Why is the hCG not raising although the endometrium is thick?

Question

Hi doctor,

In the home test, I observed a faint pink line on five days overdue of periods, kept checking and a faint line got a little bit darker in 2 to 3 weeks. But not exact darker as it was during my first baby time, who is a healthy boy of 10 months. I am now at six weeks four days pregnant. I took 3 to 4 hCG blood tests and the results were 400 (previously 150 and 350). I was precribed to take Duphaston due to some spots, now I am asked to stop due to hCG not rising properly. On TVS, I was told to have a thick endometrium of 20 mm. My doctor asked me to wait till next ultrasound. Also, I have been a PCOS patient and treated and delivered a healthy baby. I cannot feel any symptoms of pregnancy as I felt last time. What do you feel about my condition and advise, please? I am taking only Folic acid and asked to wait if period comes or not. Stopped Duphaston two days ago.

Answer 1

Hi,

Welcome to icliniq.com.

I have read a detailed description of your query. Beta hCG should increase around 66 % after every 48 hours in a normal healthy pregnancy. Have a strict check on your symptoms. Beta hCG if shows increase but less then 60 %, then ectopic should be excluded by having transvaginal scan and symptoms. In case of a suboptimal increase in beta hCG, actually happens in pregnancy outside the uterus. In your case, beta hCG is very less, not even above 500 and should be followed strictly. Symptoms could be abdominal pain, bleeding, etc. It is better to repeat beta hCG after 48 hours and have a detailed scan with expertise hands. Follow beta hCG scan, check in detail and report symptoms that you have to an emergency gynecologist.