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Old 05-02-2007, 01:19 PM
MegIan21 MegIan21 is offline
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HCG Levels Not Doubled in 48 Hours - always bad?

Hello everyone.

Can anyone reasure me here? I have had two ectopics, lost my tubes and had IVF. I am now 5 weeks pregnant but my clinic just called and said my beta level did not double in the last 48 hours and they are concerned.

So how concerned should I be too? I went from 68.4 to 130 in two days. Then three days after that I went to 377.

Today I am only 519, when I guess I should be at least 754.

Does this mean another ectopic for sure? Everything I read says double in two or three days so why would they not test me again tomorrow?

I go on Friday (today is Wed) for an ultrasound but a 5 weeks, 2 days, I doubt they will see squat which will just panic me more.

Anyone help here? What a rollercoaster from good news to worried news. I can't do another surgery and lose another pregnancy, I just can't. Why don't I ever get the happy ending?

Meghan
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Old 05-02-2007, 01:49 PM
aaronsgrl2005 aaronsgrl2005 is offline
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Hi my name is maegan and I am really sorry to hear this because I have had 4 miscarriages now. On this last one my beta was 433 on april 2nd and on april 4th it was 698 then on april 10th or 11th it was 845 then on april 16th I had an ultrasound and they said everything looked good and the heart had started beating a week before that. I had my beta done again on april 17th and it went down to 745 well I had started spotting so I went to the doctor and they said that everything looked good that sometimes during pregnancy the beta goes down doesnt always mean bad. Then on the next wednesday it seemed like there was more so I went to the er and they did bloodwork,urine test, and an exam and checked for heart tones. Well the hearttones were 143 but she couldnt keep them she said it was to early she though but she had that trace the doctor did my exam and said my cervix was closed so that was a good sign and my beta came back at 1470 so I was all excited thinking everything was alright well this past friday I went to the doctor and he was going to check my beta again but he did an ultrasound first and found that there was no heartbeat and the baby had stopped growing five days before that ultrasound. So he did bloodwork to check my bloodtype which I am o positive so that had nothing to do with it now that I have had 4 miscarriages he is doing extensive testing on me to see if we can figure out what is wrong why I can get pregnant and cant carry. I am hopeing its something easily taken care of because I want a child so bad and feeling like I get so close everytime and lose it. Ok I think thats all for now all I can say is good l uck and you are in my thoughts and prayers and keep me updated and I will try to help you the best I can with what I have been through so far on my almost 5year journy. I hope to hear from you soon.
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Old 05-02-2007, 02:23 PM
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KarryB KarryB is offline
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I'm sorry that I can not give any insight to this, but I did want to say good luck. a prayer going up for you and your little bean!!
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ME - 35 fine
Dh- 36 motility issues
natural 15 years ago -- DS
TTC -9 years
Appt with RE on 12-12-06
Ovary function test - normal
12-28-06 - waiting to hear my RE for next step
1-11-07 - Next RE appt to discuss options
Going to do IUI with Gonal F
IUI scheduled for 1-26-07
Beta 2-6-07 -
RE appt - 2-9-06- b/w & u/s
2-9-07 found cyst..off this month
3-12-07 - started back on injections
3-23-07- 2nd IUI
4-4-07 Beta--
4-5-07--round 3-
4-16-07 3rd IUI
Beta 4-28-07
4-27-07-

Lucy (mix dog) best dog EVER!!

Trying the good ole fashion way!!
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Old 05-02-2007, 02:53 PM
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gingerj gingerj is offline
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Sorry you are feeling discouraged and down!! I don't have any experience with this but hang in there. Hcg increases differently and slower in some. Lets hope you are a slow Hcg producer and can cont. a healthy pregnancy!! Don't lose hope & try to stay positive. Sending lots of prayers your way for you and your little one!!
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ME: 32, ?'d endo,dismissed for now; otherwise ???
DH: 36, slightly low count, some motility issues
Macey Max Lainey Lucy
TTC 18 mos
* DH 2nd analysis 3/01, triple in count!
1st IUI 3/01/07
2nd IUI 4/25
Currently taking a break....
7/09/07 on 2 hpts & Beta 2664
EDD 3/10/08
U/S 7/23/07 7 weeks, strong heartbeat!
2nd U/S 8/14/07 10W2D heart rate 167!!
U/S 10/22/07 ITS A GIRL!!!!!

5 weeks early!! Addison Elizabeth Claire born 2/06/08!!!!!

2weeks: 7lbs 3oz 20 1/2 in long
2months: 12lbs 7.5oz 23 3/4 inches long (90-95percentile for height & weight!)
4months: 16lbs 26 in long
6months: 17.5lbs 27 1/2 inches
9months: 20lbs 13oz 30.25 inches long!!

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Old 05-02-2007, 08:24 PM
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mom4kitties mom4kitties is offline
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I wouldn't panic yet. There are several people on here who shared their slower numbers, which weren't even close to doubling, and their pregnancies are doing just fine. Remember, they don't always have to double and a 60% increase is still considered normal. As long as they are still rising, try to stay positive. My numbers didn't go up nearly enough and I ended up losing my baby, but they weren't anywhere near as high as yours are (my highest number was 138.6), so I think you may just be on the low end of normal. The nurses always try to prepare you for the worst just to cover themselves, but rising numbers are a good thing! These will probably feel like the scariest days of your life, but try to feel reassured by the rising numbers and enjoy every moment of your pregnancy. Best of luck and please keep us posted!!
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Me: 28
DX: PCOS, hypothyroid
DH: 27 - Perfect!
Kitty babies: Zeus & Ceres
TTC #1 since 12/05
Letrozole CD 3-7
4/15/07: !!!
4/28/07: Little Angel lost to chemical pregnancy at 5w6d
Letrozole CD 3-7
7/19/07: HPT...
Letrozole CD 3-7, Gonal-F injections - 75 iu, CD 8-11
8/21/07: HPT...
Menopur
9/16/07: CD 1
10/18/07: HPT Beta at 10dpo: 30
10/22/07: Beta #2... 343!!!
11/8/07: 1st u/s... HB: 129 bpm!!!
12/14/07: NT scan... Great!! HB: 160 bpm!!
1/11/08: HB: 140 bpm!!
2/7/08: Gender u/s... It's a Girl!!!!
Born on her due date (6/30/08) at 9:10 pm!
Welcome Anna Faith!!
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Old 05-03-2007, 08:13 AM
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jenedens6102 jenedens6102 is offline
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If you've lost your tubes there shouldn't be the possibility for an ectopic. But yes it could mean miscarriage. The beta numbers don't HAVE to double in 48 hours. They should double within 48-72 hours. As long as the beta number rises at least 60% within 48 hours things look promising. Sometimes women are slow risers. We have a few examples on this forum who had beta that didn't rise appropriately but they are pregnant and things are successful those far. So don't give up hope.
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Jen - 26 hypothyroidism
DH - 27 (low count, low motility, morphology)
TTC since December 2002
3 failed IUIs, 1 failed IVF
TTC Naturally in 2007 (Fertility Blend)
March 2007 - ectopic
July 07-March 08 Ethan Matthew Edens born 3/17/08 via c-section
6:07 p.m. 8 lbs 7.5 ouncs 21 inches
TTC #2 in 2009

http://www.myspace.com/jene6102

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Old 05-03-2007, 04:09 PM
MegIan21 MegIan21 is offline
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Unhappy Thanks

Thank you every one one for your replies, and support and prayers. Maegan I am so sorry to hear of your loss. I guess we have all had terrible pain and at least we have a place to go where someone understands.

I will post to let you know what they say at my ultrasound tomorrow but at 5 weeks, 2 days, I doubt very much whether they will see anything conclusive.

And Jen, unfortunately, I can definately have an ectopic with no tubes. It is called a cornual ectopic, where the baby lodges in the space where my tube attaches to my uterus. No matter how close they "cut" your tubes, that space exists. I guess the scar tissue can sometimes act like a wee magnet and draw the embryo in to implant there.

I knew of the risk with IVF of another ectopic but it was only 5% so I thought I was pretty safe.

Thank you again,
Meg
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Old 05-03-2007, 05:52 PM
TGB TGB is offline
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A Positive Slow Beta Story!!!

I know the old timers on this board must get sick of me and my story but it's a good one...

I had my first beta it was 50 -- two days later -- 70 -- two days later -- 120. My RE was convinced this wasn't a viable pregnancy. I went in four days later and was 230 (oddly, I can't remember the extact number). I was so upset. My nurse told me this was really bad and she just didn't see any way this would work (she wasn't being mean just honest). So I asked for a shot to terminate the pregnancy because I was having such a hard time the ups and downs. She said no because there is always a small chance. Two days later -- in the 700s. Even then they thought it would be an ectopic. I went in for an u/s and there my little bean was -- right where it should be.

I am happy to say I am about 16 weeks now and everthing (at the moment) is fine. Even after the beta nightmare I've had two episodes of spotting that ended ok.

I know you are going through a really stressful time but hang in there. Remember -- betas are like everything else with pregnancy -- they vary from mother to mother.
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Me:36 poor ovarian reserve
DH:36 perfect!
ttc: 4 years
m/c 03/05 (natural cycle)
1 IVF (donor egg) -chemical pregnancy
02/05/07 - FET (donor egg)
02/12/07 - HPT
03/28/07 - "Graduated" to OB GYN
05/24/07 -IT's A GIRL!!!
Hadley was born 09/29/07
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Old 05-03-2007, 06:36 PM
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jencat215 jencat215 is offline
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Oh Meghan- I am so sorry you are so worried. I hope TGB's story helps ease your mind until your u/s tomorrow. I will be for you and your little one.
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Me: 35 MTHFR hetero, no other issues
DH: 33 Perfect
Etienne , Jake , Sam (cats) Maggie (iguana)
TTC #1: 2 yrs
2 m/c (Aug '06 and Jan '07), 1 ectopic pg (lost left tube)

5 IUI's

5/27: beta #1: 716!!!! (17dpo) Natural cycle!
5/29: beta #2: 1885!!!!
6/1: early u/s-1 sac/yolk
6/9: u/s#2-saw and heard hb! 114 bpm. Measuring 6w2d
6/17: u/s #3- hb 154 bpm. Measuring 7w3d
7/1: u/s #4- hb 161 bpm. Measuring 9w4d
7/9: first OB appt.-u/s #5- hb 152 bpm. Measuring 10w4d
7/17-NT scan-everything looks great! Measuring 11w6d
8/14-quad screen (quick gender check):
IT'S A BOY!!!
9/4- Level II u/s. Baby is doing great! Measuring 5 days ahead.





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