I just had a scan at 6w3d where we saw the gestational sac, yolk, fetal pole and heartbeat. I'd sent hcg and progesterone tests during luteal phase and at 22dpo where my progesterone seems to fluctuate between 25-17 nmol/L. The EPU doctor agreed to prescribe 2 weeks of 400mg of cyclogest just based on my previous losses and for GP to re-prescribe, but emphasised there was no evidence to say this would help as I'm not bleeding. She also said the MMC I had in September had been genetically abnormal but didn't go into more detail over the phone and I was too taken aback with her telling me why she shouldn't prescribe, but that she was, to ask for more details. I had doubted that they'd actually tested the pregnancy tissue like we'd asked, but I think that can take weeks/months. That pregnancy also had a heartbeat at 6w2d, but I have 2 more weeks to wait this time rather than 3 for the next scan.
The hcg and progesterone tests I had on the 19th Dec at 22dpo were 321 nmol/L hcg and 21.7 nmol/L for progesterone. My FRER test was about equal lines then. The hcg is much lower than usual but still seemed to be doubling based on when I first tested positive and when I got a 2-3 week clearblue test. I had really strong dye stealers with FRER at 25 and 27dpo, but then today at 32dpo the lines looked equal again. I wasn't sure if the hcg levels need to be a certain level to show the progression on scan with heartbeat etc and if the scan in two weeks basically overrules any blood tests now, as I was going to send weekly blood tests.
I'm also concerned with the abnormality and wondering if it's something like a balanced translocation, which might explain why we had losses between 2008-2010 and/or is this compounded by my age? The recurrent miscarriage clinic didn't want to see me because of my age, bmi and because I've had 2 daughters in 2008 and 2011. My cycles have only regulated enough for me to be able to conceive again in the last 6 months which is why we are getting pregnant now. The underlying infertility issues suggest borderline PCOS, but that's never been confirmed other than raised testosterone, cortisol and prolactin. The fact my FSH and AMH are really good for my age possibly suggests PCOS as well though. it just really feels like my risk factors are stacked against me getting beyond early pregnancy, but then we managed to twice before. With our second daughter, we went through three losses at 5-6 weeks to get her and I don't know that I have the same tenacity at 44 as I did at 32, though it seems to be much easier for me to get pregnant now with a more regular cycle.