Could an early drop in bHCG level affect the fetus?

Question

Hello doctor,

I am a 25-year-old woman. I think I am pregnant, but due to irregular cycles, I do not know if it is.

Initially, I got a beta hCG level of 2, then 39, and then it reduced again. I took Meprate, and bleeding is persisting. I am taking Ovral L. Today, I felt tired while waking up and vomited. I am taking Ovral L, Normoz, and Metformin. Previously, I had a positive pregnancy result, but bHCG again declined as a whole change in beta hCG.

Does it affect my baby?
Can I give birth to the baby?

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

It appears that your pregnancy hormone, beta-hCG (beta-human chorionic gonadotropin), initially rose slightly and then declined, which usually indicates a failing or non-viable early pregnancy (chemical pregnancy or early miscarriage).

Taking Meprate (Progesterone) and later Ovral L (a hormonal contraceptive) after this would not harm a baby, as these medicines do not affect an ongoing pregnancy once it has already failed.

The bleeding you are experiencing is likely related to both the hormonal changes and the effect of these medications. Since you now feel tired and have vomited, it is important to ensure your bleeding is not excessive and that your blood levels are stable.

You should repeat your beta-hCG test to confirm that the hormone has returned to negative, and possibly get a pelvic ultrasound to make sure no pregnancy tissue remains.

Once everything is clear, your doctor can guide you on how to regulate your cycles and manage polycystic ovary syndrome (PCOS) safely before planning another pregnancy. The good news is that this episode will not affect your future fertility, and with proper hormonal balance and timing, you can have a healthy pregnancy in the future.

I hope that this answers your query.

Kindly follow up if you have more doubts.

Thank you.