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Infertility/Fertility/Miscarriage or abnormal?


According to my last u/s on 2/25 I was 8 weeks with a heartbeat of 178. I had another u/s previously on 2/11 determining a 6+3 week baby with HB 131. My HCG went from 9000 to 11500 in my 24 HCG test.
However, I just got more bloodwork completed as ordered by my OBGYN and the results were 9600. Is this normal for them to drop so early after only reaching such a low level? Should I expect a miscarriage?

Hello Amanda from the U.S. (Florida),

The bHCG levels do not make complete sense.  For now, I would just go with the ultrasound.  An 8+ week ultrasound that finds appropriate fetal size and good fetal heart motion is indicative of a viable pregnancy.  There is no sense of worrying about something that is not yet a problem.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program

Monterey, California, U.S.A.

for additional information check out my blog at check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate.  I also now provide an Email Concierge Advisory Service with a 1 year subscription for patients that want easy access to me to answer questions along their journey (women's health, infertility, pregnancy).  Contact me at if you are interested in continuous access to me.


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Edward Joseph Ramirez, MD, FACOG


I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.


I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 19 years.

American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, California Medical Association, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists

American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

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