Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
What Causes Lowering Of BHCG Levels During Pregnancy?
hi there. the first day of my last period was on the 22nd december 2010, i have not yet got my period. i had taken a preg test plus did a blood test and both came out positive. i started getting some pelvic pain about a week ago. yesterday i saw my gynaecologist , she was not happy as the fetus was not as big as it should be and it took her some time to find anything. eventually she found a small black spot about 1cm. my S-QUANTITATIVE bHCG on teh day i did my preg test was 261.6 mIU/mL , yesterday i took anothe test and it came out 19885. i am a bit worried as from the research i have done , the count i did yesterday is low. she still hasnt contacted me with any ifomation, and im stressing out as i do not know what is happening. some inlightment will help greatly. many thanks
Tue, 29 Mar 2016
Hallow Dear,
Beta hCG levels rise during pregnancy. When they are more than 25 mIU, the pregnancy is diagnosed.
Your size of the baby is smaller than the expected one at the given period of gestation. Moreover, the Beta hCG levels are dropping. However, the levels you have mentioned are confusing. From 261 to 19885 is no a drop but is rise. Have you missed a decimal point? I have read it as 198.85. This is suggesting that the baby might be jeopardized. You should have mentioned about the presence or absence of heart beats of the baby.
However, no conclusion is arrived by just one finding of hCG. Please repeat the test again after 4 days. If it is still on the downward trend, the chances that the baby is jeopardized are quite high.
In fact the ultrasonography may be more informative in your case to know about the viability of the baby.
Of the baby is non-viable, then you may have to undergo termination of pregnancy considering this as missed abortion. In missed abortion, the pregnancy should be terminated ASAP as delay may cause complications like heavy uncontrollable bleeding due to clotting defect (DIC), infection, etc. So please follow the instructions of your Obstetrician.
Dr. Nishikant Shrotri
Beta hCG levels rise during pregnancy. When they are more than 25 mIU, the pregnancy is diagnosed.
Your size of the baby is smaller than the expected one at the given period of gestation. Moreover, the Beta hCG levels are dropping. However, the levels you have mentioned are confusing. From 261 to 19885 is no a drop but is rise. Have you missed a decimal point? I have read it as 198.85. This is suggesting that the baby might be jeopardized. You should have mentioned about the presence or absence of heart beats of the baby.
However, no conclusion is arrived by just one finding of hCG. Please repeat the test again after 4 days. If it is still on the downward trend, the chances that the baby is jeopardized are quite high.
In fact the ultrasonography may be more informative in your case to know about the viability of the baby.
Of the baby is non-viable, then you may have to undergo termination of pregnancy considering this as missed abortion. In missed abortion, the pregnancy should be terminated ASAP as delay may cause complications like heavy uncontrollable bleeding due to clotting defect (DIC), infection, etc. So please follow the instructions of your Obstetrician.
Dr. Nishikant Shrotri
I find this answer helpful
2 Doctors agree with this answer
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Stress
Loading Online Doctors....