2 ectopics - pregnant 3rd time help with HCG levels

Hi everyone

i have posted many things in the past year after suffering two ectopics in the last 7 months.

We found just over a week pregnant again we where not trying as such as we had potential opportunity for NHS IVF

I REALLY need some help and advise on progress so far please:

LMP: 25/09

HCG LEVELS:

25/09 = 15

27/09 = 38

28th - 50

01/10 = 137

reading online the levels look low for how far along i am (5+3) however could have i ovulated later and be more like 3 or 4 weeks?

I had scan at EPU on 25/09 and lining was 9.7mm which they said was ok

i found this calculator online for HCG levels im at just going out of my mind with worry.

First hCG Level:*

50

Days Past Ovulation(DPO):Second hCG Level:*

137

Hours Between Tests

96

Calculate Reset

Total hCG Difference: 87 mlU/ml (174%)

hCG Doubling Every: 2 days 18.02 hours (66.02 Hours)

2-Day Increase: 83 mlU/ml (66%) (normal)

it says normal but i just need some advise.

thank you xxx

Dear E89,

Whispered congratulations on your pregnancy,

Unfortunately I am not medically trained and with limited information I am unable to comment specifically on your case.

To provide an overview - with a healthy pregnancy, hCG levels typically double every 48-72 hours. If levels rise normally, they can suggest (but not give a certain answer) that the pregnancy is implanted in the uterus. HCG levels that rise by less than 66 per cent over 48 hours can mean the pregnancy MAY be ectopic. So while hCG levels can rise with an ectopic pregnancy this isn’t necessarily at the “normal” rate. Declining levels can indicate that the pregnancy has ended - possibly a miscarriage or an ectopic pregnancy that is “self resolving”.

However we are all different and levels can rise at differing rates, especially when trying to date your pregnancy. I’ll share my personal experience with you, my first pregnancy after my ectopic pregnancy, I was admitted with abdominal pain. By my dates I was over 5weeks. The ultrasound scan didn’t show anything and I was told my hCG level was low for the dates. I was informed this would probably be an ectopic pregnancy and had to wait a further week for a scan. On the scan was a heartbeat and baby was in the right place.

This is why it is so difficult to comment on hCG tests alone, but it is reassuring to see yours are rising. The transvaginal ultrasound scan is important in determining whether the pregnancy is located in the right place. I know how the days seem to drag before we can have the scan and waiting feels like forever!

Sadly I do have to remind you that if you experience and abdominal pain, shoulder tip pain, bleeding or start feeling dizzy or unwell to seek urgent medical advice.

Having said that, the chances of a further ectopic after a first in UK is 10%. So thats 90% chance of the embryo being in right place this time. I truly understand how you feel. when I became pregnant after my ectopic pregnancy, my mind started racing and I was only really able to relax to some degree after my early scan. It is a nerve-wracking time and you have a friend here who understands how you are feeling.

Sending much love,

Karen x


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Further information is available at www.ectopic.org.uk

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Thanks for your reply Karen

I started bleeding this morning so not hopeful :frowning: also cramping

Waiting for EPU to call with HCG from this morning.

xx

Levels went down bleeding really heavy they think miscarriage. Back next Thursday for repeat bloods

why after 2 ectopics and getting in in the right place would this happen i feel so lonely and lost its just not fair theres no hope for me

i feel absolutely devastated

Dear E89,

I am so sorry to hear this. To suffer one loss is hard enough, to experience multiple losses is heartbreaking. My heart truly goes out to you.

You are so right, it isn’t fair. It however isn’t your fault and there is nothing you could’ve done to have prevented any of your losses.

I am thinking of you and sending huge warm hugs.

We will be here for you for as long as you need,

Much love,

Karen x

Thank you for your kind words Karen x

I am stating to worry as i have not started bleeding properly yet. Any idea when this will happen?

Thanks

xx