PREGNANCY-BIRTH Messages for February, 2002: Re: beta hcg levels at 5w/spotting

Re: beta hcg levels at 5w/spotting

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 28 Feb 2002 19:31:30 -0600 (CST)

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In reply to: Lily: "beta hcg levels at 5w/spotting"

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,

But high for 4 weeks 5 days and very low for 5 weeks 2 days. And we can't be sure how far along you are to that accuracy , unless you had invitro fertilization. That is why the second test doubling in 2 days is necessary. IMHO.

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,

None of those things are significant or related to miscarriage in any way except on television.

but was under significant stress >at work.
>
>--
>Sorry for length, any help would be appreciated. Lily
>

--
R.Daniel Braun, MD  FACOG   FOG
**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: R. Daniel Braun, MD: "Re: hcg after d&c"
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