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  • Q&A with Australian Health Practitioners

    Am I pregnant?

    Based on blood tests for HCG levels she said I was miscarrying but to come back in two weeks to be certain?! No bleeding no cramping my latest HCG levels were: Thursday 145, Saturday 251 and then Monday 443. Please help me. Am I pregnant or not? Should I get a second opinion? Thanks. Cassie.
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    Dr Joseph Jabbour

    Gynaecologist, Gynaecologist - Infertility (IVF) Specialist, Obstetrician

    Dr Joseph Jabbour is a specialist Obstetrician & Gynaecologist and Fertility Specialist with Monash IVF situated in Sunnybank (Brisbane Southside). Dr Jabbour has had the … View Profile

    This must be a very stressful time for you. Having a good supportive network of friends and family helps.

    Usually if it is a viable pregnancy the levels of the BHCG should be roughly doubling every 48 hours. Nevertheless, the diagnosis of a miscarriage is made according to the following:

    1-A BHCG level that is dropping and usually by around 20% or so. Your levels are not dropping.

    2-An ultrasound scan that confirms the findings of a miscarriage depending on certain measurements of the sac, the lack of a heart beat in the pregnancy of a certain measurement.

    I would recommend you have an ultrasound scan with a repeat BHCG in a few days' time and not to come to any conclusions as yet. 

    There is still a possibility you may have an ectopic pregnancy and the ultrasound scan would examine for that diagnosis as well. If you develop severe pain or bleeding, present to your nearest Emergency Department for urgent assessment.

  • Dr Liza Fowler

    Gynaecologist, Obstetrician

    I am a general Obstetrician and Gynaecologist with 14 years of experience in public, private and academic sectors. I believe every woman is entitled to … View Profile

    I fully agree with this answer. It is also important to remember that you can usually only see a pregnancy on ultrasound once your HCG level reaches 1500 or more. 

    Also, although the expected rise of your HCG level is to double every 48 hours, there can be variation in this. A completely normal pregnancy's HCG level can sometimes only increase by 50% every 48 hours. 

    It is important to keep monitoring this until a viable intrauterine pregnancy can be confirmed. 

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