WOMENS-HEALTH Messages for July, 2000: Re: Bleeding and cramping, but HCG levels seem normal

Re: Bleeding and cramping, but HCG levels seem normal

From: anonymous@obgyn.net
Tue, 18 Jul 2000 16:13:51 -0500 (CDT)

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At Tue, 18 Jul 2000, Kris wrote: >
>After having a completely normal period the week before, I started
>bleeding and cramping again last week. The Dr. recommended taking a
>pregnancy test, which was positive. They have been monitoring my HCG
>levels, which went from 160 to 470 (2 days) then to 814 (3 days). I
>feel like something has to be wrong since I am still spotting this week,
>but I can't get that small notion out of my mind that everything might
>be okay after all. They will continue to monitor HCG, but won't do an
>ultrasound until HCG is over 2000. How common is it to have bleeding
>and cramping, but still have a happy ending? Does HCG start dropping as
>soon as miscarriage occurs, or could it still increase if I have already
>miscarried?

It is quite common to have bleeding and cramping in early pregnnacy, and I am very encouraged by your HCG levels that are increasing at a reassuring rate. The HCG is produced by the pregnancy tissue, and as soon as that tissue is no longer functional, the HCG begins to decline. However, that tissue can be functional, albeit not normally, for some time, and this can lead to confusion. If you had miscarried, the HCG level would begin to drop immediately.

--
William D. McIntosh, MD, FACOG
Clarksville, TN

This is for educational purposes only, and is not intended to be replacement
or substitute for consultation and examination by an appropriate medical
professional.  Due to time constraints, private e-mails cannot be answered.

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