rising and falling hcg hormones

[shanshan12]

Hi my name is Shanon and this is my first pregnancy. I must say so far this pregnancy is not easy.....i have been to the e.r twice from bleeding I am about 4 to 5 weeks pregnant when I first found out i was pregnant at about three weeks they told my my hcg was only at 395 a week later I had to visit the e.r again due to more heavy like bleeding but I was shocked to hear within the last week my hcg levels went to 1500(even with all the bleeding). The doc scheduled me for follow up blood work with those results my hcg levels went to the low 1300s. I am scared to think this is a miscarriage and i know its not an ectopic pregnancy since the doc threw that out already. I have more blood work tomorrow....but my question is can  I be pregnant with twins(I read that hcg level fluctuate due to twins) or can this still be a normal pregnancy even with my hcg levels going up and down? Thanks for all the help.

[CJH1218]

Quite the week.  HCG went up to 1376 in 24 hours from 922 on Thursday.  Dr's were unsure the location didn't do another ultrasound, said progesterone went to .4 so they advised a I have biopsy of my uterus, check for fetal tissue and then hcg test in the morning and Methotrexe shot if still going up.  horrible experience and we're devastated.  Was holding hope for a viable preg.  but the doctors said the risk of my life was to great and the procedures were the right thing to do.  Just awful.

[CJH1218]

I went to the Dr.'s today and found out my hcg is now at 922.  They did an ultrasound and are now saying the pregnancy is in an undisclosed location.  They think two implantation, one uterus and one in the F.tube.  They are not sure, no real change in the uterus lining or right tube from Tuesday.  They want to do a biopsy of my uterus.  Draw blood the next day and then give M. shot if the HCG continues to go up. I'm just devastated and confused.  I wanted this to all resolve naturally but of course I understand the ruptured tube and it's threat so I'm not wanting to wait past the point where it is to dangerous.  I'm looking for balance and some emotional readiness and still holding hope that a miracle could happen.  I'm 7 weeks and some days now.  Anyone have suggestions or comments please, please send them my way.    

[CJH1218]

I am a 34 years old, mother of twin girls from an IVF cycle 10 years ago and now pregnant for a second time with IVF having significant complications.  retrieval was on 6/14, transfer 3 embryos on day 3, 6/17.  6/29 confirmed BP with 295 HCG, 7/1 1,179 and 7/5 3,439.  I had started some spotting and bleeding on 7/4.  on 7/12 my HCG plummeted to 398.  On 7/13 had an ultrasound, just 6 weeks and the doctors told me I had or was Miscarrying.  I went of all meds., had the rhogam shot and left devastated with my husband.  I then started to pass more clots and blood.  Went  in to have my blood checked on 7/19 and my HCG is 722.  So on 7/19 they did an ultrasound.  They couldn't see a heartbeat but thought maybe I have an implantation in the uterus and in the right fallopian tube.  Going back for blood work and ultrasound on 7/21.  The rise in HCG threw me for a loop as I had left the DR's accepting the outcome, mourning our loss and so now I'm full of hope, completely in despair and worried about my tube, not sure to take the shot or wait it out a week longer as they are not clear or sure of any of what they are telling me is accurate yet.  Hoping things will naturally happen, just so confused.  Help if you can please....thank you

[shanshan12]

Well my pregnancy did end up in Ectopic....I just had emergency surgery last week on Wednesday. Turns out with the fluctuating hcg it was ectopic and thankfully they got to it in time cause i started bleeding internally. I am not trying to scare but I really really encourage you to get your levels checked often and do an ultra sound they may not be able to see a baby but they will know if you started bleeding internally from the ectopic pregnancy like me. If you are real early the doctors will probably not start to worry too much until you are about 5 weeks and they cant find a baby. I really hope it works out for you....keep your head high it could be a vanishing twin and you could still have a viable pregnancy...good luck!

[GMomma08]

What happened with your pregnancy? Is everything okay? I am going through a roller coaster here myself. My HCG has gone from 140 to 109 to 441 and ectopic has been ruled out with me as well. I'd like to know how it went with you. Thanks!

[shanshan12]

Thank you...I am trying to come to terms with whatever should happen...its just crazy knowing I feel no symptoms along with the bleeding(like cramping back pains etc.) I guess I will know more after my blood work tomorrow. Now if my hormones rise again....i tell ya I am going to be so confused. Thanks!

[spade22]

Twins cant be ruled out but unfortunately your symptoms dont sound good.  Falling HCG levels along with bleeding almost certainly indicate a miscarriage.  I hope things turn out for you but you should be prepared for the worst.