I am a nurse for an OBGYN and have never seen a decrease go on to have a normal pregnancy. As for the rush your doc had, I'm sorry she or he didn't explain much. In earlypregnancy, there is a very strict or set way things happen. Yes the hcg level is very good indication as to how the pregnancy will turn out. Generally an hcg should double every 48 hrs. (around double) if at any point the numbers are less then they got to, then unfortunately yes, you should expect to miscarry. Now, if your numbers increase, just maybe not the full double, then there is still hope. As for the vanishing twin theory/ blighted ovum, your numbers would still continue to increase. When someone is pregnant with multiples. Then the hcg level increases been faster than the normal "double". Another good I dication of a normal pregnancy is the rise of progesterone to at least 15 or more. 20+ is really good. Although a 15 can still be healthy. When your hcg level reaches 2000 you should have an ultrasound to ensure the pregnancy is in the uterus. (all u will see at this point is a sac) Again, a 20+ progesterone is highly almost extremely rare to be ectopic or in the tubes. The spotting also does not always indicate a miscarriage. So when u do try again, don't lose hope if u do spot again. Intercourse is safe in pregnancy. With the exception of having a placenta previa or an incompetent cervix or if you have a risk for preterm labor. When a pregnant woman spots, an ultrasound is necessary to ensure there is not a sub chorionic bleed. This is where the baby's sac has t completely fused onto the wall of the uterus. Causing a pocket of blood to form. Again, can continue and bee healthy. However a supplement of progesterone "prometrium" will help stabilize the lining until the placenta develops and takes over at about 12 13 weeks. Then you should be slowly wean off of the supplement.
I'm sorry, this isn't what we want to hear when this happens. I myself have lost 2 pregnancies. Also you should know that once you are past 12 weeks, the risk of miscarriage greatly decreases. In general, a pregnancy loss after 12 weeks is generally caused by something - a blood clotting disease, an autoimmune antibody, sever uncontrolled diabetes, a genetic problem(that generally end in more heartache if the pregnancy did continue) for example a severely handicapped or severe birth defect) I'm sorry this happened to you, it is never easy. Know there is NOTHING a mother can do to cause this. Not this early in pregnancy.
I hope this helps you have some closure and feel informed so that when you decide you may want to try again, you can do so knowing what to expect or what can or can't be done.
Hi!
I'm sorry to hear that your levels are so low, and dropping. This means that you have what is called a chemical pregnancy. Back in the days before the super sensitive pregnancy tests, we never would have known you were pregnant. Typically this happens because of some problem in the development of the embryo -- in other words the embryo wasn't normal.
I always look at this as a good sign though -- to me it signals that you CAN get pregnant, and probably will soon with a healthy pregnancy next time.
I'm sorry that things didn't go better this time around.
Dr B