I don't want to be a Henny Penny. I'm really concerned but trying not to get ahead of myself the way I normally do.
I have had four Beta's. The doubling time between 1 and 2 was 1.88 days. The doubling time between 2 and 3 was 1.86 days. Both were well below the 2 days doubling time that is recommended so it's been very reassuring. I know some Dr.s consider 48-72 hours (2-3 days) fine but I have not seen too many pregnancies in the 72 hours range that stayed put. So if I had one in the 3 days range I would worry.
The doubling time between Beta 3 and 4 was 3.47 days. So you can see why I am concerned. It's not even in the 3 day range that I find worrisome. I am worried but trying to not get hysterical. I have a pre-natal appointment with my OB's office today (not with an OB or a nurse...just a paperwork person) and another Beta. The pre-natal is just a series of paperwork and a blood test. I might even pee in a cup and get weighed but my pants stay on (no u/s). I wont get the blood test results until tomorrow and I have an u/s at my RE's office on Friday. I will either get some good news or I could be looking at a repeat of a m/c performance I'd rather not repeat. No, the m/c encore would be unwelcome indeed.
On Beta # 2 my progesterone was 44. Beta number 3 it was 34. I'm concerned and since I am between Dr's I'm not able to really get anyone on the case. And what good would it do? They can't save a bad or nonviable pregnancy anyhow. I'm not pregnant enough for my OB and too pregnant for my RE.
I am not in full hysterics but I'm bracing myself for the worse. I'm really hoping that this is nothing and I'll have a strong Beta and happy u/s but I am not naive.
Just came back from the Dr 's office and from cruising the internet.
I found this little bit of reassuring information. (Source)
Within the first 2-4 weeks after fertilization, HCG usually doubles every 48-72 hours. That usually corresponds to HCG levels below 1200 IU. From 1200-6000, the HCG usually takes 72-96 hours to double. Above 6000 IU, the hCG often takes over four days to double.
I'd still like to see something in the 72 hours range but this does give me reason to breath a little easier since I am well into the range when it could take a healthy pregnancy four days to double the HCG.
Paper-work woman was very nice (as she always is). I expressed my concerns and she was very understanding and accommodating.
My concerns are:
1) My medications. My insurance should be covering them but since my scripts are with a private RE the hospital insurance wont take them. Hospital pharmacy will only take scripts from their Dr.s. Also, I cannot be prescribed any medication until I am seen by a Dr. or nurse for an OB appointment. But they don't have OB appointments for folks until they are at least 8 weeks. The very first OB appointment is Dec 23 (7 weeks 4 days) which I snapped up but will need to reorder meds prior to that date.
2) If I should have a m/c I have now where to go for proper medical care. I would need an u/s to ensure it was a complete m/c as well as blood tests to make sure the HCG went down to 0.
Solution: I have an appointment with the nurse practitioner on Monday Dec 15th. This way I can get my scripts and an u/s if the one on Friday is not conclusive or bad.
To recap all my appointments:
Dec 10th OB- pre-natal paperwork, blood, urine tests.
Dec 12th RE- u/s
Dec 15th OB- First OB appointment, urine test, possible u/s, scripts
Dec 23rd OB - 2nd OB appointment, urine test, possible u/s.
I realize I am sucking up a lot of resources but this time in between the RE and OB is weird. Like I said: Too pregnant for the RE; not pregnant enough for the OB.
My OB's office is being wonderful and trying to be as responsive as they possibly can. I am a self-admitted nervous Nelly. I'm not demanding any thing....just letting them know my concerns and that I would be appreciative of any extras they could give me.
I am feeling a little better than before. I just want to prepared for all scenarios.
14 dpo- 292
17 dpo - 885
23 dpo - 8206
25 dpo - 12225
27 dpo- ???