Normal hcg levels at 7 weeks but no heartbeat seen at 6 week ultrasound?

Question

What is going on? My hcg levels are normal but we havent been able to see or hear the babys heartbeat yet. I am spotting a little. I was told by a dumb doctor that my baby didnt look normal and i should have a d&c. I am having an ultrasound (#4) on monday. Why are my hcg levels normal but the doctors cant tell me if everything is normal?

hcg on feb. 9th 6,220
hcg on feb 13th 20,200
hcg on feb 19th 105,414
hcg on feb 23rd 165,617

Answer 1

Beta HCG levels are not exact--there is a wide range of normal values for each week of pregnancy.

If your baby measured more than 5mm by crown rump length on your ultrasound, but there was no "cardiac flicker", and no blood flow seen with Doppler, then I'm very sorry, but it's not likely the fetus is viable.

If you do not pass the fetus before your next prenatal appointment, a check of your Beta HCG levels might show that they are decreasing. If they are not decreasing, then you should still have a viable pregnancy.

Good luck.

Answer 2

Hcg Levels 7 Weeks

Answer 3

That is a very scary position to be in. The doctor is worried that things don't look normal and can't be specific because it is too early to see everything.
There are indeed serious pregnancy problems with normal HCG levels. The HCG is produced, not by the baby, but the placenta. There are almost no other tools to evaluate a pregnancy this early except for ultrasound and HCG levels. Chorionic Villous Sampling is available to test for genetic defects this early but carries a real risk of causing a miscarriage.
I wish you all the best and hope that your fourth ultrasound gives you the answer that you want but you must keep in mind almost one in three pregnancies end is some type of miscarriage.
God Bless,
Old OB doc

Answer 4

Life works in mysterious ways hun. Doctors try to know everything but end up obsolete in the end, because life doesn't follow a straight path, and the future is never certain. I really hope that your baby is fine. I cannot really give you a scientific explanation. When you get your ultrasound everything should be resolved(as to whether the baby is living) spotting can be normal if you have it without pain,.hcg remains in the blood after a miscarriage, but it drops off dramatically within the first 72 hours after the event. Just be peaceful and know that whatever happens, it happened because that is life. If you do lose the baby it will give you the opportunity to learn what went wrong and prevent it next time, and if your baby is fine, which I think it is, you will have the pleasure of facing a fear and coming out a stronger and happier person because you were successful.

Answer 5

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After my early miscarriage I was able to conceive (we waited one cycle). The doctors had me come in for a quantitative serum test and trans-vaginal scan to make sure I had a viable pregnancy. I should have been about 7-8 weeks according to my LMP which is what they go by until the measurements. My beta count was through the roof! I mean super high but they weren't even able to see a yolk sac. The doc said there "may be" something there but wasn't sure. They really freaked me out thinking molar pregnancy or something. Had me come back in a week to do another blood test and scan. As soon as the tech started the ultrasound he said, "oh you got a lil one in there!" In a week's time all the sudden you could see our lil bean with a blinking heartbeat! They were able to measure the fetal poles and determined I was only 6 weeks and 2 days:) My due date changed but hey, I was so happy!!! Things can really change in only a week:) If your Hcg is doubling every day or couple days things are usually ok:) I think it will be much better when you go in for your follow up. I will be praying for you, try not to get too stressed. Congrats! Best of luck and blessings:)

Answer 6

6 weeks is still kinda early to be seeing much on an ultrasound....for some people they can others can't. How the doctor can tell the baby does not look normal is a mystery to me as there is really not much to see(like I said) and if you did see anything it is basically a sack and heartbeat.

If you are not satisfied with this doctor then you should seek a second opinion.

Oh and being only 6 weeks the fetus is still small enough to pass on its own without a D&C...so definately discuss these options with a doctor.

Answer 7

I am not sure, but maybe you are still pregnant, which would explain the hcg levels, but the baby has passed away. I don't know because I am not a doctor, but I would suggest asking some questions and make sure you get some answers. Regarding the d&c, I definitely would not get one until I knew that I was no longer pregnant. Sounds like you may want to get another doctor, one who explains things and has some sort of bedside manner. Good Luck.

Answer 8

At seven weeks, the hcg level has not peaked. For seven weeks, it;s kind of hard to say, there is enough hcg to register pregnant, but if you are getting ready to miscarry your levels will not rise anymore, and even after a miscarriage, there is still enough hcg to show positive for pregnancy. The doctor should have ordered you to retest your blood in 2 days after the first test to make certain that your levels are rising as they sould.

Answer 9

you don't normally hear a heartbeat until about 10 to 12 weeks along. If you hcg level is fine then most likely everything is fine also. Hang in there and everything will be great. Congrats on baby

Answer 10

I never heard a heartbeat until I was 11-14 weeks along. The baby is very tiny, I don't think anyone can tell at this point if there is something wrong with your baby pr not. If your hormones are finr, then more than likely so is the baby. JUst have faith and give it's little heart a little more growing time.