Chemical Pregnancy

Loss of pregnancy (miscarriage) shortly after implantation is called chemical pregnancy. Chemical pregnancy does not cause any symptom apart from abdominal cramps and bleeding, which many women think to be normal menstrual bleeding.

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Pregnancy test had two mildly visible lines, but it is now negative.

Query: Hello doctor, I had unprotected sex six weeks ago and my period was late for two weeks. I used the first PT when my period was five days late and it has two lines but it is not that visible. After three days, I tried again and it is already negative. Up to the two-weeks late period, all PT are negat...  Read Full »

Dr. Natalie Chaitan

Answer: Hello, Welcome to An initially positive pregnancy test that later becomes negative can happen with very early miscarriages. Such miscarriages can occur with little or no initial blood loss. These are termed chemical pregnancies, as they are lost before they attach to the womb and befo...  Read Full »

Does my hCG value of 54.50 mIU/mL indicate pregnancy?

Query: Hi doctor, I am a 26 year old female. My LMP was on the 8th of last month. I missed my period this month. I have done a home pregnancy test on the 10th of this month, and I have seen a faint line which was confusing. So, I took a beta hCG blood test and got the result as 54.50 mlU/mL. Could you ple...  Read Full »

Dr. Deepti Verma

Answer: Hi, Welcome to I have gone through your question and understood your concern. I have reviewed the reports (attachment removed to protect patient identity). The pregnancy is definitely there. However, I will suggest you get a repeat beta hCG (human chorionic gonadotropin) test after 48 ...  Read Full »

We found our fetus with no heartbeat in the first trimester and worried about the consequences. Please help.

Query: Hi doctor, My wife is now 8 weeks and 5 days pregnant. She started to bleed three days back and felt little cramps. We had our first early trimester scan and they said that they are unable to detect fetus heartbeat. They arranged for another scan in some 15 days. She is taking Pregnacare Folic acid....  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome to If she is 8 weeks and 5 days gestation as of today and still there has been no heartbeat or a fetal pole, then it is likely to be an anembryonic gestation or a chemical pregnancy with just the gestational sac. If the fetal pole and the heartbeat have not arrived t...  Read Full »

How can you increase your chances of implantation?

Query: Hello doctor I have tried chemical pregnancy four times and failed shortly after implantation. This issue lasts for a year. My current medications are Escitalopram 20 mg daily, fish oil capsule, and prenatal iron tablets. I visit my gynecologist every three months, but he has not suggested any medi...  Read Full »

Dr. Purushottam Sah

Answer: Hi, Welcome to Are you taking any hCG (human chorionic gonadotropin) injection to induce ovulation? Because it may give false pregnancy results. You seek Progesterone cream or Aspirin, but these cannot be advised without any investigation to detect that you have a progesterone deficie...  Read Full »

Will the progesterone level be high in a chemical pregnancy?

Query: Hi doctor, My height is 5 feet 5 inches, and I am 145 lb. My last menstrual bleeding was on the 24th, four months back. I got my progesterone level checked on the 21st day of my cycle. I got my reports on the 16th of next month as 4.7. After that, I did not get my menstrual bleeding. A week later, ...  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome to You have not mentioned the units of progesterone, which makes it difficult to decipher here with regards to luteal phase defect or deficiency (Ideally, serum progesterone levels in nonpregnant women in the luteal phase is 2 to 25 ng/mL or 6.4 to 89 nmol/L). Consideri...  Read Full »

I have a thick endometrium and no gestational sac. Can I be pregnant?

Query: Hello doctor, I took a home pregnancy test 44 days after my last LMP. I underwent my pelvic scan today and it says I have no gestational sac and have a thick endometrium. I have very mild bleeding for the past two days and slight press on my right lower abdomen. My doctor has suggest...  Read Full »

Dr. Balakrishnan. R

Answer: Hello, Welcome to You can definitely take a long flight. What you had was a biochemical pregnancy meaning pregnancy hormones only in blood and urine and not on the scan. Urine pregnancy is positive when the blood level of beta hCG (human chorionic gonadotropin) hormone is 25 IU/mL. B...  Read Full »

I am trying to conceive and this month I bled little early with scanty bleeding. Is this pregnancy?

Query: Hello doctor, My last period started a month back and I have a regular cycle of around 32 days. I am trying to conceive and I also noted date during ovulation and implantation dip but suddenly a few days back, I started to bleed which was dark brown in color initially and the amount was less than p...  Read Full »

Dr. Mashfika N Alam

Answer: Hello, Welcome to If you are trying to conceive, there is always the possibility that you are indeed pregnant. However, it is just a month and at this point, it is too early to tell what is going on for sure. The light bleeding could be implantation bleeding or it can be regular perio...  Read Full »

What causes variation in home pregnancy test results?

Query: Hi doctor, Before eight weeks, I had a urine pregnancy test through home pregnancy kit and it was positive. But, I never get a positive result after that until yesterday. I am noticing only a faint line. I have also used different kits and the answer is always negative. What could be the reason?  Read Full »

Dr. Ashwini Nanasaheb Talpe

Answer: Hi, Welcome to The home pregnancy test can also give rise to false positive results. But, it is 99% correct. Another thing is that, you have to interpret the report in 2 minutes. If you check for result after 15 minutes, sometimes test may come positive. But, that is not correct. Be...  Read Full »

When to plan the next pregnancy after a biochemical pregnancy?

Query: Hi doctor, I had a biochemical pregnancy before two months. Initially, my hCG test showed 11 and after a couple of days it was 9. Then, I had an endometrial lining scan and it showed a simple right ovarian cyst measuring 33 x 27 mm. So, doctor prescribed Meprate and I got my periods on the 27th of l...  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome to As you have got your menses on the 27th of last month, now the endometrial lining has been shed and the concern about biochemical pregnancy persisting is completely out. But, the size of the simple follicular cyst over right ovary would need to be re-ascertained with a...  Read Full »

What harm would growth hormone and Anavar do to fetus?

Query: Hello doctor, I am 38 years old and I have been taking HGH and Anavar for six months for my training and weightlifting. I am also single and had no plans for ever getting pregnant but I am now 5 weeks pregnant and do not know a safe way to get off the GH. I was taking 4 IU a day. I am not sure if i...  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome to Congratulations on your pregnancy and on having escaped literally in the nick of time from the potential risks of Anavar. Anavar contains Oxandrolone, which is a male hormone derivative, if taken inadvertently during pregnancy, then it causes virilization (masculiniz...  Read Full »

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