instruction: hello doctor I have a positive up and my lap is 31st march I have an irregular period at 13th may and I found some blood spots after that I go for a to ultrasound that shows no definite gestational sac endometrial echo is central and normal in thickness and measures 6 am before to ultrasound on ith may I checked my beta hug and it is 178 and after 48 hours it is 247 is this miscarriage or should I go for another ultrasound because after that I do not have bleeding or cramps or anything please guide
output: hello I have gone through the description you mentioned and understand your concern totally but the details are a little confusing it would have been good if you could give details with dates when beta hug human chorionic gonadotropin was checked I understand that scans were performed and the beta hug test on ith may is 178 and on 10th may it was 247 on 13th may you got the scan as you had a spotting right see as your previous cycles have been irregular it is difficult to predict when you would have ovulate exactly so we cannot go by your dates to calculate the duration of the pregnancy may I know when did the urine pregnancy test turn positive for the first time it would be advisable to recheck your urine pregnancy test now again as you had spotting if the levels are falling then it would be suggestive of a miscarriage and mostly this could be like a biochemical pregnancy where pregnancy is detected only in the blood tests but on the scan I cannot find the gestational sac development which has ultimately got aborted as levels you mentioned last were pretty low another possibility to be ruled out more importantly is ectopic pregnancy or pregnancy at some unknown location to rule out all these doing a serum beta hug will clear your doubts serum beta hug level repeat ultrasound after checking the beta hug value report to your gynecologist if you have any sharp pain