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Heavy Bleeding but HCG has tripled

34 replies

PregnantForNow · 13/02/2025 17:52

Hi have NC for this one.

I'm currently around 4 weeks pregnant really early days. I had heavy bleeding for 1 day with small clots and somewhat lighter but still very noticeable period like bleeding a day before and a day after (today).

I had bloods taken at the start of the week which came back very low and I was told too low to be viable, especially given the bleeding. I then had repeats bloods 48 hours later which have tripled. Still low numbers, but three times higher than they were. EPU are surprised by this given the bleeding I've had and the cramps.

Has anyone had this and had a successful pregnancy? Or any experiences with this at all.

OP posts:
RBowmama · 17/02/2025 03:24

Hi op sorry you're going through this 😔 I had heavy bleeding not long after a loss and I was convinced it was another miscarriage, passed massive clots at around 9wks so it seemed unfathomable that the pregnancy was viable. I even told close family and friend it was happening again, DH called my work and told them the situation. We were told we needed to wait until maternity opened in the morning for a scan as they had better equipment. We spent all night mourning another loss and what the future looked like for us... scan in the morning showed a perfect heartbeat 😊 and it turned out to be a haematoma which did cause a few more bleeds but DC was and is a perfectly fine little miracle. Praying things work out well for you op ❤️

PregnantForNow · 14/02/2025 14:04

I have been reading about those. Obviously I'm praying that's what this is as means my baby should be okay.

I don't know what I'm hoping for here. I want to see a rise as that means the chances of the baby having survived are better. But I'm scared of a rise that means it's ectopic and getting bigger in the wrong place.

More bloods tomorrow and everything crossed for a happy outcome to this somehow.

OP posts:
YoungMacDonald · 14/02/2025 07:21

An ectopic is unlikely to present on a scan until 5-6 weeks unfortunately. At this stage, bloods are the only way to monitor the pregnancy.

Your next set of bloods will provide more clarity and depending on the results, you might be booked in for a scan the week after next.

A subchorionic hematoma is still a possibility - they are incredibly common in early pregnancy and cause heavy bleeding but not necessarily the loss of the pregnancy.

PregnantForNow · 14/02/2025 06:35

That's exactly what is next, more bloods, watch and wait and hope for the best. There was so much blood I can't understand how I could still be having a normal pregnancy, but is such a major head fuck to be told you've had a miscarriage, experience so much bleeding and then be given this small cautious nugget of hope. I don't really believe there will be a healthy baby at the end of this but I am just hoping so much that I won't have to suffer another ectopic.

I wish I could be scanned and just check where the pregnancy is located but they've said they won't be able to find it yet.

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YoungMacDonald · 14/02/2025 06:02

The test looks about right for 15 / 16 dpo.
So on Tuesday, you might have only been 12dpo? If so, HCG of 9 at 12dpo isn't terribly low.

EPU may well want to continue with bloods every 2-3 days for the time being. Ectopics usually have a slower rising HCG rate so the likely course of action will be a watch and wait approach. I know how terribly upsetting this is for you at the moment given your history.

PregnantForNow · 14/02/2025 05:52

This is this morning's test. The thing is I have no idea what HCG looks like on a test at 30 or 60 or anything so all this really tells me is that I've still got HCG in my system - I knew that! I guess I'm somewhere between 15-19 DPO. I had the blood taken as the tests were faint and I was experiencing cramping and spotting (at the time - it hadnt got to proper flow yet on Tuesday). I've got a history of loss and ectopic so extreme anxiety. My bloods never showed a tripling rise with my ectopic or other loss. Obviously very scared about ectopic again which is what prompted the the blood tests, but they explained a slow/low rise is what they expect with an ectopic.

Heavy Bleeding but HCG has tripled
OP posts:
PregnantForNow · 14/02/2025 05:42

First blood was Tuesday - reading of 9. Given I had my first extremely faint line 2 days before (on a sensitive IC) that I was told it was too low to be viable. Then bloods taken Thursday were 3 times higher. It's obviously still low but EPU said the rise is more important than the number itself at this stage, as well as also telling me that I shouldn't be too hopeful. I'm trying not to be too hopeful but after being told I'd miscarried this news has obviously given me hope.

The twin thing is basically the only way I could see that has this end with a viable pregnancy. But I've never heard of a hematoma before.

OP posts:
YoungMacDonald · 14/02/2025 05:30

I'm sorry that you have so much worry at a time that should be full of excitement.

From your post, you have had heavy bleeds on Wednesday & Thursday. Your low but fast raising HCG was on Monday / Tuesday?

This could be a number of things. One of which is what you're fearing - an early loss. This could also be a hematoma which causes a heavy bleed in early pregnancy.

How low were your numbers earlier this week?

Lyannaa · 13/02/2025 23:23

I'm sorry, I'm no doctor or HCP and sorry for the worry this must have caused you.

Is there any possibility that you had twins and one didn't make it but the other one is fine?