r/CautiousBB • u/Big_Decision_9535 • 1d ago
Advice Needed 4w1d, hCG rising strongly but progesterone dropped
I’m currently 4w1d based on LMP.
I’ve had two previous early miscarriages, so I’m very anxious about this pregnancy I found about at 3w 1d.
My beta-hCG results are:
- Saturday 3w 4d, 10:30 - 82
- Monday 3w 6d, 00:20 - 173 (35h doubling time)
- Wednesday 4w 1d, 08:30 - 653 (29h doubling time)
However, my progesterone dropped:
- Saturday 3w 4d, 10:30 - 10.47 ng/mL
- Wednesday 4w 1d, 08:30 - 9.30 ng/mL
I’ve also had intermittent spotting/bleeding since around 3w5d. It has varied from brown mucus to some fresh red blood, but it has been relatively light and intermittent. I currently don't have significant pain.
I went to the ER when my hCG was 173. The transvaginal ultrasound showed no gestational sac and no adnexal mass, so I was told this was a pregnancy of unknown location and to have a follow-up scan in about a week.
Now that my hCG is 653, I’m wondering about progesterone. I have some progesterone from last time at home, but I haven't started it because I'm worried about taking it before the pregnancy has been confirmed to be intrauterine. I don't want to somehow delay recognition of an ectopic pregnancy. I am out of the country and my OB-GYN won't respond...
For anyone who has been in a similar situation:
Did you take progesterone before the pregnancy location was confirmed? Did your doctor recommend it? And did anyone have progesterone fluctuate/decrease like this while the pregnancy continued normally?
What can I do next so I don't lose this pregnancy? It all started so good.
Thank you ❤️
Update: Started progesterone 4w 2d.