- my friend had similar low/slow rising hcg for the first few weeks and now has a very healthy and beautiful one year old little girl, so don't lose hope!  Best of luck!

by pattty25, Jun 12, 2008 12:32AM
Hi, I am new to this !! Hi everyone !!

I am really concern, I had HCG test done on may 22 (18 DPO) and it was 51 the doctor told me that it was low, today I did another HCG test and tomorrow i will get the result, but I am really concern , I have look online and 51 its actually low, I have a daughter and I have never had a problem trying to conceive but now I am really scared.

What do you guys think?

by SaraBK, Jun 12, 2008 01:21PM
Hi Everyone-
I too am new to this experience.  We have been trying to concieve for 6-7 months.  In January we had a positive pregnancy test and a week later I had a really heavy period.  We had another positive pregnancy test on 6-7-08.  I was a little nervous, but so excited.  I already have two children and couldn't wait to tell them (got pregnant right away with these two).  Two days ago I experienced some spotting and had been feeling cramping and lower back pain all day.  Yesterday i went to the Dr. he said my cervix was still bleeding and sent me for a serum hCG.  He called me yesterday evening to tell me my levels were extremely low and that it doesn't look good.  I was devastated.  As I went to bed last night I was thinking about the situation and realized that the date I had given my doctor for my last period was wrong (I was about probably about a week late that month).  So I could be a week off.  Could I still be pregnant?  Could my hCG levels be low because I concieved later than I expected?  My Dr. didn't give me the level, I was to disappointed to even think to ask. I am supposed to get my levels drawn again tomarrow...I'm hoping that all will be okay, but it is difficult to feel confident at this point.

It anyone can offer any insight it would be greatly appreciated!  ;-)

Thanx-

SaraBK  

by pattty25, Jun 12, 2008 07:02PM
Well , I got the result today it was 4321 I am soo happy , I think it's still low but has rise since the 22 a lot so I think I do not need to worry but I don't know , I am waiting for my doctor to call to let me know when I am going to have my first prenatal visit !!

I can't wait to hear the heartbeat ! that will make me more relax!!

Lots of baby dust for all of you !!!

by tylersmommy211, Jun 12, 2008 10:12PM
Hi, I am new at these forum things. I have so much on my mind. I have gone crazy trying to find info on low Hcg levels and success stories. I'm tired of the Doom and Gloom stats. Anyways, Husband and i have been ttc for a year and a half. I have a 3 year old already. through the process i learned that I have PCOS and have tried clomid for 6 months w/o any ovulatory success. Very supportive fertility people though. Anyways we took a break for the winter and my period became regular again  (33 day cycles) so we thought about trying again this month. So my LMP was on May 11th.  Later, I finally ovulated!!!! I couldn't believe it. For three days the pee stick was bright red. That was around the 25th-27th. Anyways, Progesterone levels supported a good Ovulation at 16.8.
Success Maybe?
I just took a test on Tues. (17 days past ovul.?) and it was faintly positive. I had blood drawn and my Hcg was an 11. :(  
They told me they will be watching the levels because they are abnormally low. So today I had blood drawn and it was 28. I have read that the most important thing in reading Hcg is that the numbers continue to rise. But I am worried. Maybe I concieved later than I thought and I had a 33 day cycle? Maybe I have just tested to early? I am being hopeful but realistic too. Whatever happens I can deal with. I am just trusting in God. Please chat.  

by Luisa76, Jun 14, 2008 04:13PM
well, my hcg dropped from 254 to 88 to 68.1 -- so we lost the baby :( .  i know that i should be happy that i was able to get pregnant (having been 2yrs ttc and no pg until now) but i'm so sad. we were grinning ear to ear over this and it was gone in a second. i just started to bleed today so i'm wondering how long this will last and when we can start trying again. i'm praying that my body had some sort of "jumpstart" and that we won't have to wait as long for the next (+).  good luck to you all!