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Miscarriage in 11 weeks pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   Hi,
User :   Hello
User :   I have a question regarding a miscarriage I had and a d and c following that
Doctor :   Yes, please proceed
User :   I had the d and c 2 weeks and 6 days ago
User :   I was 11 weeks pregnant
Doctor :   ok,
User :   I am showing positive on pregnancy tests which require the HCG to be over 25
User :   I had a scan at the doctors surgery yesterday and it showed I had ovulated since the d and c
Doctor :   ok,
User :   the doctor said it was too early to see anything but the egg and that the uterus was very well lined
User :   I am confused how I could ovulate with a HCG level of over 25?
User :   and even if the egg was fertilised since the d and c, I believe it would be too early to produce a positive pregnancy test?
Doctor :   May i know the exact reading of the HCG with the units ?
Doctor :   is it mIU/ml
User :   i have not had my blood test results back yet, but over 3 days I got 5 positive pregnancy tests that must have exceeded 25 HCG to show a positive as that was the minimum the test required.
Doctor :   ok i get it
Doctor :   the development of the ovarian follicles is not inhibited by HCG
Doctor :   HCG is involved in ovulation ( breaking up pf the follicle releasing the ovum ) only
User :   I see, I was told by a gyno specialist that you cannot ovulate with HCG still in your system from the previous pregnancy... had to be under 5?
Doctor :   and the levels of HCG need to be very high for the ovulation to occur
User :   this is why I was confused
User :   should my HCG levels be dropping on a daily basis now?
Doctor :   No , its about 5000 to 6000 IU needed for the ovulation to occur
Doctor :   yes, the hcg levels will be dropping
Doctor :   and will be to the non pregnant levels by 6 to 8 weeks after the termination of the pregnancy
User :   so in theory if I have not fallen pregnant again the HCg will gradually drop
Doctor :   yes,
User :   thank you. that makes more sense.
Doctor :   you are welcome
User :   goodbye
Doctor :   thanks for consulting me
Doctor :   bye , take care
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