Should I stop meds? HCG 57 on 14dp5dt

[blahblahetc]

Feeling quite lost here, and having a bit of a debate in my head so hoping for some advice or stories..

Got a faint line on 6dpt...
HCG was only 42 on 10dpt
then 45 on 12dpt
and today 57 14dpt

Everything is pointing to a chemical..or possible ectopic?

Any experience/advice on this?

Thanks!

I'm really sorry you're going through this. Not quite the same but I had a chemical pregnancy earlier this year.

First positive at 5dpt but tests were not getting much darker. My hcg was 37 on 11dp5dt and my home tests weren't getting any darker for the next few days so I decided to stop my meds. My period arrived 2 days later.

I did a lot of googling and decided that the chances of a successful pregnancy were really low at that level. My clinic admitted there was only a small chance of success but did advise continuing meds. I didn't want to drag things out after two previous miscarriages and feel it was the right choice for me.

At such low levels i don't think it would be possible to see anything on a scan, so not sure how they would rule out an ectopic. What have your clinic suggested? Have you spoken to your EPU?

Thanks for replying @kirstysmbc my HPT weirdly have been getting darker from day 9..

My clinic is in Prague, they advised to seek specialist advice and to continue meds. I will seek advice; prolly will get a referral to see EPU from GP, but that can’t happen until Tuesday now given the bank holiday. I’m just so undecided with the meds for now: Is there any point taking them given my figures?

I would normally start bleeding from day 12 (my previous chemicals) but I still have zero symptoms so almost want to stop meds so I can bleed.

I think there will always be the odd story of success with such low figures, so the only way to be really sure is to keep taking the meds.

At this stage I suspect all EPU can do is take blood tests to monitor the hcg. It is very frustrating to be in such a limbo.

It was a bit easier for me to make the decision re meds as I had an early miscarriage last year and my levels were 400 at 14dpt. When my bloods did eventually hit 1500 my EPU did a scan which showed things were not progressing as they should. So when my levels were way below even that, I kind of made my own informed decision.

Hey, how are you getting on? Did you get another hcg test done? Hopefully you've had some more positive news

Hey @kirstysmbc thanks for checking in, it's been a tough few days really. Finally got seen by the EPU yesterday and HCG still rising but measured only 69 (18dpt) so it's definitely nonviable. I have stopped meds. I've asked them to scan me to rule out ectopic but they want me to wait 2 more weeks😪so feeling rather stuck.

I'm sorry it's been such a tough time for you. I think at such low levels of hcg they won't see anything anyway, hence why they probably want you to wait.

Hopefully now you've stopped the meds things will come to their own natural end and you can start to move on. It only took a few days each time for me, and wasn't painful or any worse than a usual period. The limbo really is the worse bit.

Do you have more embryos to try again? Sending strength for the next few days xx

Thank you, I really appreciate your words. My first miscarriage was a missed one and I thought I was week 10, that was painful. Second one was a chemical so relatively straightforward compared to the first.. this one is “new” to me..

I haven’t tested my embryos so telling myself those were the abnormal ones (it was a double transfer); I have 4 left in the freezer so keen to go again sooner rather than later.

How many transfers have you had if you don’t mind me asking?

I'm sorry that you have also had to go through so many miscarriages. Great that you still have 4 embryos left, I really hope one of them gives you your rainbow and you don't have to wait too long for your next transfer.

I've now been through five transfers in total - mmc, dd, early miscarriage, bfn, early miscarriage.

6 own egg untested embryos created at 40 and one donor embryo. Doing my sixth transfer this month with double donor.

My remaining ones were created between 40-41, I turn 42 later this year. I have not considered donor eggs and do wonder if that’s the next step.

Dd is darling daughter? That is comforting to know, I really hope to have a daughter.

Do you have a transfer date yet?

Yes, I was very lucky to have my daughter from my first batch of embryos at 40.5, so def don't give up hope for those 4 embryos yet. I tried again with own eggs for a sibling at just turned 43 and didn't get any embryos, so decided to move to donor.

No transfer date yet, have a scan a week today and if that is ok, I'd expect transfer a week after that.

Your story brings me hope😊I have started cramping now, so hoping the bleeding will start soon.

How long did you have to wait after the early miscarriage?

I wish you all the best in your upcoming transfer! Hope your dd can look forward to a sibling soon🍀

How are you getting on @blahblahetc I hope you've not been too uncomfortable.

Hi Kirstysmbc, thanks for checking in, really appreciate it. I had a rather stressful morning sat in EPU for scans and bloods, first they thought it was ectopic but the blood now has confirmed I am miscarrying so I guess it's not-so-bad news... the cramps are manageable, just waiting to hear back from the fertility doctor and keen to try again..

This is just a difficult road. Hope all is well with you

Gosh, that sounds like a really stressful day. And it's such an awful situation to be thankful that it's just a miscarriage, but an ectopic is definitely a worse outcome.

When I've had early miscarriages in the past, my clinic have been ok for me to start treatment with the period straight after the miscarriage. So fingers crossed you don't have to wait too long to start your next cycle.