IUI, lowering HcG levels, spotting and localized hair loss.

[Fray84]

Had IUI, 2 weeks later positive test with HcG of 150, 2 days later increase to 225, not as much as expected. 2 days later dropped to 80. Before the IUI was told 2, maybe 3 follicles were going to be ready and to expect a good chance of 2. Now 3 days after the 80 test, spot bleeding is occurring but Dr. does not seem to be too concerned, and has scheduled an appointment after 4 days when she expects the full period to be over so they can run an anti-coag panel, as this is believed to be my 2nd miscarriage (non-confirmed but probable). As I have not actually miscarried yet, how can they be so certain that I am going to lose the baby? Is there any chance it will be okay? Also, since there was a strong chance of multiple births, what are the possibilities that one of the 2, possibly 3 is causing this? And if it is a "vanishing twin syndrome" how possible there could be damage to the remaining child(ren)? Going through other posts on this forum, I read that one lady (at least) had 3 miscarriages and discusses an abnormal bald spot on the back of the head. This is occurring with me as well, and never would have even considered the 2 related until after reading that. Could a thyroid condition cause this to occur? And wouldn't a thyroid imbalance have showed up in all the tests we took for infertility before we chose IUI? Any answers, suggestions, advice or direction would be greatly appreciated. Thanks..

[ariellesmithe]

Hopefully, the follow up examinations will have a positive outcome.


I am wishing you the best! :)

[Sanjivani Wanjari, MD]

HI,
Falling titres of beta HCG indicate a problem with the pregnancy. This leads Doctors to suspect a miscarriage. The possibility of one of the twins vanishing and the other growing well is there, but this is very rare. Further follow up with beta HCG levels can ultrasound scans will help make the diagnosis. Thyroid problems will usually show up on blood tests done for the same.
Abnormal bald spot on the back of the head, which you have mentioned can be because of PCOS which can also cause thinning of the hair. Hair loss can be triggered by anything that involves a change in the oestrogen hormone balance in your system. Hair loss may result from an abortion or a hormonal imbalance.
The answer is based on information provided. Exact advice is not possible without a proper examination and investigations. You are requested to consult your Doctor. Take care and keep us posted.