I am currently 6 weeks pregnant, at least I think. My last period started May 5th. Three days ago I started spotting, which then progressed to bleeding and cramping. Two days ago I went in for a blood test, and the results indicated normal HCG levels but low progesterone. I don't have the exact numbers, but the nurse indicated that she thought the pregnancy was most likely not viable. I asked if I could go on artificial progesterone and she expressed that the research doesn't bear out that the pills will help stop a miscarriage. I trust my doctor - he's delivered two healthy babies to me, and we have a very similar perspective on pregnancy. I haven't spoken to him directly, but I want to take them at their word.
I'm actually okay with not taking the pills. I would not want to prolong the inevitable. But I guess my question is....what do I do if the second blood test (48 hrs later) indicates rising HCG? They said that if the HCG has doubled like expected, they can put me on progesterone anyway (even though the practice doesn't really think it helps). If the HCG goes down, I am certainly ready to accept a miscarriage, even though I don't think this acceptance will translate into a D&C. And I don't think my doctor would ever pressure me to get one unless it was a medical emergency.
I have an ultrasound scheduled next week still, but this has all thrown me for a loop. I never had bleeding with my other two. I might have had this intense cramping, but I think it's all the combined symptoms that are leading them to diagnose miscarriage. But then I think - how many other women have bled and cramped this early on with low progesterone and had a healthy baby at the end? I truly am not trying to avoid reality. I can accept a miscarriage, but I just remain unconvinced, especially because the exhaustion, nausea, and other symptoms of the first trimester are continuing in full force.
All in all, this has been a very frustrating experience. My mother had a miscarriage at 6 weeks, and she said a huge amount of blood and tissue came out in the toilet. She just knew it was a miscarriage. I hate the uncertainty here and the low amount of bleeding I am currently experiencing. It is agonizing, not to mention, I feel like I am permanently stuck on the strongest day of my period (in terms of cramping, not bleeding).