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Re: beta hcg levels at 5w/spotting
From: Claudia Twisdale RN (anonymous@obgyn.net)
Thu, 28 Feb 2002 05:06:20 -0600 (CST)
I agree, one HCG is of little value, the key is what the levels are
doing. Spotting could be do to just some cervical irritation, or
implantation. Good luck!
At Thu, 28 Feb 2002, Lily wrote:
>
>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.
>
>--
>Sorry for length, any help would be appreciated. Lily
>
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