Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

148 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Underwent surgery for infertility. HCG level is not increased. Getting pinking bleeding. Whats going on?

Answered by
Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3768 Questions

Posted on Wed, 23 Jan 2013 in Infertility Problem
Question: Hi. On 7th December I underwent ET of two blastocysts following ICSI with PGD for male factor infertility. 17 days post transfer beta hcg was 317 after doubling steadily as expected but on the lower end. However five days later the value was only 753 so didn't double as expected. Also ten days ago I started getting pinkish bleeding when wiping and a mild amount on a panty liner. This is still going on. No cramps or pain. What is going on do you think ? Thanks.
Answered by Dr. Mahesh Koregol 1 hour later
Thanks for writing to us.
I read your query and I understand your concerns.
There are 2 possibilities for the bleeding :
1) Implantation bleeding : Generally occurs as embryo is getting implanted XXXXXXX into endometrium.
2) Abortion due to implantation failure.
The best way to diagnose is to get an ultrasound done along with hCG value. I think a gestational sac should be seen by now.
I hope its just implantation bleeding.
Please get back to me with the USG report.
Regards, Dr. Mahesh Koregol. IVF and infertility specialist
Above answer was peer-reviewed by : Dr. Aparna Kohli
Follow up: Dr. Mahesh Koregol 34 hours later
Hi Doctor,

Thanks for the prompt reply. Yesterday I got a call from the clinic with the result of the latest beta HCG taken 2 days ago. Unfortunately the value dropped from 753 to 300 so my doctor told me to stop the estrogen and progesterone supplements I was taking and to expect a period in 2 days. She said it must have been a chemical pregnancy.

Obviously initially I was distraught but I do realise that IVF is not 100% and this was only our first attempt. Better luck next time hopefully.

What I don't understand is that the embryos were shown to be normal from the PGD and my uterus lining was looking very healthy in the scans done prior to transfer, so I don't know why they did not implant and what I could have done differently?

If you have any tips regarding how I can improve my chances next time please do share them with me.


Answered by Dr. Mahesh Koregol 5 hours later

Yes, you seem to have had a biochemical pregnancy.

PGD tells about embryos only. And though the endometrial lining on scan looked good, there is no way that we could study the endometrium completely; the molecular factors affecting endometrium cannot be studied too - perhaps resulting in implantation failure.

You been worked up well; only thing that can be done is hysteroscopy (if not done) earlier. They can add more value to your treatment.

I am sorry for your loss and wish you success for your next cycle.

Let me know if you need further assistance.
If all your queries are answered, please close this discussion.

Dr. Mahesh Koregol

Above answer was peer-reviewed by : Dr. Prasad

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Medical Procedures ,  
Medical Topics

Recent questions on  Hysteroscopy

doctor1 MD

yes. lets see! Six months after having a hysteroscopy; where a polyp was removed, the abnormal bleeding has returned. Although its not have heavy. Is it possible for the polyp to return? Is there a procedure that will remove them permanently? and is there anything I can do to prevent this from happening?

doctor1 MD

hi my name is nazia , actually i have just noticed blood in my stool i am 29 year old ,blood was bright red colour ,i noticed clear white mucus discharge while standind too long 2 years ago when i had a trip to florida, i had to walk alot so i thought may be because of that i am having this discharge ,but when i ever i stand too long so or i walk alot so i experineced same thing now today i got blood in my stool but with the slight pelvic pain for few minutes ,one more information i wuld like to tell you taht i have some infertility issues i.e high FSH level so he wants to do IVf for that reason my doctor did hysteroscopy b/c he noticed heart shape uterus , he noticed in hysteroscopy that i have septated uterus so he did uterus septal division surgery in 5/5/2011... i have allergic dry cough also blood in stool i know its not a good sign ,so pleasee help

doctor1 MD

I had to undergo an lapro hysteroscopy in Sep 2017 and got my two tubes removed. Attached are the reports: 1. Surgical Notes 2. Discahrge Summary 3. Histopathology Report MY QUERY IS WHAT DO I INFER FROM THE HISTOPATH REPORT?? My medical history...

doctor1 MD

Hi sir my age is 38 not conceive 7 years for marriage. I get laperscopy hysteroscopy removed submucusol Fibriod. After that in period heavy bledding start. So doctor advise me to take nevolon. Should I take regular nevolon.

doctor1 MD

I had surgery on Friday I DNC and a hysteroscopy . Today I am super cold and lightheaded bleeding is not that bad almost minimal not sure they're related

doctor1 MD

Hysteroscopy was don to me on 6th Feb 2014 for remove fibroids and Dr advised me to take OVRAL G from that day for three months ,but did not explain why it should be taken ,Please tell me whether it should be taken for improve hormon condition ,and also advised to take Tab Overies for three months, my AMH level is 0.56 , FSH is 8.6IU/L , LH is 5.6, TSH is 3.1, E2 is 44.8, Bioavailable Testosterone is 0.24,FAI is 1.46,Free Tesosterone is 0.01 , my age is 43 can I become pregnent naturaly

doctor1 MD

I nderwent laproscopy, hysteroscopy and biopsy and got to know that I am suffering from endometrial TB. My tubes are normal. I am on medicine Monto 3. Its about two months. I wanted to know that can i undergo IUI, can i get pregnant if on medication?