PREGNANCY-BIRTH Messages for March, 2002: Re: Rising HCG Levels After Incomplete Miscarriage

Re: Rising HCG Levels After Incomplete Miscarriage

From: M. Kelly Shanahan, MD, FACOG (anonymous@obgyn.net)
Sat, 30 Mar 2002 18:37:15 -0600 (CST)

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In reply to: Casey: "Rising HCG Levels After Incomplete Miscarriage"

At Fri, 29 Mar 2002, Casey wrote: >
>On 2/10, I ovulated via Follistim. Conception date was 2/12, preg test
>on 2/27 and HCG at 25. On 3/1, HCG was 31 and my DR expected me to
>miscarry. Several weeks later, I had absolutely no spotting/cramping.
>My DR continued to test HCG and it was increasing, not doubling. On 3/7
>HCG was 283; on 3/12 HCG was 1229. On 3/13, I had an u/s and was
>diagnosed with a blighted ovum. My doctor still expected me to
>miscarry. After another week, no spotting. Repeat HCG on 3/18 was
>5504. Repeat HCG on 3/20 was 5875 and u/s same day at 5 weeks confirmed
>blighted ovum, although my DR thought he saw "possible yolk sac."
>
>After asking my DR about the possibility of normal pregnancy, I was told
>there was zero chance for it. I consulted with my OB-GYN for a second
>opinion and confirmed that the u/s should be considered with HCG. On my
>DR's advice, I took 2 Cytotec on 3/21. On 3/22, my HCG was 5400 and u/s
>showed an incomplete miscarriage. I had a repeat HCG on 3/27 and my HCG
>went up to 7643!! An u/s on the same day still showed something in my
>uterus.
>
>What is going on with me? My DR says he expects the levels to begin
>dropping in a week. How much longer should this continue? I am unable
>to heal at all. My DR doesn't recommend a D&C. Should I seek a 2nd
>opinion? I'm beginning to lose trust in my doctor's care and feel very
>distraught.
>
>Thanks for any help or advice.
>
>--
>Casey

you haven't miscarried yet, despite the cytotec. You should discuss a D&C with your doctor. If you dont' trust your doctor's care, tehn you should get another opinion >

--
M. Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

author of "Your Over-35 Week-by-Week Pregnancy Guide"

**this is for general educational purposes only and does not supplant the need for you to consult with your own physician**
***private e-mails WILL NOT be answered***

Next message: M. Kelly Shanahan, MD, FACOG: "Re: tubiligation and pregnancy..."
Previous message: M. Kelly Shanahan, MD, FACOG: "Re: Septated Cervix & Trying to Conceive"
In reply to: Casey: "Rising HCG Levels After Incomplete Miscarriage"

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