PREGNANCY-BIRTH Messages for January, 2000: Re: sad and confusing experience

Re: sad and confusing experience

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 27 Jan 2000 19:54:27 -0600 (CST)

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In reply to: Jodi: "sad and confusing experience"

At Thu, 27 Jan 2000, Jodi wrote: >
>I had a tubal reversal in July and have been trying to conceive since
>September. In December I had ovulatory spotting but did
>get my period on January 8th. On cycle day 11 I again had ovulatory
>spotting (I thought) and a positive OPK. So, we didn't
>worry about it. After two days of increasing spotting I contacted doc
>who told me not to worry about midcycle spotting. But by
>the fourth day I woke up with bright red, heavy bleeding. Went to the
>ER, told I was pg (after blood test) and had hcg of 96.
>They told me to go home and wait it out. There was a possibility I
>wouldn't miscarry...50/50. They redid the bloods on
>Tuesday and my hcg was 46 so I did miscarry. So, the weird thing is
>they say I was 4 weeks pg. according to the hcg levels.
>So why a positive OPK then? Now, the other weird thing is yesterday no
>bleeding whatsoever. Today, drop in temp, high
>cervical position and egg white cervical mucus. What should I do and
>what is going on with my body!!

The OPK measures FSH(Follicle Stimulating Hormone) and the pregnancy test measurse HCG(Human Chorionic Gonadotrophin). Each of the hormones have 2 alpha chains and 2 Beta chains. The alpha chains of FSH and of HCG are identical. The Beta Chains are different. I would suspect that your OPK detects the alpha chain which is a lot easier to do than the Beta. The hospital did the Beta HCG. As far as the symptoms, just hang on and wait a while for your system to return to normal. It will.

--
R. Daniel Braun, MD FACOG

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