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HCG Levels after missed MC and D&C


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#1 nattpatt

Posted 14 May 2007 - 11:53 AM

Can anyone tell me what the rate of decline is for hcg after a missed miscarriage?  Does it decline as quickly as it increases when you are pg?

My doctor has instructed me to wait for a "couple" of cycles before we try again so she has not ordered follow up blood tests to check hcg levels.  

It would just be nice to know what my levels are now (three weeks after D&C).

Thanks so much

Natalie

#2 L&L

Posted 14 May 2007 - 05:29 PM

Depends how high your hcg got to...  My levels got to approx 13,000 with my ectopic.  It took about 10 weeks to get down to 30 (blood test last week), so it can take a while...  

Good luck

#3 Nut

Posted 14 May 2007 - 08:18 PM

As PP said, it depends on how high your levels got.

Mine got to 140,000 before starting to come down (that was at around 7 weeks, took another 7 weeks for me to physically miscarre). At that point they were 1100... It took around 8 weeks for there to be no HCG left in my system.

But I did not have a D&C. I delivered the sac vaginally still intact and about the size of a 10 week gestation sac (after 5 hours of full on contractions... not fun).

#4 L&L

Posted 14 May 2007 - 08:27 PM

FWIW, I didnt have a D&C and I did not miscrry.  After our little one died my body reabsorbed it.  When hcg got to 30 I had a bit of spotting for less than 1/2 a day.  Nurse said later that she thought that that was my af (first since I conceived).

I read in the AC section that your HCG was significantly lower than Nuts and mine.  Hopefully it wont be long.

ph34r.gif Nut, I have been following your progress - xox. ph34r.gif

L

#5 autumn

Posted 14 May 2007 - 09:51 PM

I had a missed m/c and D&C, my Dr also didnt want follow up BTs.  They didnt get everything with the D&C and I then passed (ie, m/c) what remained.  From memory it was 4 weeks after the bleeding stopped that AF returned.

In this case I'd definitely wait one cycle before trying again.

Im so sorry for your loss.

#6 nattpatt

Posted 15 May 2007 - 09:16 AM

My Levels the Thursday before my D&C (which was on Monday 23 April) were at 41,000.  I had some spotting (bright red) for 1 day about a week and a half after the D&C so i am wondering if that was my first little cycle or an indication that my levels were back down to "normal".

Through my internet research, someone said that they decrease as rapidly as they increase (ie. halving each day) which would mean a level of 41,000 would be back down to less than 5 in 16 days time.  I am hoping there is some truth to that.

We are still going to wait one cycle (full proper AF) before trying again.

Thanks for your advice and help.

Good luck to you all

Natalie

#7 Micha70

Posted 15 May 2007 - 08:17 PM

Sorry for your losses.  sad.gif

Another one here whose dr isn't ordering more bloods, although I asked if I needed them, she said not necessary, to just wait 2 full cycles...

I'm in the same boat as you, not sure I can wait that long and want to TTC again soon!

We must have m/c around the same time, as my D&C was 3 weeks ago today. I too had a missed m/c, started to bleed and had ultrasound that showed bubby had passed away and there was no heartbeat.  sad.gif  Had my D&C on 24/4.

Having a follow up scan on Thursday as I'm still spotting (slightly) and want to check everything is OK.

#8 prodigy

Posted 16 May 2007 - 08:05 AM

Hi Working mum

If you want blood tests ask for them. If your anything like me, you want to know how fast or slow the levels are going down. I think the levels decrease differently for each person, depending on the situation of the m/c.
I had a d&c 7 weeks ago and am having my 3rd blood test on Friday to see if the level are back to normal.  I still have no sign of AF and i thought it would be well and truley here by now.
The only way your going to know is to have a blood test done. My GP has been doing them on me every 2 weeks.

Good luck

#9 ssfraser26

Posted 23 May 2007 - 02:09 PM

Hi ladies,
I also had a missed m/c and D&C at 10 weeks, on 5th April. It's been 7 weeks now and no sign of AF. My OB did an ultrasound to see what's going on and she thought i must be in the second stage of cycle (ie, already o'd) but the blootest showed low progesterone, meaning I haven't even O'd yet. So I have to have weekly bloodtests to see if I've ovulated. She said sometimes the cervix can get blocked after a D&C and so you may ovulate but the blood cannot come out. So she wants to know when I will ovulate, as AF should follow within 2 weeks, and if it doesn't then I have to be dilated again. She seems to think my body is just taking longer to reset. I wish it would hurry up - pretty over all of this waiting. It's my second m/c since I started TTC in Nov. I've spend half the time waiting for cycles to regulate, and the other half being preg, but nothing to show for it. It's so frustrating!!!!
Btw, my OB said there's no reason to wait for TTC and even getting preg straight after D&C is fine. I wish!
Good luck to all of you.

#10 nattpatt

Posted 07 June 2007 - 03:18 PM

Hi Ladies

Just thought i would post an update on my situation.

I had a missed m/c on April 23 at 9.5weeks old.  I had a D&C 3 days later.  a week and a half after that i got what i thought was AF but only for one day.  Kept temping and 14 days later I O'd.  exactly 14 days after that AF arrived (a full 7 day AF) and now I am due to O again this Friday.  

It has felt like the longest wait imaginable, but i know it has been alot worse for others.  I just wanted to post this to let you all know that your body is an amazing thing and can return back to normal pretty quickly after such trauma.  We are back on the wagon and going for it every other day just to cover our bases.  Wish me luck.

All the best to you and yours..

Nat

#11 Kate D

Posted 02 July 2007 - 09:32 PM

Hi ladies,

I'm very new to this but I felt the need to connect with others that understand what I've just been through...

My husband & I aren't able to conceive without the assistance of IVF & our first beautiful child, Ellen, is now 13 months old. We had 2 frozen embryos left from our cycle prior to our first pregnancy. From those the first one didn't survive being thawed but as you can imagine we were completely over the moon to find that our second embryo resulted with a positive pregnancy test. All was going beautifully, my HCG level was 300 to start with & I developed normal pregnancy symptoms as expected. I was so looking forward to this little baby & my first ultrasound which is at 7 weeks with an IVF pregnancy. I had no reason to think that anything was wrong. Anyway when I had the ultrasound the lady just turned to me & said that there was nothing there. I don't think I will ever forget it. I had what is called a blighted ovum, where the embryo embeds but the baby never forms, just a sac which grows like a normal pregnancy giving off all the normal hormones etc. I think this is similar to a missed MC? I spent the first 2 days in bed mostly & I had a D&C this morning. I was told that we could wait & see if I miscarried in the next couple of weeks but my Doctor thought it was a 50/50 chance. Now instead of looking forward to a new baby which would have been due 13th February 2008, I would have been 8 weeks pregnant this coming Wednesday, I have another IVF cycle to get my head around. My Doctor said that we can go ahead with that after I get my next period which should arrive in about 4-6 weeks from now. I have no idea about HCG levels except that I would presume they would have to be back to normal when I start my next cycle....

I've been feeling very alone, & I feel like no one else understands what I have lost. Everyone just wants you to move on but I don't know how to find closure for myself. I have a beautiful little girl who can always get a smile out of me & a husband that tries his very best but I can't get rid of the sadness in my heart and I'm resentful about the experience. It just felt like a very cruel joke.

Kate

#12 Simplicity

Posted 06 July 2007 - 01:02 PM

Hi,

Although i have not m/c as of yet - although it feels more and more so every day - my dates were 2 weeks out, my HCG levels are not very high and are not rising, plus i have no symptoms, and slight spotting yesterday.

Everyone tells me not to worry, things are ok, and we can always try again - its not as easy as that!!!!
No one understands why I am so upset and why i just cant be positive (given the fact the doc told me that it is a good possibility that I have m/c) so im guessing mine could be a blighted ovum. Im not giving up completly till my scan on Thurs but i just wanted to say that i understand the feelings, but i wish other ppl could too. They dont understand that you may have to wait a few cycles before TTC again and i dont wana do that.........
Sorry but i guess i just needed to vent a little with ppl who know what i mean.

Good luck to everyone and i hope that BFP is just around the corner.

#13 *ShellBells*

Posted 07 July 2007 - 01:31 AM

Hi

I too have recently m/c - at about 5 weeks. Had massive cramps followed by light bleeding for about a week. Dr was not very helpful and supportive, which was unfortunate. He didn't tell me my HcG levels, and I was not in a good state to ask. It is now nearly 4 weeks on and I don't think I have ovulated yet this cycle. Dr didn't seem too concerned if we TTC straight away or not - just said it would be easier to know where I am in my cycle if I waited for AF. I figure might as well TTC whilst waiting! Anyway - I am a bit up and down, and very frustrated with this waiting game. I know 4 weeks is a short wait compared to some, but it seems like forever at the moment. Kate and Young1, I think we all must have been PG and m/c about the same time.

I am sorry for your loses, and I hope that we all have happy news in the near future. Thank you for sharing your stories and listening to mine.

Shell

#14 Mum2Katie*Melanie

Posted 07 July 2007 - 09:58 AM

Hi there,

You should Definately ask for BT's...Your Dr. should be willing to help you more, since you've suffered a loss!

To the other ladies TTC, I'm with you the WAITING is so Hard. This month l even had a BT before my AF was due. BFN.gif My poor Dr. must be so sick of me, but she has been Great through 2 PG'ys...

Fingers Crossed we All fall PG this month. What a month, April 2008 will be!!!

Well the below HCG info l found, when l first M/C'd last year...

Normal hCG levels

Q: I am now 6 weeks pregnant and my hCG level is 25,560. Is that normal?

A: There is a wide range of normal hCG levels in pregnancy. Your hCG is nromal for 6 weeks.. In general, the best indication of a healthy pregnancy is a good fetal heartbeat after 6-7 weeks. There is a wide range of normal hCG values and the values are different in blood serum or urine.
Urine hCG levels are usually lower than serum (blood) hCG levels.

Here are average serum (blood) hCG values:
Weeks from LMP  Normal amount of serum hCG
3 weeks  5-50 mIU/cc
4 weeks  4-426 mIU/cc
5 weeks 19-7,340 mIU/cc
6 weeks  1,080-56,500 mIU/cc
7 - 8 weeks  7,650-229,000 mIU/cc
9 - 12 weeks  25,700-288,000 mIU/cc
13 - 16 weeks  13,300-254,000 mIU/cc
17 - 24 weeks  4,060-165,400 mIU/cc
25 - 40 weeks 3,640-117,000 mIU/cc
  
Hope this Helps a little.
x

Edited by MumOfKatie, 07 July 2007 - 10:07 AM.


#15 jed68

Posted 25 July 2007 - 07:01 AM

Hi there, I've been lurking for awhile trying to figure out how to make my betas come down faster so we can start trying again...apparently this is one of those "Patience is a virtue" situations.  Here's my story and beta info:
I got pregnant in JANUARY 2007. There was no heartbeat at my 10 week apointment in March had a D&C March 29th.  This would be my 3rd miscarriage in 6 months!  (I have two kids that were easy to concieve and carry to term.)  I kept calling the dr's office complaining of dizzyness etc. and finally asked them to check my HCG's.  On APRIL 23 they were 1469  3 days later they were 1624.  At first they thought new pregnancy.  

Checked again 3 days later on the 30th hcg=1620.  Sent to the hosptial for an advanced US.  No ineuterine precnancy, evidence of RPOC (retained products of conception).  I've seen 3 doctors and have 3 opinions: Something got left behind and started growing furiosly,  Heterotopic pregnancy (one uterine they got with a D&C one hiding out causing trouble)  and 3rd option is that it was a new pregnancy that was failing....So I say ask to have those betas drawn, because we'll never really know what happened because they weren't drawn before or after the D&C.
They shot me up with Methotrexate (FYI I'm also MTHFR+ and That can Produce a hypertoxic reaction to Methotrexate...it was a bad week).  My level 5 days after the Methotrexate was 1399 this was now May 4th.  it started decreasing rapidly at first then came to a screaching halt.  It's taken 6 weeks to go from 13 to 5 (this monday JULY 23!! I hit 5).  

I've also had 2 AF's already before I hit 0.  I have to get to 0 and stay at 0 for one month before TTC.  This is torture!
I have a HSG appointment on Friday to make sure everything is okay in there...fingers crossed!


I'm so sorry for all of our losses, every week that beta test brings that little dark cloud back over my head.....so I understand the grief and my patience with having to wait before TTC is sorely tested.  Shopping seems to be my drug of choice right now in dealing with my immediate gratification issues.... biggrin.gif

#16 littlejoesma

Posted 23 February 2008 - 01:09 PM

Hi

I had a MISSED MISCARRIAGE - went in for 12 week scan on 24/1/08, showed no heartbeat and foetus size of 7 weeks. D&C was on 25 January 08. Bled for 10 days off and on. On 12/2, went to the hospital for a follow-up at the Early Pregnancy Assessment Service (always seems strange to be going there once you're no longer pregnant), and the Registrar said the pathology report after the D&C suggested there may be a partial molar pregnancy, so i would need to come into the hospital for blood tests to see if my bHCG levels were coming down. Of course i went home and googled "partial molar pregnancy" and was most distressed to find out about that - my heart goes out to all those who had a molar or partial molar pregnancy.

The hospital rang me later that day and said - HcG is only 61 which is good, come in next week and we'll re-test.


On 15/2-16/2 my ovaries really hurt and around 19/2 my CM was suggestive of having ovulated.

On 21/2 (4 weeks after D&C) i re-tested bHcG. It's down to 17. I also had an ultrasound which showed no evidence of a molar pregnancy - and totally unprompted, the sonographer said "i think you have just ovulated". Something to do with the Pouch of Douglas?

I excitedly told the registrar what the sonographer said but he's a grumpy bloke, and just said - we need to keep monitoring your HcG and only when its less than 5 will we know you're all back to normal.  He did say that it seems very unlikely i had a partial molar pregnancy - more likely to have been  "just" a missed miscarriage. He wouldn't be drawn into whetehr or not i had ovulated.

Now, several posts i have read on the internet say that its impossible to ovulate while your HcG levels are above 5.

On the other hand, several sites/posts i have read also say that
* HcG can stay in your system for 4-6 weeks after losing a foetus, depending on how high your levels were when you miscarried, and whether it was D&C or natural misscarriage
* your period usually arrives around 4-6 weeks after a D&C.

Sorry for sounding dumb, but not all of these things can be true at the same time - can they.

Any ideas? Is it perhaps possible to ovulate even if your HcG levels are above 5?  And also - really dumb question - don't periods happen because of ovulation - ie if you have a period doesn't that by definition mean that you ovulated around 14 days previously??

xx

#17 AJ#99

Posted 23 February 2008 - 06:58 PM

Hi littlejoesma I'm so sorry for your losss!.

You are basically on the same quest as I ...  Can we ovulate with HCG in our system??  

I'm still trying to find out, but it does appear that some people may have a small residue of HCG when they are ovulating.  I would have thought that all of it would need to be gone.  

I had a D&C due to a missed m/c 2 weeks ago at 9 weeks (bub died at 7) and I am still spotting on and off.  I did pg test yesterday and it was still showing as a strong positive.  So depressing

I think after a natural m/c your levels would be back to normal a bit quicker ?? (as your levels would have probably droped a bit before the misscarriage).  Just my thoughts - I guess it still depends on what your earlier HCG levels were.

You can have anovulatory cycles, but I'm not exactly sure what brings AF on after these cycles.

Edited by AJ#99, 23 February 2008 - 06:59 PM.


#18 BeezMum

Posted 24 February 2008 - 09:58 AM

Hi ladies, I'm sorry for your losses.

It seems that this thread has been resurrected from last year, but it's a question that I've been trying to find the answer to also.

AJ#99 I am in almost the same boat as you; we were in a DIG together and had D&C the same day I think. I'm not sure about the natural m/c betas going down faster than D&C, would have thought it might have been the other way around, as 'products of conception' are removed all at once so there is nothing left to make hCG. Do you have to have follow-up blood tests or anything? My obs seems to think it's not needed, so I have no idea what my betas are.

littlejoesma Some people can get pg only 2 weeks after m/c or D&C so whether it's because you can ovulate with hCG on board or it's because hCG can fall to 0 a lot faster than 4-6 weeks, it doesn't matter? Certainly in your case it seems that you can ovulate with hCG above 5.

I hope we all get our BFPs very soon.

ETA: I do believe you can get your period without ovulating, as AJ#99 said, it's an anovulatory cycle. The endometrium builds up but because there is no pregnancy (and no pregnancy hormones), it eventually gets to the point where it can't sustain itself and breaks down, causing bleeding. I think that the cycle can be much more variable in length in anovulatory cycles. (i.e. more than 28 days) HTH.

Edited by want2bmum, 24 February 2008 - 10:06 AM.


#19 Zeldagirl

Posted 26 February 2008 - 05:37 PM

Hi girls

Just to let you know that you definately CAN ovulate with a HCG level higher than >5...I'm living proof of it!

I also believe it takes HCG about the same time to lower as it would to rise...but this I am not certain of, just what I've heard.  Certainly, it takes me several weeks to drop back my HCG levels.  

Cheers, Sarah

#20 AJ#99

Posted 26 February 2008 - 07:21 PM

Thanks for the info want2bmum I hope things are going ok for you.  There were 4 ladies in our week who m/c.  Just dreadful!

peachy-keen - thank you so much for your input.  You've really raised my spirits!

Well I'm only on day 15 of my cycle which is around when I ovulate if I have a 28 day cycle and I'm starting to get signs I might be ovulating in the next day or so.  I'm pretty shocked as I wasn't expecting to get straight back into cycles so quickly!  I guess only time will tell...

My ob says he hopes I will be pg again when I see him for my 4 week check up in mid March original.gif

Cheers
Ali

Edited by AJ#99, 26 February 2008 - 07:22 PM.


#21 BeezMum

Posted 26 February 2008 - 10:25 PM

Thanks for that peachy-keen, we certainly need the hope around here!

Ali, I know m/c is quite common but we do seem to have had an enormous number of them in our DIG  sad.gif So glad to hear that you are back into it already...big fat nothing here (no signs of anything). Will have to live vicariously through others this month I think. I hope you are recovering well both physically and emotionally. Perhaps we'll be in a DIG together again soon.  hands.gif

#22 RoseMarmalade

Posted 29 February 2008 - 09:31 PM

I can't believe how unfair this is....

I got my BFP in january and DH and I had just gotten used to the reality of having a baby... and then the scan today showed no heartbeat... cry1.gif  cry1.gif  cry1.gif  cry1.gif

I am booked in for my D&C on Monday - I wish it were Monday now...

it's just so unfair....

#23 littlejoesma

Posted 29 February 2008 - 10:09 PM

Hi everyone

A quick answer to the question "how long did it take your HcG lvels to fall after a miscarriage / D&C" - in my case, after 5 weeks, my HcG levels are 9 - not quite 0 - so i would say 6 weeks in total for me. This didn't stop me ovulating though!

Rosemarmalade you poor thing, my heart goes out to you. I also had a missed miscarriage 5 weeks ago. The waiting til the D&C is horrible. Howevery the D&C was nowhere near as scary as I was expecting (I had never had any general anaesthetic so was terrified but it was fine - in fact i was grateful for the sleep).

AJ#99 i hope my info below helps in your quest - technically i am pretty sure i would have shown up as pregnant on a home pregnancy test when i ovulated !!

peachy-keen - like you, AF coming has settled my question about whether you can ovulate with raised HcG levels.

How strange, to be happy that your period has come, when only 5 weeks ago I thought I was 12 weeks pregnant.I feel strangely at peace with the miscarriage. Gosh its an emotional rollercoaster isn't it? All those hormones thrown in for good measure.

NOW i am becoming obsessed with dates for TTC next month, because my partner is going overseas on 19 march, and thats a day or 2 before I think I am due to ovulate next. I am going to sketch out the dates here for no good reason except i want to get them out of my head.

25/1  D&C - bleeding off and on for 10 days
12/2  bHcG 61
15/2  Ovaries hurt - ovulation today or day after?? (Q: ovaries hurt when follicle bursts, then it takes some time to travel into fallopian tube so maybe technically ovulatoin is a day later??)
21/2  bHcG 17 - also ultrasound done to rule our partial molar (they still won't totally rule it out but looks very very unlikely) - report noted recent ovulation as evidenced by corpus luteum and fluid in pouch of douglas
26/2  bHcG 9
29/2 (today) AF -  normal pain and heaviness - was expecting something huge but so far OK.

I am assuming that when i go to hospital clinic for bHcG test next week it will be 0 or close to ...

Its been 35 days since D&C. My cycles before this pregnancy were a bit erratic - 28 days, 33 days, 35 days, 33 days - average was 33 days.
  
We're keen to get pregnant as quickly as possible. BUT DP goes overseas on 19 March.

My best friend and i have each done the maths (its like a complicated maths formula) and, if i have a 33 day cycle this time, ovulation will be around 21 march. So we will need to TTC the few days before DP goes o/s and hope that he has long-distance swimmers!  

will keep you posted - or is there another thread thats better to post to about this?
xx


#24 BeezMum

Posted 01 March 2008 - 08:00 AM

RoseMarmalade, so sorry to hear of your loss. The waiting for the d&c is really difficult, sending you gentle hugs this weekend.

littlejoesma thanks for posting that, it is helpful to know dates and numbers (even though I know that there is wide variation). Best of luck with March and the long distance swimmers.  hands.gif

#25 RoseMarmalade

Posted 01 March 2008 - 03:08 PM

Thanks for the well-wishes... It's nice to know that I am not the first woman to go through it all (well, this comforts me during those moments of lucidity...)

I am a bit scared as I have never been under a general before - but my DH has been so wonderful and glued to my side since we heard the word "Unfortunately...."


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