Still pregnant or not? hcg level only decrease by 100? miscarry twin only?
Is it possible to miscarry a twin at 6 weeks and have another aged 5
weeks survive the whole process? Sometimes I naturally ovulate from both sides in a cycle and intercourse did happen 8 days after the first so it may be a possibility. Friday spotting began, Saturday an exam showed HcG at 7600. I should have been at 6 weeks 5 days but the ultrasound aged a sac 5 weeks 2 days high in the uterus and the cervix was slightly open with membrane like tissue near it. The next day Sunday I really think I miscarried and passed a quarter size piece of tissue. Monday the ob/gyn saw me and did no examination of any kind. He said he did think the tissue was a product of pregnancy but didn't send it to lab. He only said to wait and that many women bleed and cramp in early pregnancy. I am scheduled for an ultrasound in 11 days. Wednesday I begged for at least an HcG test. The results showed that in the last 4 days past what I believe was a miscarry the level went from 7600 to 7500. This doesn't sound right to me. Shouldn't the level go down farther by now? Could there be a chance the sac on the ultrasound is still there and another embryo not visible on the ultrasound had passed? Wouldn't the HcG go up in that 4 days if there was still a pregnancy and if not why only go down 100? If there is still a progressing pregnancy why did my symptoms like breast soreness lessen? I should just be patient and wait until next week but it is driving me crazy not knowing if I already lost the baby or not. In the mean time I continue to spot and cramp intermittently. Is it unusual for the doctor to not do an ultrasound now to at least confirm the sac is gone or still there? Anyone hear of this kind of experience happening? |
Still pregnant or not? hcg level only decrease by 100? miscarry twin only?
Well I'm no expert, but here's what I think ... "SLC" wrote in message om... Is it possible to miscarry a twin at 6 weeks and have another aged 5 weeks survive the whole process? Yes. Sometimes I naturally ovulate from both sides in a cycle and intercourse did happen 8 days after the first so it may be a possibility. Friday spotting began, Saturday an exam showed HcG at 7600. I should have been at 6 weeks 5 days but the ultrasound aged a sac 5 weeks 2 days high in the uterus and the cervix was slightly open with membrane like tissue near it. OK, not sure what membrane like tissue near the cervix means. You think this was your lost twin? The next day Sunday I really think I miscarried and passed a quarter size piece of tissue. Monday the ob/gyn saw me and did no examination of any kind. He said he did think the tissue was a product of pregnancy but didn't send it to lab. He only said to wait and that many women bleed and cramp in early pregnancy. I am scheduled for an ultrasound in 11 days. Wednesday I begged for at least an HcG test. The results showed that in the last 4 days past what I believe was a miscarry the level went from 7600 to 7500. This doesn't sound right to me. Shouldn't the level go down farther by now? I would think so, but I am not sure how to factor in things like tolerance on the lab work (is it +/- 100 or 1000?) and things like your state of hydration -- that if you were slightly dehydrated you might show higher hCG concentrations than if you were very well hydrated on a particular blood draw. Could there be a chance the sac on the ultrasound is still there and another embryo not visible on the ultrasound had passed? Yes. Wouldn't the HcG go up in that 4 days if there was still a pregnancy and if not why only go down 100? Well, because the hCG is produced by the embryo. If you had two embryos when your hCG was 1000, for example, and each was at the exact same stage of development, I'd think each was responsible for roughly 500 units (although in reality it would just be A+B=1000). In your case, the living embryo would be doubling production approx every 48 hours but the dead or dying embryo would at some point stop producing altogether. If there is still a progressing pregnancy why did my symptoms like breast soreness lessen? Either because you had a temp dip in hCG (maybe you went, 7600, 5000, 6000, 7500), or just because. Not all of us have consistent breast soreness in early pg. I should just be patient and wait until next week but it is driving me crazy not knowing if I already lost the baby or not. In the mean time I continue to spot and cramp intermittently. There's no reason to go crazy waiting unless you desire to limit your ultrasound exposure. If I was going crazy, I'd call up the doc and ask for another scan -- and if he said no, I'd go ahead and switch doctors, which would probably garner you a scan in and of itself. Is it unusual for the doctor to not do an ultrasound now to at least confirm the sac is gone or still there? No, because the risk to your health of not doing it is very very tiny, it's expensive, the doctor may not want to overscan any little embryo living in you (and wants to just scan it when the sac would be expected to have a heartbeat by its current size), and there's nothing the doctor can do with the information to help any embryo you've got. Anyone hear of this kind of experience happening? No, but if it helps here was my exp. When I actually passed tissue, I had a five something week sac, and my hcg was already down to nothing (under 25) -- BUT my hCG levels in that pregnancy were always low which I took in hindsight to mean the embryo was "sick" from the early on. I don't think I would ever have had a lab at 7600. I had one quant about five days before I started bleeding, which was about 250. Maybe if you lost one embryo, that embryo was doing fine and thus chugging out hCG and then had some catastrophic event at a later point in development than my embryo did. My tissue was about the length of a quarter but not as big because it wasn't round. HANG IN THERE. Miscarriage sucks big time. -- Dagny |
Still pregnant or not? hcg level only decrease by 100? miscarry twinonly?
SLC wrote:
Is it possible to miscarry a twin at 6 weeks and have another aged 5 weeks survive the whole process? Sometimes I naturally ovulate from both sides in a cycle and intercourse did happen 8 days after the first so it may be a possibility. Friday spotting began, Saturday an exam showed HcG at 7600. I should have been at 6 weeks 5 days but the ultrasound aged a sac 5 weeks 2 days high in the uterus and the cervix was slightly open with membrane like tissue near it. The next day Sunday I really think I miscarried and passed a quarter size piece of tissue. Monday the ob/gyn saw me and did no examination of any kind. He said he did think the tissue was a product of pregnancy but didn't send it to lab. He only said to wait and that many women bleed and cramp in early pregnancy. I am scheduled for an ultrasound in 11 days. Wednesday I begged for at least an HcG test. The results showed that in the last 4 days past what I believe was a miscarry the level went from 7600 to 7500. This doesn't sound right to me. Shouldn't the level go down farther by now? Could there be a chance the sac on the ultrasound is still there and another embryo not visible on the ultrasound had passed? Wouldn't the HcG go up in that 4 days if there was still a pregnancy and if not why only go down 100? If there is still a progressing pregnancy why did my symptoms like breast soreness lessen? When I had my miscarriage, my HcG continued to rise even though the baby was measuring small and not developing (consecutive ultrasounds showing no growth). My HcG did eventually start to drop. My progesterone was very low at all times. We waited a couple of weeks, I still had pregnancy symptoms but serial ultrasounds showed no development. And then my HcG did start dropping. We finally opted for a D and C, and the morning of I started spotting. I suspect you'll have symptoms as long as you have HcG in your system (I'm just guessing, but that's what happened with me). I hope that things work out for you- this can be so scary and frustrating. Is your doctor still monitoring your HcG levels? And I would probably ask for another ultrasound (perhaps about 1 week after the first to see if there has been growth). Hang in there, Mary |
Still pregnant or not? hcg level only decrease by 100? miscarry twin only?
"Mary W." wrote in message ... SLC wrote: Is it possible to miscarry a twin at 6 weeks and have another aged 5 weeks survive the whole process? Sometimes I naturally ovulate from both sides in a cycle and intercourse did happen 8 days after the first so it may be a possibility. Friday spotting began, Saturday an exam showed HcG at 7600. I should have been at 6 weeks 5 days but the ultrasound aged a sac 5 weeks 2 days high in the uterus and the cervix was slightly open with membrane like tissue near it. The next day Sunday I really think I miscarried and passed a quarter size piece of tissue. Monday the ob/gyn saw me and did no examination of any kind. He said he did think the tissue was a product of pregnancy but didn't send it to lab. He only said to wait and that many women bleed and cramp in early pregnancy. I am scheduled for an ultrasound in 11 days. Wednesday I begged for at least an HcG test. The results showed that in the last 4 days past what I believe was a miscarry the level went from 7600 to 7500. This doesn't sound right to me. Shouldn't the level go down farther by now? Could there be a chance the sac on the ultrasound is still there and another embryo not visible on the ultrasound had passed? Wouldn't the HcG go up in that 4 days if there was still a pregnancy and if not why only go down 100? If there is still a progressing pregnancy why did my symptoms like breast soreness lessen? When I had my miscarriage, my HcG continued to rise even though the baby was measuring small and not developing (consecutive ultrasounds showing no growth). My HcG did eventually start to drop. My progesterone was very low at all times. We waited a couple of weeks, I still had pregnancy symptoms but serial ultrasounds showed no development. And then my HcG did start dropping. We finally opted for a D and C, and the morning of I started spotting. I suspect you'll have symptoms as long as you have HcG in your system (I'm just guessing, but that's what happened with me). I hope that things work out for you- this can be so scary and frustrating. Is your doctor still monitoring your HcG levels? And I would probably ask for another ultrasound (perhaps about 1 week after the first to see if there has been growth). Hang in there, Mary Same thing happened to me. The tissue continued to grow inside me although I was bleeding heavily and my hCG was rising but not at a normal level. My doctor thought that the tissue would come out on its own, but I grew impatient as I *felt* more and more pregnant and I was dying to have a baby, and we knew that this was never going to be a baby. I also opted for the D&C and the very next cycle became pregnant with my son. That said, I also know someone who had IVF and one of the twins blighted early on, so her hCG levels were similar to yours I think. I'd ask to be monitored closely just so you know what's going on and don't go crazy. Good luck! - Jen |
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