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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnant With HCG Level Increasing And Progesterone Level Dropping. History Of Miscarriages. Solution?

My daughter just found out she was pregnant naturally, after 2 failed IVF cycles that ended in miscarriage , she by the calendar is 5 weeks from LMP, her first HCG was 35, second 2 days later was 89 and progesterone was 13, 2 days later HCG was 191 and progesterone dropped to 10.5, she is currently on no supplemental hormones, what should we do?
Fri, 15 Feb 2013
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OBGYN 's  Response
Hello
Thank you for your query.
At 5 weeks, the B HCG value is definitely very low, however it is doubling as it should.
Do not rely on the progesterone at present.
She definitely needs pregnancy supportive medications, hormones and supplements.
Consult a gynecologist at the earliest.
A serial ultrasound would be a better tool for monitoring the progress and viability of the pregnancy, instead of confusing and multiple blood work.
Take care.
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Pregnant With HCG Level Increasing And Progesterone Level Dropping. History Of Miscarriages. Solution?

Hello Thank you for your query. At 5 weeks, the B HCG value is definitely very low, however it is doubling as it should. Do not rely on the progesterone at present. She definitely needs pregnancy supportive medications, hormones and supplements. Consult a gynecologist at the earliest. A serial ultrasound would be a better tool for monitoring the progress and viability of the pregnancy, instead of confusing and multiple blood work. Take care.