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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Slow Increase In HCG Levels And Vaginal Spotting Be Due To Miscarriage?

Hcg levels not doubling (21,000 to 26,000 72hrs) 5 weeks: miscarrying? Hello. Feeling very somber due to news received yesterday. My last date of period is May 20 2015. On June 22 2015 pregnancy was confirmed by blood test at walk-in clinic with an hcg level of 21,830. I mentioned I had some very minor brown spotting/discharge earlier that week so doctor ordered another blood test to confirm levels were still elevated (I did not endure any cramping during the spotting). I was called in to the clinic to be told that my hcg levels 3 days later on June 25 2015 had only elevated to 26,877. The doctor told me that because they are not doubling every 48-72 hours I should prepare for a miscarriage. I asked if I would know if I was miscarrying/should I be expecting to start bleeding and he said well you have been haven t you ... I was confused because it was extremely minuscule spotting, nothing like a period, and brown. I m going to see my GP on Monday and have my levels checked yet again to see if they re dropping or still not doubling. I ve been reading that with higher levels they can take longer to increase. Does anyone have any advice, or would be able to let me know what I should be looking for in a possible miscarriage? I also have an U/S July 10th as I have been told this is most accurate.
Thu, 30 Jul 2020
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General & Family Physician 's  Response
Hi,

Slow increase in HCG levels and vaginal spotting can occur in an ectopic pregnancy or a miscarriage. I would suggest you to take an ultrasound to confirm viable pregnancy. Based on which, management of the condition will be decided. In case of normally increasing hCG and viable pregnancy, you may be given progesterone containing pills to reduce spotting. In case, there is no increase in hCG, termination may be required.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Saranya Ramadoss, General & Family Physician
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Does Slow Increase In HCG Levels And Vaginal Spotting Be Due To Miscarriage?

Hi, Slow increase in HCG levels and vaginal spotting can occur in an ectopic pregnancy or a miscarriage. I would suggest you to take an ultrasound to confirm viable pregnancy. Based on which, management of the condition will be decided. In case of normally increasing hCG and viable pregnancy, you may be given progesterone containing pills to reduce spotting. In case, there is no increase in hCG, termination may be required. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician