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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Am I Miscarrying If Having Red Bleeding, Levels Dropped To 3660?

I am roughly 6-7 was pregnant, had cramp & spotting sat went to a&e checked my Cervix which was closed ang hcg level of 4220, back in today with red bleeding no cramps and levels dropped too 3660, am I miscarrying? So gutted please have you got some information for me?
Thu, 30 Jan 2014
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OBGYN,  's  Response
Hello
Thanks for writing to us with your health concern.
Basically, in a healthy normal intra uterine pregnancy, the B HCG levels should more than double in 48 hours.
They DEFINITELY should not fall.
YEs, a dip in B HCG levels almost inevitably indicates a non viable pregnancy.
Termination is in order.
If you have a complete miscarriage naturally, thats good for you.
Otherwise, a surgical evacuation might be required to complete the process.
ANyways, please have an ultrasound to confirm that the abortion is indeed through.
Given your history of cramping and bleeding, with the drop in HCG levels, the diagnosis is almost confirmed though.
After an abortion, avoid pregnancy for atleast 6 months.
Take regular folic acid supplements in the meanwhile.
Take care.
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Am I Miscarrying If Having Red Bleeding, Levels Dropped To 3660?

Hello Thanks for writing to us with your health concern. Basically, in a healthy normal intra uterine pregnancy, the B HCG levels should more than double in 48 hours. They DEFINITELY should not fall. YEs, a dip in B HCG levels almost inevitably indicates a non viable pregnancy. Termination is in order. If you have a complete miscarriage naturally, thats good for you. Otherwise, a surgical evacuation might be required to complete the process. ANyways, please have an ultrasound to confirm that the abortion is indeed through. Given your history of cramping and bleeding, with the drop in HCG levels, the diagnosis is almost confirmed though. After an abortion, avoid pregnancy for atleast 6 months. Take regular folic acid supplements in the meanwhile. Take care.