PREGNANCY-BIRTH Messages for September, 1998: Re: Beta hcg levels not rising

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Re: Beta hcg levels not rising

From: William F. von Almen, II, MD (anonymous@obgyn.net)
Sun, 27 Sep 1998 15:16:12 -0500 (CDT)

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At Sun, 27 Sep 1998, Nancy wrote: >
>Hi.
>At 5.5 weeks after my LMP my Beta hcg was measured at 1335.
>Two days later (yesterday) it was measured at 1338.
>An internal ultrasound 3 days ago did find a gestational
>sac, but its measurement was consistent with less than a 5-week old
>embryo (smaller than expected). I have experienced consistent cramping,
>but no bleeding.
>
>I did miscarry at 9 weeks (with severe bleeding) just
>five months ago.
>
>Is there any chance that this remains a viable pregnancy?
>If not (which I sadly suspect), do I really have to wait
>several months before trying again?
>
>Thank you.
>
>--
>nancy
>

Nancy I will tell you that things do not look real good at this point. We all want to see a rise in the hcg in a 48 h period, and yours did not. I would probably counsel my patient to have another one rechecked before i did anything final. You did not say if you have any living children, but I would urge you to discuss the option of chromosomal analysis of the pregnancy if you have indeed lost this pregnancy. You may also want to discuss the option of checking other studies such as anti-phospholipids. Best of luck to you.

-- William F. von Almen, II, MD, FACOG Editorial Board, OB/GYN.NET Pregnancy and Birth New Orleans, La.

The above comments are for educational purposes only.

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