ObGyn/Pregnancy issues/Currently Expecting

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Question
I recently found out I was pregnant. I took an HPT and there was a very faint line. I had a miscarriage about three months before, and a chemical the month before, so as soon as I saw the positive test, I made an appointment with my doctor. I wanted everything to be monitored from the beginning so that we could identify any problems early on. On my first appointment (12/18/2012) my hcg level was 8. My last period was on 11/24/2012, so my doctor said it was just so early and that must have been one really sensitive test I took. On 12/20/2012 I went back in for my second test, and my level had only gone up to 9. My doctor is clueless, so she is referring me to someone else. My question is, should I be prepared for a pregnancy loss since my levels didn't double? Could it be possible that my egg is still in the process of implanting, so the levels aren't doubling yet? I know I'm grasping for straws here, but my husband and I are just so ready to become parents, and the constant losses are causing us to really lose hope. Any advice would be greatly appreciated!

Answer
Loreal

hCG levels are never reliable to conclude the state of a pregnancy. I recommend pelvic ultrasound 4-6 weeks after the first missed period which was on 24 November. This is conclusive.

If you have 2 or more miscarriges, I recommend consultation with a maternal fetal medicine specialist.

Good Luck

ObGyn/Pregnancy issues

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Volunteer


Mohamed Kandeel

Expertise

I can answer questions about antenatal care, medical problems associated with pregnancy, labor and delivery and postpartum care.

Experience

Currently I am working as a Professor of Obstetrics gynecology, Menofyia University, Egypt. Since 1987, I worked in many university and private hospitals with a high load of pregnant population averaging 7-9,000 deliveries/year. This exposed me to all problems associated with pregnancy, labor and delivery. I had my doctorate degree in Obstetrics and Gynecology in 1996 in the use of Doppler ultrasound in high risk pregnancies.

Organizations
Menofyia University, Egypt

Publications
-British Journal of Obstetrics and Gynecology (Kandil M) -Egyptian Journal of Obstetrics and Gynecology (Kandil M) -Ain Shams Journal of Medicine (Kandil M)

Education/Credentials
-Master's degree in obstetrics and Gynecology 1989 -Doctorate degree in Obstetrics and Gynecology 1996

Awards and Honors
Editorial advisor: Fetal monitoring section of the international website www.obgyn.net

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