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What Does A Drop In Blood HCG Level Indicate?

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Posted on Sat, 1 Aug 2015
Question: Hi doctor.... Ihave period last month 24 may 2015... After dat imiss my period and have positive urine test I go for blood test results is fine iam 5 week pregnant doctor told me after a week ihv start bleeding nd little cramps but not dat much lite nd lite bleeding in brown colour.. No clots... I go to check the doctor they go with another blood test my results perivious ihave hgc level 260 and now I dropped 45. But I do home pregnancy test is shown positive... Doctors say I hv miscarriage.. Idnt y it happen to me.... What the reason....what can ido now my bleeding is stop just for one day....
doctor
Answered by Dr. Nidhi Setia (40 minutes later)
Brief Answer:
Advise Ultrasound and Evaluation to know the cause.

Detailed Answer:
Hello,

Welcome to HCM,

I can understand your concerns,

As you told that you had bleeding and your Blood HCG level is dropped ,it suggests that you aborted.

Urine pregnancy test comes positive till 2-3weeks even after abortion.Now i advise that you should go for ultrasound to check for complete abortion.consult with your gynecologist.

There are so many causes for abortion like thyroid abnormality,abnormal sugar level,chromosomal anomaly,ABO incompatibility.consult your doctor.

I suggest that you should evaluate before planning for next pregnancy and avoid pregnancy for 3-6 months so that your womb lining becomes healthy to conceive again.

Hope this helps.

Feel free to ask further,

thanks.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Nidhi Setia (28 minutes later)
Idone ultra sound nothing to reduced..... Wat can do now I'm really worried Bocz my All reports is fine...iam trying from 2 years... For Concive. Doctor put me on clomid Bocz m not ovulating... Now my medicine second cycle iwas pregnant now dis happen to me what can ido...
doctor
Answered by Dr. Nidhi Setia (19 hours later)
Brief Answer:
In next pregnancy,Tablet macgest and injection Proluton depot.

Detailed Answer:
Hello,

Sorry for late response,

As per advise you should not plan to conceive atleast for 3months.

And you should take folic acid from now onwards.

In next pregnancy,as soon as you get pregnant,you should start taking micronised progesterone as Tablet macgest 200mg(prescription drug) for 4months and Injection proluton depot weekly for 4months(prescription drug).These drugs help in sustaining pregnancy.
consult your gynecologist for this.

Hope this helps.

Feel free to ask further.

Thanks.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Nidhi Setia

OBGYN

Practicing since :2009

Answered : 761 Questions

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What Does A Drop In Blood HCG Level Indicate?

Brief Answer: Advise Ultrasound and Evaluation to know the cause. Detailed Answer: Hello, Welcome to HCM, I can understand your concerns, As you told that you had bleeding and your Blood HCG level is dropped ,it suggests that you aborted. Urine pregnancy test comes positive till 2-3weeks even after abortion.Now i advise that you should go for ultrasound to check for complete abortion.consult with your gynecologist. There are so many causes for abortion like thyroid abnormality,abnormal sugar level,chromosomal anomaly,ABO incompatibility.consult your doctor. I suggest that you should evaluate before planning for next pregnancy and avoid pregnancy for 3-6 months so that your womb lining becomes healthy to conceive again. Hope this helps. Feel free to ask further, thanks.