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Spontaneous Miscarriage.

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i am 25 old , i had 1 misscariage before at 6 weeks 1/2 , after that we try to conceive for 14 months ,
we knew i am MTHFR c 677t hetro , and they told me this is the cause of my misscarriage
i have mild endometriosis , my husband has poor semen morphology and motility

my last period was 12 feb

finally we got pregnant test positive

these my beta values
3 weeks 5 days 54
3 weeks 6 days 97
4 weeks 1 day 193
4 weeks 3 days 371
4 weeks 6 days 675


i feel my beta is low , now i am 5 weeks 1 day
i have u/s appt at 5 weeks 3 days

my misscarriage last time starts with bleeding at day 40 from last menstrual period , and was spontonous misscarriage
now i am worried that i will misscarry again

my Rx
innohep 4500 sc inj daily
baby asperin once daily
pregnancare one tab a day
cyclogest 400 mg vaginal twice day
methyl folate 200 mcg a day

what do you think ?

Category: OBGYN

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Category: Infertility Specialist
 23 Doctors Online

Hello
Thanks for writing back to us at DoctorSpring with your health concern.
Your B HCG values are within normal range, and are doubling as they should .
So don't worry based on the B HCG values.
The serial estimation of B HCG values is not the best way to determine if the pregnancy is progressing normally.
The gold standard to determine a successful pregnancy is to have a transvaginal ultrasound scan documenting cardiac activity.
Your medications are also quite ideal, and as I previously told you also, the mutation cannot cause a miscarriage as you are heterozygous for it.
So stop worrying, there are all good chances of a favourable pregnancy outcome this time.
Please wait for the ultrasound scan to know if the baby is alright.
All the best
Please feel free to ask for further clarifications.
Thankyou



Patient replied :

thanks alot , i am really worried that is why i am asking too much , i read online ppl in my stage and more high hcg number that is why i am worried , sorry for too much asking ,


Hello again.
Please do not apologize for asking too many questions.
I am here for addressing your doubts and anxieties.
It is natural for you to feel apprehensive when you have been through so much trauma.
Please wait and watch and stay positive until your scan results are in hand.
All the best to you.


Patient replied :

i will repeat my hcg today as my dr ask me ,
my last hcg was at 4 weeks 6 days 675 at 18 th march at 18:00 pm ,
today i am 5 weeks 2 days this mean almost 72 hrs apart ,, what hcg should be at least ?


It should be atleast 1300 - 1400.
Again dont make much of numbers.
ONly a viable ultrasound scan is confirmatory.
PLease go through this link - you might derive some information and reassurance -
http://americanpregnancy.org/duringpregnancy/hcglevels.html


Patient replied :

Hi dr
My beta hcg was 675 at 18 march , today after 72 hrs it is 2674 ,
What do u think


I think it is a very good development.
The HCG values are rising very optimally.
Keep your fingers crossed, and stay positive.
I think the pregnancy has very good chances of continuing normally.
Take care.
Do keep me posted.


Dr. Aarti Vazirani
Category: Infertility Specialist
Experience: 
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
Dr. Aarti Vazirani and 4 other Medical Specialists are ready to help you

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