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HCG levels down and Dr reminds me to prepare for MC


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#1 Happy Bub

Posted 07 February 2019 - 11:00 AM

Hi All,

Am new here so still trying to get a hold of things.

I did a pregnancy test two weeks ago with a confirmation that Im pregnant.

First Dr meeting Tues 29th Jan, told her there were some spotting. I went in for a blood test ( hcg 49072 ) and again 48 hrs later ( 55053 hcg ) + dating scan ( tells me im a a couple of weeks behind ) to my last period on 7th Dec 2018. Been refer to now a male Dr who at first said Baby heartbeat is healthy but then a long paused. He saw my results for hcg levels plus my progesterone ( 24.1 ) He immediately said we try to save the baby and prescribe me 200mg of progesteron ( Oripro ) immediately 3 times a day.
Told me to get another blood test on sat which will be 48 hrs since my last one ( so blood test Tues/Thurs and now Sat ) Come Monday I went to see him my progesterone is now healthy at 56.6 but sadly my hcg level has now dropped to 54666. He rang for advice and was told to now just take prog. once a day and get a blood test wed 6th Feb. Tomorrow I will come and see him and see how I go with my hcg reading. He keeps on reminding me to prepare for the evidently for MC and that baby is on its way out. I have no spotting since the last time I mentioned to the femail dr last week. Was feeling numb and bit confused. Has anyone had low and declining hcq and have had a healthy bub ? Just need a boost of positivity. Im prepare for the worse as what will be will be but at the same time still am very hopeful.

Edited by Happy Bub, 07 February 2019 - 02:41 PM.


#2 Percival

Posted 07 February 2019 - 02:28 PM

I don’t know but I couldn’t read and not respond. Thinking of you and hoping for happy news.

#3 NeedSleepNow

Posted 07 February 2019 - 02:36 PM

Thinking of you, what a stressful wait.

I’m not sure at 9 weeks that HCG is the most reliable measure now. I’d probably book in for a repeat ultrasound and be guided by whether the baby is developing on that.

#4 Happy Bub

Posted 08 February 2019 - 09:59 AM

Good Morning Ladies,

I had my Dr's appointment this morning and the 4th result for my HCG is now from 54666 to 53601 :no: . He explained that the Pessaries which I now only take once a day, is what is keeping the uterus healthy and making the hcg declining slowly. He advised to stop taking it and let nature's take its course. I have booked in for ultrasound next Friday to make sure everything is ok and making sure there's no ectopic and will also get my blood test. I am doing fine but believe it or not, still clinging on to a miracle.
So baby is at 7 weeks at this stage. Anyone in similar situation with happy ending ? Thanks for your replies and for listening. Means a lot.

Edited by Happy Bub, 08 February 2019 - 10:01 AM.


#5 Beanette

Posted 08 February 2019 - 11:14 AM

I don't have any advice, I'm sorry. I just wanted to post to say I'm crossing my fingers for you xx

#6 Green lady

Posted 08 February 2019 - 07:27 PM

At 7 weeks I would not stop taking pessaries until I had an ultrasound. HCG can’t be relied on alone

#7 NeedSleepNow

Posted 08 February 2019 - 07:31 PM

Thinking of you. I think I’d try get an earlier ultrasound if possible. That would likely give you a definitive answer either way xx

#8 Happy Bub

Posted 08 February 2019 - 08:50 PM

I might ring up support line and speak to a registered nurse tomorrow and ask for 2nd opinion on whether to stop taking pessaries as advised by my Dr. So I was only on that 3 times a day for a few days when blood result came back and said progesterone is good. Dr advised to now only take once a day and today asked me to stop. He said reason being is so it doesn't prolong the inevitable of a MC when it is clear as day the baby is going. Im just wondering whether there's any harm in taking the pessaries until the u/s just incase there's some miracle the bub is healthy. Has anyone experienced bleeding while still on pessaries ? Thanks again for listening and replying. Means a lot :bighug:

#9 Mollyksy

Posted 08 February 2019 - 09:04 PM

I can't see a harm to keep taking the pessaries (apart from how yucky they are, I feel for you!) and like others feel that at 7 weeks the only way to tell how a pregnancy is going is a scan. HCG slows down at a point. I dont want to give you false hope but I wouldn't be calling game over until a scan and shocked a doctor would. Is it a GP or a specialist? I find a lot of GPs aren't the biggest early pregnancy experts. huge hugs. I had 7 miscarriages before my son and had every combo of symptoms and blood results and nothing except the 7/8 week scan ever gave answers. Cautious optimism until the scan I'd say. Best wishes.

Edited as autocorrect didn't like pessaries!

Edited by Mollyksy, 08 February 2019 - 09:06 PM.


#10 Happy Bub

Posted 09 February 2019 - 10:02 AM

No, he is just a GP that does share care. I rang the hotline and spoke to a midwife/registered nurse. She said that there's no harm in continuing taking the pessaries but with what's going on she agrees with the Dr to stop, as it does prolong the pregnancy ( even if MC will happen ) For some reason this experience is just really weird. I know the reason why the Dr asked me to book in a week later. A - He is adamant that the MC will happen and B - give me a week to flush out and ready for the scan.
The midwife did however mentioned that all women bodies are different. Just when the Dr and the whole thing behind science practice is studied, miracle happens and then they stop and scratch their heads. I will keep you updated but for now I will stop taking the pessaries. Thanks for listening :yes:

#11 afterlaughter

Posted 09 February 2019 - 10:23 AM

Personally would keep taking pessaries until you have a scan that shows no heart beat.

#12 Jackrabbit

Posted 09 February 2019 - 11:33 AM

My FS always kept me on the pessaries until an u/s confirmed that there was no heartbeat, even when it was obvious that the pregnancy wasn't likely to end well.

#13 Happy Bub

Posted 10 February 2019 - 10:52 AM

Yesterday I managed to get a hold of the pharmacist. She said no harm in continuing the pessarie. She also mentioned that Yes, it does prolong the MC if I were to have one but also if I was going to have an MC I will bleed, that was one of my main question. I spoke to my husband and so we agree to continue to take it once a day and will try and move my u/s to a Tuesday rather than Friday. Pharmacist , reminded me to let the DR and u/s know that I continue the pessarie in case there’s anything different with the scan. At this stage I am feeling normal but perhaps should stay away with the naughty snacks

#14 imme

Posted 11 February 2019 - 12:07 PM

In your position I would continue to take the pessaries until an ultrasound confirmed there was no heartbeat.

This is not to give you any false hope, as I think mine was an unusual situation, but a similar thing happened to me during my first pregnancy.

I went to hospital for spotting and they did my hcg and it had decreased from my previous blood test.  I had an ultrasound a few days later and my baby was fine in there (he's 9 now!) When I questioned the doctor at the hospital who did my ultrasound she said the previous doctor had misread my hcg level and that it had in fact increased by quite a lot.

She explained that once the hcg gets to a certain level that the machines can't read it properly and they have to do some calculation to get the correct number and that hadn't been done before they gave me the result... so they'd given me the wrong number.

Now whether this is true or whether they were trying to cover up a bigger stuff up I don't know, but that's what I was told happened in my case.

I hope everything turns out OK for you, it's so stressful and upsetting not knowing what's going on.

#15 Happy Bub

Posted 11 February 2019 - 12:47 PM

Thank you to everyone that have responded to my forum. I really appreciate it : ) It makes me feel like I'm not alone because at this stage that's how I feel besides my husband as I prefer to keep this under wraps and not tell family and friends at such an early stage.

So I mentioned I decided to continue the pessarie once a day ( 200mg ) and also I rang my Dr this morning and informed him about what's going on. He said he understand I want to give the baby the best shot ( eventhough he did advised to stop the pessarie as its likely the pregnancy is non viable ) and is happy for me to move my u/s earlier. So instead of Friday its now moved earliest to Wednesday.

Thank you for listening ladies, means a lot : )

I will keep you updated and til next time please feel free if anyone got advice , experience etc. xxx

#16 MrsT2018

Posted 11 February 2019 - 01:58 PM

Hi OP,

No advice but just want to say I'm thinking of you.

This is such a hard stressful time for you right now. Whatever way it works out for you (I pray its all good news from here on), just remember you have done everything you could and have given your baby its best chance!!! xo

#17 Beanette

Posted 14 February 2019 - 11:39 AM

How did your ultrasound go yesterday? xx

#18 Happy Bub

Posted 15 February 2019 - 11:13 AM

Hi Beanette and all

Unfortunately , the ultrasound detected no heartbeat. I am fine , I think my gorgeous darling husband found it hard ( poor baby ) He didn't have to say much but I can just tell.
Anyways, I actually was lucky enough to see my Dr straight after and so I have been off the pessaries for 2 days now. No bleeding, no cramps , feeling better than ever ( have also being trying to eat clean 4 days ) He said to go get my blood test and track it down to zero ( hcg ) I understand that everyone is different but I'm hoping to bleed within the week. Dr also said if we are trying again wait after first cycle of period just to make sure system is flushed.

Im eager to see what my hcg level is ...not sure when Im going for my next b/t perhaps tomorrow.

XXX

#19 MrsT2018

Posted 15 February 2019 - 12:25 PM

So sorry to hear OP. xx

#20 imme

Posted 15 February 2019 - 04:23 PM

I'm sorry for your loss.  Take care of each other  :)

#21 Beanette

Posted 16 February 2019 - 11:15 AM

I'm so sorry xxx

#22 Happy Bub

Posted 18 February 2019 - 03:28 PM

I decided to get my bt this Saturday 23rd. It’s been 5 days since the u/s and stopped taking pessarie. No signs of cramps or symptoms. No clotting .... what is consider the norm after mc that you bleed ?

#23 Beanette

Posted 18 February 2019 - 03:50 PM

 Happy Bub, on 18 February 2019 - 03:28 PM, said:

I decided to get my bt this Saturday 23rd. It’s been 5 days since the u/s and stopped taking pessarie. No signs of cramps or symptoms. No clotting .... what is consider the norm after mc that you bleed ?

I have always had bleeding / spotting as the first symptom of a MC so I can't say at what point it's supposed to start. I would think if it's still not progressing a week after you've finished the pessaries I would go back to your doctor incase you might need a D&C due to retained products

Take care xx

#24 Claire__

Posted 21 February 2019 - 07:05 PM

So sorry for your loss xx

#25 Happy Bub

Posted 23 February 2019 - 10:06 AM

I just got back from my bt to track it down to zero. Have a Dr's appointment on Monday with another Dr ( mine is on holidays ) This is my 10th days since stopping pessarie. Still no bleeding , no cramping , its as if this whole thing has been nothing but just a dream. ... weird.... I am curious to see what hcg reading will be. Ill keep you posted. Thanks for all the replies x




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