Some Info About Empty Sacs HCG S And Progesterone

7 Replies
Kay - June 1

A little over two and a half years ago, I went three weeks and through four ultrasounds believing I had a blighted ovum. I was determined to have a natural miscarriage and turned down the D&C twice. Well, long story short, at just about nine weeks (with only one possible date of conception) we saw my baby. My hcg's were over 100,000 and the sac measured 28.5mm. This week, she'll be two years old. Since that time I've learned alot and I know hcg and ultrasound questions arise here, so let me share what I've learned in the hopes that it will help you. If any of this information is of interest to you during your pregnancy, take what you've learned to your physician and if you feel your physician is not being straight with you or giving you the attention you need, get a second opinion. Most importantly, remember, you have the right to know without a doubt what is happening in your pregnancy. My doctor was wrong about my miscarriage and I read stories weekly of other women who have been scared and misdiagnosed. (taken from conceivingconcepts.com) Accordingly, the key to interpreting the true value of HCG measurements is to look at their progression. In general, the HCG level will double every two to three days in early pregnancy. Approximately 85 percent of normal pregnancies will have the HCG level double every 72 hours. However, as you get further along in your pregnancy and the HCG levels get higher, the expected doubling time increases. * For HCG levels <1200 mIU/ml, the expected doubling time is 48-72 hours. * For HCG levels 1200 to 6000 mIU/ml, the expected doubling time is 72-96 hours. * For HCG levels >6000 mIU/ml, the expected doubling time is >96 hours. HCG levels peak at about eight to 10 weeks of pregnancy and then decline, remaining at lower levels for the rest of the pregnancy. Here is a sample listing of expected HCG levels based on time after conception: * 0-1 week: 0-50 mIU/ml * 1-2 weeks: 40-300 mIU/ml * 3-4 weeks: 500-6,000 mIU/ml * 1-2 months: 5,000-200,000 mIU/ml * 2-3 months: 10,000-100,000 mIU/ml * 2nd trimester: 3,000-50,000 mIU/ml * 3rd trimester: 1,000-50,000 mIU/ml * Non-pregnant females: <5.0 mIU/ml * Postmenopausal females: <9.5 mIU/ml Just keep in mind that hcg's do not need to double in 48 hours to have a normal pregnancy. After 6000 or so, they can easily take four or more days to double. Also, after 7 or 8 weeks, hcg's are a poor indicator of miscarriage because they do tend to plateau and decline near the end of the first trimester and exactly when they do varies from woman to woman. Also, just a few things i've learned: About progesterone If you have short cycles (under 26 days), are an 'older' mother or highly stressed, you should have your progesterone checked. Progesterone is key to acheiving and maintaining pregnancy. If hcg's are not rising properly or the baby's heartbeat is slow, you may have progesterone issues. Some studies indicate synthetic progesterone has side effects but prescription natural progesterone has been shown to really benefit a pregnancy. One study I've read examined a group of women with threatened miscarriages who were seven or more weeks along. They were given progesterone supplements and only 8% of the women actually miscarried. About a missing baby on the ultrasound or being told you are one to two weeks behind Unfortunately blighted ova are all too common but also commonly misdiagnosed. If you are ten weeks or so and under and are told you may have an anembryonic pregnancy (aka blighted ovum), you need to ask if you have a tilted uterus (aka retroverted or tipped uterus). Women often do not know they have a tilted uterus and doctors rarely mention it because it is so common. If you have a tilted uterus, you have a good chance that your baby will be seen a bit later and you will probably be told you are one to two weeks behind. However, during the second trimester when the uterus is back in a more normal position, your dates will be right on again. This happens alot and is very common. If you do not have a tilted uterus, babies are generally seen by 8 to 9 weeks. With a tilted uterus, women report seeing their babies any time between 7 to 11 weeks with an occasional case after 11 weeks. Is it safe to wait for a D&C? The quick answer is YES. Newer research shows that as long as you know the signs of infection (i.e. fever, odor, abnormal pain, etc...) and stay monitored by a physician, you can wait to schedule your D&C. In fact, studies are showing that women having D&C's actually have a very slight increase in numbers of infections over women who have natural miscarriages. If you are interested in more information: Saving Babies Online (progesterone and pregnancy stories) http://lowprogesteroneinpregnancy.741.com/ Misdiagnosed Miscarriage http://www.misdiagnosedmiscarriage.com HCG levels in pregnancy http://www.conceivingconcepts.com/learning/articles/hcg.html I hope this information helps somebody. I only wish I'd had all this information in one place when I went through my scare.

 

Kay - June 1

Let me try formatting this somehow since hitting enter doesn't seem to work ====================== A little over two and a half years ago, I went three weeks and through four ultrasounds believing I had a blighted ovum. I was determined to have a natural miscarriage and turned down the D&C twice. Well, long story short, at just about nine weeks (with only one possible date of conception) we saw my baby. Next month, she'll be two years old. ============================ Since that time I've learned alot and I know hcg and ultrasound questions arise here, so let me share what I've learned in the hopes that it will help you. If any of this information is of interest to you during your pregnancy, take what you've learned to your physician and if you feel your physician is not being straight with you or giving you the attention you need, get a second opinion. Most importantly, remember, you have the right to know without a doubt what is happening in your pregnancy. My doctor was wrong about my miscarriage and I read stories weekly of other women who have been scared and misdiagnosed. ========================== (taken from conceivingconcepts.com) Accordingly, the key to interpreting the true value of HCG measurements is to look at their progression. In general, the HCG level will double every two to three days in early pregnancy. Approximately 85 percent of normal pregnancies will have the HCG level double every 72 hours. However, as you get further along in your pregnancy and the HCG levels get higher, the expected doubling time increases. ============================ * For HCG levels <1200 mIU/ml, the expected doubling time is 48-72 hours. * For HCG levels 1200 to 6000 mIU/ml, the expected doubling time is 72-96 hours. * For HCG levels >6000 mIU/ml, the expected doubling time is >96 hours. =========================== HCG levels peak at about eight to 10 weeks of pregnancy and then decline, remaining at lower levels for the rest of the pregnancy. Here is a sample listing of expected HCG levels based on time after conception: * 0-1 week: 0-50 mIU/ml * 1-2 weeks: 40-300 mIU/ml * 3-4 weeks: 500-6,000 mIU/ml * 1-2 months: 5,000-200,000 mIU/ml * 2-3 months: 10,000-100,000 mIU/ml * 2nd trimester: 3,000-50,000 mIU/ml * 3rd trimester: 1,000-50,000 mIU/ml * Non-pregnant females: <5.0 mIU/ml * Postmenopausal females: <9.5 mIU/ml ========================== Just keep in mind that hcg's do not need to double in 48 hours to have a normal pregnancy. After 6000 or so, they can easily take four or more days to double. Also, after 7 or 8 weeks, hcg's are a poor indicator of miscarriage because they do tend to plateau and decline near the end of the first trimester and exactly when they do varies from woman to woman. ====================== Also, just a few things i've learned: About progesterone If you have short cycles (under 26 days), are an 'older' mother or highly stressed, you should have your progesterone checked. =================== Progesterone is key to acheiving and maintaining pregnancy. If hcg's are not rising properly or the baby's heartbeat is slow, you may have progesterone issues. Some studies indicate synthetic progesterone has side effects but prescription natural progesterone has been shown to really benefit a pregnancy. One study I've read examined a group of women with threatened miscarriages who were seven or more weeks along. They were given progesterone supplements and only 8% of the women actually miscarried. =========================== About a missing baby on the ultrasound or being told you are one to two weeks behind Unfortunately blighted ova are all too common but also commonly misdiagnosed. If you are ten weeks or so and under and are told you may have an anembryonic pregnancy (aka blighted ovum), you need to ask if you have a tilted uterus (aka retroverted or tipped uterus). Women often do not know they have a tilted uterus and doctors rarely mention it because it is so common. If you have a tilted uterus, you have a good chance that your baby will be seen a bit later and you will probably be told you are one to two weeks behind. However, during the second trimester when the uterus is back in a more normal position, your dates will be right on again. This happens alot and is very common. If you do not have a tilted uterus, babies are generally seen by 8 to 9 weeks. With a tilted uterus, women report seeing their babies any time between 7 to 11 weeks with an occasional case after 11 weeks. ======================= Is it safe to wait for a D&C? The quick answer is YES. Newer research shows that as long as you know the signs of infection (i.e. fever, odor, abnormal pain, etc...) and stay monitored by a physician, you can wait to schedule your D&C. In fact, studies are showing that women having D&C's actually have a very slight increase in numbers of infections over women who have natural miscarriages. ======================= If you are interested in more information: Saving Babies Online (progesterone and pregnancy stories) http://lowprogesteroneinpregnancy.741.com/ =========================== Misdiagnosed Miscarriage http://www.misdiagnosedmiscarriage.com ====================== HCG levels in pregnancy http://www.conceivingconcepts.com/learning/articles/hcg.html ========================= I hope this information helps somebody. I only wish I'd had all this information in one place when I went through my scare.

 

donna - June 1

thank you kay...i have a 21 month old and am now 6 weeks pregnant. i started out spotting, (didn't happen last pregnancy) and they took blood and gave me an ultrasound. they didn't see anything, and said i may not be as far along as i thought or could be ectopic. i also have a tilted uterus. hmmm. my levels went from 170hcg to 400 and are now at 2332. my progesterone went from 6.9 to 8.7 and are now at 4.6. i am going in tomorrow for blood work, exam and sonogram. i just hope this isn't an ectopic. i am so thankful for your post because i finally feel a little bit calm! i don't want to take any progesterone supplements because of unknown/known side effects and the fact that my body did a fantastic job with my 21 month old and i never had all these tests last time around, so who knows what my progesterone levels were! thanks again!!!

 

good story!! - June 3

Thanks for the info

 

Martie - June 13

Thanks for the info, I was just told by my doctor that I most likely have a blighted ovum. I am going in for another u/s tomorrow. My HCG level has only increased from 11000 to 12000 in 3 days. My progesterone level was at a 5 and they put me on suppliments. I was leaning toward having the D and C because I did not want to prolong the misery. But now I think I will wait it out. I don't want to regret my decision later.

 

Elizabeth - June 27

I also thank you for the post. I just went in to see the doctor and when they did a transv____al ultrsound I was measuring only 5 weeks (couldn't see the baby) and according to my dates I should've been about 6.5 weeks. I'm waiting to get the results of my blood test, but I was just wondering... When you said a tilted uterus will not show as early on ultrasound, did you mean a transv____al ultrasound? I also have a tilted uterus.

 

Katemo - July 25

Hi, could you please advise if there is a chance for misdiagnosed blighted ovum in 12 week scan, I was scared externally and internally and I was told they couldn't see anything. I had no pains and no bleeding with all normal pregnancy symptoms tiredness, sore breastfeeding etc. I'm booked for dbl check next week but I cannot believe there is nothing there. It's my second pregnancy both times conceived first time my lo is now 2y 3m. I suppose it's too late for hcg test now and I wasn't even offered one. Please help x

 

 

ashley4lou - August 20

Good morning!! I am currently pregnant and am super scared! My last period was the last week of June. We had a blighted ovum 6 months ago. At my ultra sound yesterday they said I measured 5weeks 2 days but it was an empty sac like before. I had my levels drawn last week and they were double like they are supposed to be, and my levels came back from yesterday and the doctor said they are 3182 and that is where they are supposed to be. I am so freaked out do you think I am going to have a baby, or another blighted ovum? 

 

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