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HcG levels slowly decreasing

ashs1406ashs1406
in 1st Trimester

So this is my first pregancy. On 07/19 i took a HPT it came back positive. The nexy day on 07/20 I got a hcg blood test and my levels were at 31,813 confirming we were def pregnant. I had a sono done on 07/25 with bloodwork heartbeat was not found yet and my hcg levels dropped to 30,679. The doctor told me to prepare for a miscarriage he told me to get my levels checked again in 2 days with another sono to see a little more. My levels on 07/27 was 30,236.1 and when i got my sono done that day the tech had a newer machine and could see two yolk sacs instead of one from what we could tell. The doctor was trying to get me to have a d/c this coming thursday 08/02. I also had my levels checked again today and they were at 25,466. I have had no symptoms of miscarrying, no pain or bleeding I still feel like I have since i found out i was pregnant. still feels some pulls a tiny little pinches with very mild cramping. Is it possible i could have a vanishing twin and still have one that is viable? I don't have regular periods either so I don't know exactly when we conceived.

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Re: HcG levels slowly decreasing

  • mummalovemummalove
    I honestly can't tell you if there is hope or not. But I know that there is no harm in waiting to have the d&c.  Talk to your OB or nurse or whoever you feel comfortable with and ask to wait a week before scheduling d/c.
    BFP#1 due 3/5/2007 missed m/c at 10w, d&c 8/2006 BFP#2 DD 6/2007 BFP#3 DS 5/2009 BFP#4 due 4/8/12 m/c at 9w3d, after weeks of waiting for hcg to go down finally prescribed misoprosotol BFP#5 DUE 8/15/13 Lilypie Pregnancy tickers
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  • stilts1stilts1 member
    At some point your HCG levels taper off.  I wouldn't rush into a D&C until YOU are convinced your m/cing.  Honestly, with levels that high, I'm not sure why your Dr is in a huge rush for that procedure.  I'd wait it out a few weeks, find a new doctor, and see what happens. 
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  • kelly321kelly321 member
    As others are saying, it's normal for your levels to go back down at some point. However, by then you should definitely be able to see a heartbeat on an u/s, so it doesn't sound promising. You never know, though, and there's nothing wrong with waiting for a D&C until you're absolutely sure the pregnancy isn't viable. Good luck.

    BFP1: DD1 born April 2011 at 34w1d via unplanned c/s due to HELLP, DVT 1 week PP
    BFP2: 3/18/12, blighted ovum, natural m/c @ 7w4d
    BFP3: DD2 born Feb 2013 at 38w4d via unplanned RCS due to uterine dehiscence

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  • Ax2Ax2 member

    imagestilts1:
    At some point your HCG levels taper off.  I wouldn't rush into a D&C until YOU are convinced your m/cing. 

    HCG levels don't taper off until they reach 200,000 or so.  That being said, don't rush into anything you're not comfortable with, unless there's a medical reason to do so.

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  • ashs1406ashs1406
    I found a new doctor I am seeing tomorrow morning since my levels have dropped but are still higher. My other doctor is so convinced that I miscarried. By now I would have thought I would somehow be able to tell I did since he told me this almost a week ago. Still no severe pain or bleeding. I still somewhat have that full feeling and my breasts are still sensitive. Would I still feel like this if I miscarried?
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  • ByGrace22ByGrace22 member

    imageashs1406:
    I found a new doctor I am seeing tomorrow morning since my levels have dropped but are still higher. My other doctor is so convinced that I miscarried. By now I would have thought I would somehow be able to tell I did since he told me this almost a week ago. Still no severe pain or bleeding. I still somewhat have that full feeling and my breasts are still sensitive. Would I still feel like this if I miscarried?

     I'm sorry you are still in limbo.  Good luck with your new doctor.

     To answer your last question, yes you could still have all the "normal"pregnancy symptoms even if you have miscarried, since those symptoms are driven by the HCG in your system (and your numbers are still quite high).  Best of luck tomorrow.

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  • dande2129dande2129 member

    A lot of OBs won't do the hCg levels past 8-10 weeks because they do start to decrease. But, like a PP said, you should be able to see a HB by that point anyway. If there's no heartbeat, there's not a viable pregnancy. If I were you, as hard as it is, I would wait it out longer instead of just going by hCg levels alone. A later u/s is going to tell you more than blood draws. Mistakes can be made.

    When is your next u/s? 

    Edit: I see that you are supposed to have another u/s two days from 7/27, so wouldn't that be today? I'm just kind of confused about that. They didn't give you ANY indication of how far along you were the past two u/s? 

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  • ashs1406ashs1406

    I'm seeing another doctor tomorrow and I'm pretty sure they are doing another u/s then. hopefully it will show some good changes or if nothing is going on so we have a better idea of what to do.

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  • Karen1998Karen1998 member

    imagestilts1:
    At some point your HCG levels taper off.  I wouldn't rush into a D&C until YOU are convinced your m/cing.  Honestly, with levels that high, I'm not sure why your Dr is in a huge rush for that procedure.  I'd wait it out a few weeks, find a new doctor, and see what happens. 

    They do, but they're usually considerably higher than 30,000.  They're also usually nearer to the end of first tri, and after a heartbeat is easily detectable on an u/s. 

    Mine were 31,000ish when they first thought m/c in my first pregnancy.  A few days later, they were 28,000.  That, plus multiple u/s showing no heartbeat made it clear that the baby was dead.  I didn't have any m/c symptoms (other than brown spotting that I'd had almost the entire pregnancy and again had with my son's pregnancy) until two weeks later.  You can have no symptoms and still have a dead baby inside of you.  

    Is it still possible that one or both of your babies are alive?  Yes.  Is it highly probable?  No.  

    The reason I had two u/s two weeks apart and bloodwork 48 hours apart was that my doctor wanted to be sure.  She was also gracious enough to allow me another u/s a couple of weeks later to make darn sure the baby was dead.  She never charged me or my insurance for it, either.  An u/s showing that there was no hope was what I needed to be able to schedule a D&C.  I ended up starting to miscarry the next day, so I went naturally.  

    OP, I'm really sorry.  I've been where you are and it sucks horribly.  I hope for you that you have the best possible outcome.  You sound like you're unsure of your doctor's diagnosis, so a second opinion and/or an u/s again in a few days may help you.  GL. 

    BFP#1 4/17/10...EDD 1/6/11...M/C 5/28/10 BFP#2 11/19/10...EDD 8/4/11 Squeaker born 7/30.
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  • vflipovflipo member
    I'm so sorry, but it doesn't sound promising. My second miscarriage was discovered at 11 weeks but the baby had stopped growing at 6 weeks. It's unfortunate and really heart breaking. I hope im wrong and you get better news.
    I married a ginger.
    m/c 12/25/09 (5w5d) mm/c D&C 4/9/10 (11w1d) Take home baby 2/22/11
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  • gsalyer06gsalyer06 member
    I would have another u/s or two before making a decision. I had a blighted ovum a few years ago, and my body didn't *recognize* the problem, even though my levels were already decreasing. You will be in my thoughts and prayers.
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    Mom to 4 wonderful children: T(8), B(6) ,M(3), and A(1)
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