miscarriage-low progesterone and low HCG with positive heartbeat

[gloriathambirajah]

Hi everybody,
I am 33 years old and got pregnant for the first time 8-9 weeks ago. I took a pregnancy test immediately after my missed period and it came positive. Had an HCG when i was 3.5 weeks pregnant and it was 372. The Dr who saw me said he felt it was a little low and repeated it 48 hours later and it came 867. Everything was looking good and i was very excited but i started to notice that the only syptoms i was having were sore breast and tiredness. No nausea or anything else. When i reached 5 weeks i started to realize that the few pregnancy symptoms i had started to disappear so i called the dr. and she said they would take an HCG level just to check i was not having a ectopic preg. The HCG level came at 2580 and the progesterone at 5.8 at 6 weeks and the dr told me i was definately going to have a m/c even though i was not having any m/c symptoms.I had a sonogram done that same day(6 weeks) and they saw a normal looking embrion with positive heartbeat. All of a sudden 5 days after this sonogram i started bleeding lightly and cramping and had another sonogram done which again showed a normal looking embrion with a heartbeat of 137 (6.5 weeks pregnant). The following day the bleeding and cramping became severe an another sonogram was done and it showed an empty uterus with no sac nor embryo. This happend a week an a half ago.
My question is: are such low progesterone levels found at 6 weeks the possible cause of the m/c or does an unhealthy pregnancy intrisically produce such low progesterone levels?
Would i benefit from progest supplements if i get preg again?

[shae francis mom]

I would say you need the progesterone (sp?) supplements right away as well.

I've also heard of baby aspirin helping increase blood flow to the uterous -- but you should research that with your Doc. to make sure it is okay to take during pregnancy.

[gloriathambirajah]

I also wanted to ask something:
I am new to America-have been living here for 2 years-and really do not know many Drs, etc.
Is anybody familiar with New York State area regarding recommending a good Ob-Gyn?

[gloriathambirajah]

Thank you very much for your comments.
Well my m/c happened less than 2 weeks ago and although I am feeling less sad than i did last week I can't tell you that I am feeling fine. As Agail said what made more sad was that I was able to see a normal heartbeat even when I started bleeding and in my case also I felt that the Dr office and the Dr herself did not do much in terms of giving me access to the options and information. I sort of felt like they don't really care about a pregnancy until it reaches more or less 12 weeks. And yes i did have 3 sonograms etc done only because i was so pushy with them. And that is sad because that is not the kind of person i like to be.I spoke to the Dr last week and asked her if it would be necessary to have progesterone supplementation for a next pregnancy and she said no. So now I am feeling like what should I do for a next pregnancy. Should I change the Dr and look for someone who will give me progesterone? I don't know what to think.
And for Agail I know what you are going thru becuase as you said your story is so similar to mine. I am still confident that the next pregnancy will work much better for me and hopefully for you too. And yes the whole situation is frustraiting appart from the sadness that the m/c gives in itself.
Thank you very much again for all of your comments

[GirlyGurlMommy]

I am very sorry to hear that.

[Agaila]

That just happened to me! I am still recovering from that horrible mess. Terrible timing considering the holidays. The madness in my head is not only the painful loss but the unprofessional way the staff at my OB's office handled my situation. I had been charting for 9 months, noticed a pattern (short luteal phase), told the nurse and medical asst. to no avail a couple times before I got pregnant. Once it was known I was preg. they never once ordered progesterone tests nor were they proactive in prescribing prog. suppositories or shots. I confronted my OB about it and will not go back there. I am having a difficult time processing this anger and guilt. I wish I never saw the fetus in the ultrasound with a normal (for the fetal age LMP) heartbeat and size TWICE before the m/c. I am sick about it since it took us 10 months and I am in my mid thirties.

I am sorry for your loss and hope you are dealing with it okay. Good luck in the future!

[5preg2B]

you need progesterone supplements find a dr that will give them to you.  I get a shot every three days..

[luvbug02]

i had the same problem i found out i was pregnant, but never had an u/s and misscarried at 5-6 weeks and the reason was because my progesterone was low next time you find out you are preg. immediatly call your doc and ask for a perscription of suppliments it saved my pregnancy with my ds. but beware that suppositories may not be enough and you may have to get injections to help as well i had them twice a week until 12 weeks. Great fun!