“Pregnancy after miscarriage?”

Your HCG levels post miscarriage will drop fairly quickly but that all depends on how far along you were, whether there was a fetus and if you passed the ‘products of conception’ completely or incompletely despite not having a D&C. Progesterone (P4) is absolutely necessary for a healthy implantation of the fetus and a sustained healthy growth of the pregnancy. Without adequate levels of Progesterone, you can get pregnant, and then you may miscarry simply because your P4 levels are too low to sustain a healthy pregnancy. And many women may not even have a period on their own after a miscarriage; if your body triggers a menstrual cycle and you ovulate, you may actually become pregnant which would trigger by a urine pregnancy test as early as the day or 2 before you expect your period; but it would certainly trigger a urine pregnancy test if it was a weak positive, then followed by a stronger positive test 2days later. Despite a rising P4 level (which is excellent!) also get a quantitative serum pregnancy test of quant HCG; this number should double every 48hours if it’s growing appropriately. However, an ectopic can also mimic a normal pregnancy that’s inside the uterus; it will also double HCG numbers but you may have pain by 4-6wks with or without bleeding; then you need to be seen by and OB and rule out an ectopic which could rupture and end up with life-threatening internal hemorrhage, surgery or even loss of your tube on that side. Check out my book Blossoming: Becoming a Woman on Amazon for $19.95; it walks patients through the menstrual cycle and can be a great resource in helping you understand how your body works, saving you phone calls to your doctor’s office or costly appointments/time off of work to answer questions that you may continue to have.

Dr. Vicki Mondloch

When was that bag drawn and when was the last progesterone level drawn? Also, how many weeks of pregnancy for that loss? Early pregnancy is possible. Need the requested info and repeat the labs. Other possibility, this is from the loss still dropping, but not knowing where your numbers prior to and in weeks of pregnancy, I would just be guessing. Sorry.

Usually the antecedent pregnancy with the miscartiage will resolve ig the HCG level gets to < 5. So follow your level as such. There could be herterotropile substance interferance but it is not likely given your circumstance.