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Infertility

Low HCG levels

04/09/2009

Question:

Hello, I`m a 39 year old female with infertility problems. I was giving myself infections and was advised to give the HCG shot on the 23 of February and to be intimate the 23 AND 24. On March 5th I had a positive pregnacy test- at this time blood was drawn and my HCG level was 6, on March 6th they drew again and I was 6. Again on the 9th and I was to 75. Again on the 11th and I was 189 and again on the 13th I was 187. I`m being told there is little to no hope, my numbers are way too low and the Dr. says he he`s not doing anymore HCG levels- on Monday the 23rd I`ll have an ultra sound. This waiting period is driving me crazy- I`m not sleeping and I`m on the verge of tears constantly. He told me to continue the pre-natal vitamins but stop the progesterone. Is there hope? How many weeks should I be? All the HCG numbers are confusing and the nurses just keep saying they are sorry. I recently had a miscariage at the end of Sept. and had the cramping and within a few loss the baby. I have no cramping, no bleeding or anything. I simply want to know if all hope is lost. What are they looking for in the ultra sound? Thank you and God Bless.

Answer:

During early pregnancy, the BHCG should double every 2-3 days.  The fact that your testing "leveled off" is probably not a good sign. However, a repeat BHCG could confirm this prior to your ultrasound; if the levels were the same or lower, it would confirm your suspicions that there may be a problem with this pregnancy.  On the other hand, if your levels increase significantly, it indicates that there may still be hope and the ultrasound would then determine where you stood.  

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Response by:

Daniel B Williams, MD Daniel B Williams, MD
Formerly:
College of Medicine
University of Cincinnati