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What should I do after being tested positive for pregnancy with low HCG levels?

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Patient's Query

Hello,

I am reaching out in the hope as you will have an answer to my questions,

I took several positive pregnancy tests after a BHCG lab. It showed my HCG levels were very low for the suspected gestational age at 7.1. After a follow-up, my levels had decreased to 6.4 and progesterone to 4.4. I have not been able to reach my OB, but I am assuming this means it was a chemical pregnancy. However, I am currently having a lot of back pain, pelvic cramping and pains, dizziness, nausea, vomiting, diarrhea, and headache (nobody else in my household, including my 1-year-old, has any of these symptoms, so I am confident that this is related to this issue). I am trying to avoid going to the hospital and I am hoping for answers whether this is normal, what possible causes, and what steps should be taken next?

If possible, Let me know at your earliest convenience, please.

Answered by Dr. Priyadarshini Tripathy

Education:

MS Obstetrics and Gynecology

Professional Bio:

Dr. Priyadarshini Tripathy is a board-certified Obstetrician and Gynecologist. She has also been trained as a fellow in Laparoscopic Minimal Access Surgery (FMAS), Colposcopy, and Preventive Oncology from some of the premier institutes in India. She has acquired extensive experience in the specialty over this time, and the variety of exposure has enriched her skills and is also a highly qualified academician. She is actively involved in numerous clinical trials and medical research in infertility, PCOS, and perinatal mental health.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I went through your post and understood your concern.

The two beta HCG tests taken on consecutive days show that there is pregnancy tissue but not enough that we call it viable. However, we cannot know where the pregnancy tissue is located. It could be present in the

1) Uterus.

2) Any other location, including the tubes and ovaries.

3) Just a chemical pregnancy.

So I would recommend doing a pelvic ultrasound to localize the pregnancy tissue.

Moreover, as the beta HCG levels drop, it is a failing pregnancy. Do not worry. The cramping, uneasiness, sharp pains in my abdomen, vomiting, diarrhea, and dizziness you are having could be due to failing pregnancy and beta HCG levels. You will feel better in the coming days if the pregnancy tissue gets wiped out of your body. However, you also need to do a beta HCG to see how much the pregnancy hormone has come down or it is increasing, and if the beta HCG is increasing, you need to do a pelvic ultrasound to locate the pregnancy tissue.

I hope this answers your question. Feel free to reach out with further questions.

Medically reviewed by iCliniq medical review team
Published At November 24, 2022
Reviewed At December 21, 2023

Education:

MS Obstetrics and Gynecology

Professional Bio:

Dr. Priyadarshini Tripathy is a board-certified Obstetrician and Gynecologist. She has also been trained as a fellow in Laparoscopic Minimal Access Surgery (FMAS), Colposcopy, and Preventive Oncology from some of the premier institutes in India. She has acquired extensive experience in the specialty over this time, and the variety of exposure has enriched her skills and is also a highly qualified academician. She is actively involved in numerous clinical trials and medical research in infertility, PCOS, and perinatal mental health.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MS Obstetrics and Gynecology

Professional Bio:

Dr. Priyadarshini Tripathy is a board-certified Obstetrician and Gynecologist. She has also been trained as a fellow in Laparoscopic Minimal Access Surgery (FMAS), Colposcopy, and Preventive Oncology from some of the premier institutes in India. She has acquired extensive experience in the specialty over this time, and the variety of exposure has enriched her skills and is also a highly qualified academician. She is actively involved in numerous clinical trials and medical research in infertility, PCOS, and perinatal mental health.

This doctor is not available for online consultations on the platform anymore.

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