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Low rising HCG level. Dr wants to end pregnancy..

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Hi I am currently 6 weeks pregnant. I conceived on Feb 29, 2012 and took a HPT 2 weeks later. I got a positive result. I went in and got a blood test done which also confirmed a positive pregnancy. I took a HCG Quantitative Serum test on 3/15/2012 and the first test was 30. The Dr's told me the level is too low and I will have a miscarriage within the next couple of days. On 3/19/12 I took another HCG test and it was at 246. I was shocked because I did not think it was going to last. On 3/20/12 I took another test and it was 441. Another on 3/23/12 and it was 866. 3/26/12 it was 1230. Now at this point the Dr's are telling me the number did not double from the previous 866 test and it shows signs of the pregnancy not lasting. I retook the test on 3/28/12 and it is now at 1642. Dr's called me again and want to schedule a planned miscarriage within the next day or two. My numbers are going up but just slowly. I am not bleeding, but I am having mild cramping if I am too active. If I am laying down I'm fine. Any suggestions would be greatly appreciated.
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replied March 31st, 2012
Hi,
Welcome to ehealthforum,
If pregnancy has been confirmed, and if serial HCG levels estimated have shown consistently rising levels, then chances are that pregnancy is going on smoothly (especially if you are not having any signs or symptoms indicating impending miscarriage or threatened abortion). Doubling up of the hormone levels in 48-72 hours generally shows that pregnancy is going on smoothly. If levels are not adequate, then external hormonal supplements should be considered to be started to help you in preventing miscarriage/threatened abortion. An early ultrasound scan done (preferably transvaginal) will help to know if pregnancy is intrauterine or ectopic along with confirmation of gestational age and viability (confirmation of fetal pole and heartbeat). Be in regular monitoring and follow-up with your treating doctor/gynecologist or consider taking a second opinion from another gynecologist and report any new/abnormal symptoms immediately. Look out for danger signs like increase in intensity of abdominal cramps, increasing back pain, fresh bleeding etc. Avoid lifting any heavy weights and avoid heavy work. Avoid standing for long durations and avoid climbing stairs. Take adequate rest. Drink plenty of water. Avoid use of caffeinated and carbonated beverages.
Take care.



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