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Pregnancy 35 and Older Community
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Avatar universal

Risk of molar pregnancy?

I found out that I am pregnant again for the 3rd time since July.  First 2 pregnancies ended in early miscarriage.  I am 45 next week, and I know the risk for unhappy outcome is very high.  I have done alot of research about my current situation, and, of course, I'm worrying the worry stone thin.  Currently my HCG numbers are climbing very rapidly, and I have molar pregnancy in mind.  I know that the risk for this increases after 40, but there is not much more specific information about how the HCG numbers behave.  Do they skyrocket?  Do they just go up real fast?

Here are my numbers:  18 DPO 68,
                                   20 DPO 263
                                    24 DPO 1991
                                    28 DPO 12,800+

I did not do any fertility treatments, so the chance of multiples is very low (none in either side of the family). I have mild symptoms, but no cramping or bleeding.  I  feel hot most of the time, and have a fluttering feeling in my chest sometimes (hopefullly just anxiety).

Anyone ever experience a molar pregnancy or know anyone who did?
Thanks
13 Responses
337157 tn?1199639806
Hi Angie: numbers seem pretty normal. As far as I know, molar pregnancies are very rare! Do you know that the chance for multiples is much higher at our age? The is 2% more chance for a "double ovulation" that releases two eggs the same time and can result in fraternal twins and because of the eggs are a bit older, there is also more chance for an identical twin since eggs do divide easier. I also read the outcome of a Swedish investigation: women who took folic acid also have a bigger chance for multiples as well as women who used a lot of dairy product because dairy product can have a positive effect on ovulation. So guess who drinks half a gallon milk a day???

I am 45 next week ->? That makes you a capricorn lady and those rule!!!

Avatar universal
Thanks for the encouragement.  I guess I'm just a worry wart and can't believe that this will happen right....  I didn't know about the identical twin thing, but I knew that chances for 2 eggs were slightly higher .  I really worry about the fact that the HCG numbers are climbing much faster, with the doubling time starting at 24 hours, and going down to 35 hours.  That's much too fast.  I read that the twins doubling time is THE SAME as with a singleton, so that can't be it.  The HCG numbers are higher for Downs  babies, and for molar pregnancies.  I guess I need to just wait for the ultrasound.

Right now, my symptoms are getting stronger by the day.  My last hCG check was Friday, and the nausea, breast tenderness and fatiguea is much stronger, so I'm guessing that the HCG is much higher...
Angie
283550 tn?1199461257
Congrats on your pregnancy. Not sure if you remembered me but you was the first person who supported and give me encouragement when I wrote in this forum back in Sept. Sadly to said I loss the baby. I'm so happy to hear your wonderful news. Best wishes on your pregnancy. The numbers look really great. Always think positive.
Avatar universal
I was worried I had high hcg with my first pregnancy based on something a nurse said, so I also read re. molar pregnancies.  As I recall, the numbers get extremely high with a molar pregnancy; I really think yours seem well within the range of normal.  And your progesterone is staying steady.  A good percentage (15%) of pregnancies don't follow the normal pattern of doubling every 24-36 hours, and besides, they always say that you need to see the hcg "at least" double during that time.  There is so much to worry about at each stage, but very little you can do to affect the outcome, so I hope you can enjoy the fact that you're pregnant.  (I remember saying to my RE, "I understand all of the risks.  Can you please, please say something positive?"  And he said, "You're pregnant!"  Which really is a huge plus over 43!)

We're back from our trip, and I think I'm at 15 dpo.  I couldn't stand not testing any longer, so late this afternoon I did an "Answer" pregnancy test, and I got a definite, very faint line within the time limit.  My husband thought the line should be darker, so he was skeptical, despite the fact that I kept telling him that a faint line within the time limit is indeed a positive.  So we decided to get some digital tests, and I did one two hours later, and it said "not pregnant."  I've been googling around, and I think this particular digital test might only show positive at 50 hcg, whereas the Answer test will pick up 25 hcg.  I really need to know if I'm pregnant because I'm doing the progesterone during the luteal phase and need to stop tomorrow if I'm not pregnant.  I'd been drinking a lot of fluid all day (including coffee, which was bad, but I didn't think I was pregnant), so that might have affected the test?  Any thoughts or encouragement are welcome!  I was under some pressure from my mother-in-law this trip (she thinks that of course a 46 year old woman can have a baby and is sure there is something wrong with my RE), so I came back kind of discouraged; she sees all of these really old women having twins in the news, and doesn't seem to understand the concept of donor eggs.  Anyway, I hope I'll have definite good news to report after I retest tomorrow!
97615 tn?1212682189
az angie:  sorry for not doing the math but what does 28 dpo put you at week wise??  have you had an ultrasound??  my numbers are high (10k approx) and my sac measures 5wks 5 days.  I still won't know if I have a viable pregnancy until January 21st when i go for my 8 week appt but i am nervous now that i see your post.  

bgmn:  i think a positive is a positive.  i took a digital the first time i ever found out i was prego and it was neg...seconds later i took a cvs brand 5 days sooner and it was positive.  :)  congrats.  
337157 tn?1199639806
@ All: happy 2008!!

@BG-MN: Welcome back, hope you enjoyed your trip and keep in mind.....a line is a line....so I just whisper congratulations, hope I can shout it out loud later this week!

@Angie: I ckecked on the internet and found some standards for HCG:

days past conception/ovulation (DPO)  hCG in mIU/mL
in singleton pregnancy
7 days  0 - 5
14 days  3 - 426
21 days  18 - 7,340
28 days  1,080 - 56,500
35-42 days  7,650 - 229,000  
43-64 days  25,700 - 288,000  
57-78 days 13,300 - 253,000  
17-24 weeks  4,060 - 65,400  
25+ weeks  3,640 - 117,000  

I think yours show normal so you shouldn't be to worried!

Latest news: when I woke up yesterday (wednesday) I had one small drop of blood after I went to the toilet, had cramps like a period is about to arrive but not as painfull as normal and I have boobs that feel just weird. It was 9 dpo....so I think there is some chance that......

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