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Re: PREGNANCY: Miscarriage with hCG level confusion

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 27 Oct 2007 22:32:35 -0500 (CDT)


Ang

No, this does not make sense. Your reconing is correct, most urine preg tests do detect levels starting at 25 mIU/ml. Thus, it makes no sense your blood level would be only 3mIU. I think you need serial hcg levels (every 48-72 hours, done at the same lab at the same time of day) to figure this out. Hope this helps...Dr. von Almen

At Sat, 27 Oct 2007, ang7633 wrote: >
>Hoping for someone to clear up a little confusion I'm having-
>
>I was 7 weeks pregnant when i went to the ER yesterday with severe lower
>back pain and naseau. They ran a beta and came back into my room with
>sad news that I had suffered a miscarriage and that my hCG levels were
>only 3 mIU.
>
>My OB/Gyn had ran a beta to confirm pregancy a week prior to my trip to
>the ER and that beta was obviously high enough to confirm the pregnancy.
>Unfortunately, I do not know what the levels were at that time.
>
>Here's my issue: Beginning the day before yesterday (the day before my
>trip to the ER)the naseau, food aversion, vomiting began. I attributed
>this to 'morning sickness' at the time. So now here I am the day after
>I returned from the ER and continue to have food aversion & naseau. So
>for grins, my husband mentioned that maybe I should take the pregancy
>test that I had.
>I took the test and it was obviously positive.
>So here's my question- does it make sense that the ER doc says that my
>levels were only 3 mIU but I just got a positive urine test with a
>sensitivity of 25 mIU and higher? Am I missing something?
>
>I appreciate any input you can provide. My OB is out of town for
>another week so I'm not sure how quickly I'd get any info from him.

--
 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, they will receive no response.

William F. von Almen, II, MD, FACOG Private Practice New Orleans, La.




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