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Boise, ID
A 22-year-old female asked:

So does it always mean your having a miscarriage when your hcg goes down by 280 in a 48 hour.

1 doctor answer2 doctors weighed in
Dr. Darin Weyhrich
Obstetrics and Gynecology 25 years experience
Nearly always: If your HCG is decreasing, it nearly always means that the pregnancy is not progressing normally. Most of the time, this means a miscarriage. Rarely, this can mean an ectopic (or tubal) pregnancy. You should absolutely touch base with an ob/gyn if you have heavy (more than 1 pad/hour for 2 hours) bleeding, severe pelvic pain not relieved by over-the-counter pain medications, or fevers.

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Last updated Sep 28, 2016


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