Medical Questions > Pregnancy Forum > Miscarriage and Stillbirth Forum

hcg level low

Hello everyone. My story started a few weeks ago. I had missed my period and took my first hpt. I had an extremely light positive result. I decided to take another hpt about a week later.. still a very light positive result. I heard the test should come out brighter and clearer as hcg should double every couple of days, so I waited almost another week before taking my 3rd hpt.. still a faint positive. By this time, I knew I had to get a blood test done. I did have really bad nausea & some constipation & diarrhea, but within the past week, the symptoms have stopped almost completely.

I went in on Mon. Aug. 4th to a clinic because I currently don't have health insurance. I explained to the nurse why I was there.. that I had 3 very faint positive hpts, and was worried. She had me take a urine test there which once again gave a weak positive (I could've told her that!). Then they decided to do an ultrasound. By my lmp I should've been 8wks6days. By the size of the fetus, they had me at exactly 8wks.. so.. so far so good I thought. But they never detected a fetal heartbeat.

They then drew blood to test my hcg level. I didn't get my result back until today (Thurs. Aug. 7th). I was told I'd have to come in to speak with the dr., but I said I'd prefer not to & asked if something was wrong. She put me on hold for a long time then came back and said my hcg level was very low (2000 range?) and that the dr. wanted me to come in today to do another beta hcg test? to see if the level is decreasing.

I'm going in to get the second blood test, but I'm wondering if I need to go elsewhere. First off, is it normal to wait 2-3 days to get hcg results back? Does everyone wait that long? Secondly, this dr. already told me last time I was there that if my hcg is really low it probably means I'm about to miscarry & I need to be prepared for it, esp. if my nurse didn't hear a heartbeat? He said if the number is decreasing & they do another ultrasound with no heartbeat, that I should consider a d&c as it is much less traumatizing he said.

I don't know what to think.. I know 2000 seems low for over 8 weeks, but development wise the baby seemed like we were on track. Also, I'm still confused as to why the urine test was so faint when my hcg was nearly 2000? I was also told that my pregnancy symptoms suddenly vanishing is also a very bad sign.. I have had slight cramps here & there, but I thought they were normal in any preg. I haven't had any spotting or passed any blood at all..

Has anyone else had a similar experience? Is it uncommon for them not to detect a fetal heartbeat right away at 8 weeks? Or could it have just been the technician's fault? Also, if worst happens, and I lose or lost the baby.. should I just let it miscarry & pass naturally?? To me that seems like the better option, but I've read lots of horror stories about how painful and horrible miscarriage can be.. I don't want to see the baby passing from me.

I apologize for the long post.. I just don't know what to do. I feel lost & alone. I was trying to keep the preg. a surprise from my husband until I knew everything was okay (this will be our very first). But now I just don't want to scare him (he's had a really rough year, lost his mother recently & lately his work is extremely stressful), but I think I have to tell him today. I don't want to stress him out further, but I need his support right now..

Any suggestions or comments are appreciated. Don't sugar-coat anything, I just need some honest opinions.
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replied January 12th, 2012
Hello,
I want share my exp. which happen with my wife. My wife had similar experience which mention here and similar condition, my wife got scared and we taken chance wait and watch till 3months. after that she had spotting. the she diagnosed as molar pregnancy. I think if heart beating is not seen within 8 weeks time then you should go for D & C to avoid further compilations. As you mention that you are under tension but I want request or told don't take tension that's very important. first believe on doctor. don't take too much time.
if you want more information about my wife experience can contact me. 9890505004 bhagwat.

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replied January 18th, 2012
Active User, very eHealthy
That is an abnormally low HCG, but every woman is different. HPTs measure starting at 25 HCG, the darkness of the line really doesn't matter, the strip reacts if the hormone is there not on how much, it is a qualitative test not a quantitative test. The test strip and the control use different enzymes (that's why the control is ALWAYS positive) so they will never be the same color. Please disregard the HPT thing, it really doesn't matter.

Make sure you go back in in 2 to 3 days for the second blood draw, this is very important to see if you are doubling correctly. THAT is what is important, not the specific numbers of one draw. It is normal for the results to take a couple days to get back. It depends if they have an in-house lab or have to send the bloodwork out. Since you said it's a clinic they likely send the results out and have a high volume so it takes a couple days.

I am 2 months pregnant and have been measuring 2 weeks behind via ultrasound since I showed up on ultrasound. My apartment manager measured 2 weeks ahead while she is pregnant. There is a chance that you implanted late, which would account for the low HCG, but are just measuring ahead. Ultrasound measure is just an average and again, every woman is different.

If, worst case scenario, you are having a miscarriage and do not want to see the baby pass, I would recommend a D&C. It is virtually painless (you can be sedated/asleep and it takes 5 minutes total) and far less traumatic (and painful) than a natural miscarriage. Even if you miscarried naturally, many women still have to have a D&C because not all fetal tissue has been expelled (which can cause serious problems) so you'd have gone through that pain and anguish for nothing. But try not to think about that now. Take it one day at a time. Wait to get your HCG results back and if they are still increasing go back for another ultrasound 10 days from the previous one and see what that shows. Just breathe. Smile
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