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Are my levels good or are they pointing toward ectopic pregnancy?

I went to the ER on Friday the 4th because I was having sharp pains underneath my right rib cage. I was 4 weeks 1 day at that time, and thought I was having an ectopic pregnancy. The doctor found out it was just inflammation in that area due to a fall that I had a few days prior, and told me not to worry. My hcg level on that day was 186. I went in yesterday for a repeat hcg test so my doctor could make sure they are rising, and my level was just under 1500 at 4 weeks 6 days. Is this a good rise in levels? I am going in tomorrow for my last hcg test, so my levels should hopefully be around 3000, right? My doctor wants to monitor my levels to make sure they are rising properly since I had a previous miscarriage 4 months ago. If my levels are rising normally, are my chances of this being an ectopic pregnancy lower? I haven't had any bleeding at all, but I sometimes have some minor cramping, it's not ever painful, it's just a feeling that is there. And the cramping is in my lower abdomen, the same area you'd have regular menstrual cramps. Is this normal in early pregnancy?

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  • 10 years ago

    Yes, that's a great rise in hCG, and your numbers should double around 48-72 hours. Since you're so early, it should be closer to 48 hours, but don't worry if the rise isn't exactly double. If it's close, it's good enough.

    As for if it is ectopic or not, only an ultrasound can show that. Some ectopic pregnancies have a beautiful rise in hCG, while some don't. However, right now, you're too early for an ultrasound to show much. They'll want to wait until 6 weeks or so before they can make sure the embryo is located properly.

    Cramping is perfectly normal and healthy in early pregnancy, and it is very common. It's usually caused by the embryo burrowing into the uterine lining, but sometimes just the pregnancy hormones causes cramping in themselves. Try not to worry. Right now, everything sounds good. I know you are worrying about the previous miscarriage, but each pregnancy is different, and this one might not end the same way.

    Good luck! I hope the rest of your pregnancy goes smoothly and you have a beautiful baby at the end of it.

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