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beta hcg levels at 5w/spotting

From: Lily (anonymous@obgyn.net)
Thu, 28 Feb 2002 05:00:15 -0600 (CST)


Doctors: I am pregnant (clomid assisted, first clomid cycle), approximately 5 weeks/1 day. Miscarriage 4 mos ago at 10 weeks, suspected blighted ovum or poor egg quality (u/s at 7w showed embryo w/hb, but size appropriate for 5w).

Two days ago, I had red/brown bleeding, sufficient to leave single red/brown spot on panties the size of a dime (center red/brown, circled by brown "watery" substance). Following 2 days (through today), I had trace brown cervical mucus on toilet paper, no red bleeding, not sufficient to spot panties.

My ob ran beta hcg test yesterday (5 weeks/approximately 21dpo) and said that depending on results, he might have me to take another in a few days to see if levels were elevating. Result came back 1193. Dr. said no need to return for another beta hcg test unless "bleeding continues" but to set up u/s in two weeks, as u/s is better judge of viability than betas?

1. Why no second beta? In archives Dr. Braun said that results a single Beta HCG level is of little significance without anything to compare it to. I know my levels are only "average" for 5weeks, should I insist on second test?

2. What would be considered "bleeding" for purposes of scheduling second test, per dr's instructions? Red bleeding? Is the trace light brown cervical mucus I am seeing sufficient to indicate need for second test.

3. I know this is a loaded, but what could be causing bleeding? Dr. said it could be implantation bleeding, but isn't 21 dpo too late for that? FYI, I had no strenuous exercise, lifting or intercourse during the time period relevant to spotting, but was under significant stress at work.

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Sorry for length, any help would be appreciated.  Lily



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