Slow rise hcg

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Being stuck behind a slow-moving car on an open road can be very rankling. You want to pass, but on a two-lane road, you also don't want to crash into a truck in the opposite lane....Doctors consider slow-rising levels of the hormone human chorionic gonadotropin (hCG) in a pregnant person's blood or urine to be a warning sign of possible ectopic pregnancy, although hCG levels occasionally rise slowly in viable pregnancies as well. If a diagnosis were made based solely on slow-rising hCG levels, there is a …In early pregnancy, a 48-hour increase of hCG by 35% can still be considered normal. As your pregnancy progresses, the hCG level increase slows down significantly. Between 1,200 and 6,000 mIU/ml serum, the hCG level usually takes 72-96 hours to double. Above 6,000 mIU/ml, the hCG level often takes over four or more days to double.Results: There were 158 consecutive pregnancies evaluated and 111 (70%) had normal rising beta-hCG levels, viable ultrasound, and viable pregnancies after 12 weeks. There were 22 pregnancies with slow rising beta-hCG levels (13.9%) and 16 (72.7%) of them showed viability at 8 weeks but not after the first trimester.But my hcg was 908 (21dpo) then 3 days later was 2003 (24dpo) and about 10 days later was 6442(5w1d). But dr saying low rising... we saw a heart beat and they said was a good heart.. really hope everything is ok. Just want an uneventful pregnancy... Fingerscross for …Slow rising hCG levels in early pregnancy hCG usually doubles every 48-72 hours very early in pregnancy, when the hCG is below 6,000 mIU/ml. A rise above 35% in 48 hours is still considered normal and a rise below 35% in 48 hours is generally considered abnormal. The expected rate of increase is 49 percent for an initial hCG level of <1,500 mIU/mL, 40 percent for an initial hCG level of 1,500-3,000 mIU/mL, and 33 percent for an initial hCG level of >3,000 mIU/mL. An increase in serum hCG of less than a minimal threshold in 48 hours in early pregnancy is suspicious of an abnormal pregnancy (ectopic or ... HCG levels rise quickly and exponentially, usually doubling every 2 days 3,4 in the first weeks before reaching a steady level (plateau) around week 10, after which time they slowly decline. ... the hCG level may just plateau or increase at a very slow rate, but this can only be determined, usually in a doctor’s office or hospital, by using ...

Well here it is. The outcome of my first IUI. It’s not the best story, but it’s the real story. The reality of this journey is that there will be ups and dow... In a study of 287 subjects who presented with symptomatic early pregnancy, the rise in hCG could be as slow as 53% in 2 days and the pregnancy could still turn ...Slow rising HCG, bleeding and mild cramps. This is my first pregnancy, I'm somewhere between 5-7 weeks. I have been bleeding for 28 days now, started brown and light to now red in ewcm and medium for the past five days, during those five days I've also had mild to moderate cramping. I am not bleeding enough to fill a pad, it's mostly when I …Normal hCG levels after week eight range from 7,650 to 229,000 mIU/ml, the American Pregnancy Association reports. Levels will remain static and then slowly rise after week 22 until delivery, according to Neinstein. Look at the fetal ultrasound, not the hCG numbers. If your baby is growing normally on ultrasound, the hCG levels are not important.I had same thing. I had a corpus luteum defect. This can easily be fixed with progesterone supplements if that's what's wrong. Ask them to check your progesterone levels. Low progesterone could cause HCG to slowly rise. A. Ajsmomma718. Jul 11, 2010 at 6:25 PM. @Missa0635,Jul 21, 2017 at 4:50 AM. I still think there's hope. I thought between 48-72 hour doubling time was normal and as long as it rose at least 66% it was probably ok. It seems a little early to already have had an ultrasound. They didn't do that for me until 6 weeks. My number was low to start - started at 35.How soon will depend on how concerned they are. My clinic wouldn't bother with hcg below 1000, and only did it at 1000 because they were really really concerned but they still couldn't find it. 1500-2000 is where you should be to see it on transvaginal, and over 6000 for abdominal us. Good luck! Like. n.This hCG then passes into mom’s bloodstream to help maintain the uterine lining and keep progesterone levels high, allowing the pregnancy to progress. During the first trimester, blood levels of HCG rises quickly. They usually double every 48 hours, until reaching a peak around 20 weeks. After this peak, they begin a slow decline.

The doubling rule for HCG is not 48 hours. That rule was established well before more studies/data came out revealing more information about HCG levels but that rule still exists out there and it definitely causes a lot of anxiety. Newer, more reliable data shows that in early pregnancy, HCG levels can rise as minimally as 53% every 48 hours ...Airbnb, Twilio and Amplitude's earnings together indicate that tech growth is slowing not just for Big Tech, it's across the board. Shares of Amplitude, Airbnb and Twilio are down ...No, a slow rise in hCG levels does not necessarily mean miscarriage. Slow-rising hCG levels can also indicate blighted ovum or ectopic pregnancy. However, if you do have slow-rising levels, the doctor may recommend further testing to check for the chances of miscarriage. Download App.I am roughly 8 weeks pregnant (irregular periods) and am having very slow rising HCG which initially started quite well. My hCG results are as follows and have been done roughly every 4 days: DPO 17- 470. DPO 21- 1450. DPO 25- 1660 (ultrasound showed everything) DPO 29- 2600. DPO 32- 3750. As you can see, my numbers aren’t doubling.

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Jun 16, 2022 · Slow rising HCG levels May 09, 2024 | by Sa-chan97 Hi, on Monday( 5weeks 2 days) my HCG levels were at 4,790 and 42hr later at 5 weeks 4 days they were at 7,090. Hello. I am just about 7 weeks now and STILL having hcg trouble. They started monitoring it just when I hit 5 weeks and it has never doubled. Not even close to a 60% increase in 48 hrs even. My numbers were.. 8022---11000---16400--23300. (every 2 days) That means it's only increasing about 37-39% every 48 hours and taking up to around 100plus ...This is why low or high hCG levels are monitored — your fertility team is checking the acceleration rate. Slow Rising hCG. If your hCG levels are rising but not doubling, your fertility team may become concerned about risks of miscarrying or other risks with pregnancy. At the same time, this can happen during completely normal pregnancies.The low levels may indicated a problem like molar pregnancy. Though not common in most cases, a slow rise of HCG levels in early pregnancy may indicate blighted ovum, ectopic pregnancy and an impending miscarriage. Generally, a blighted ovum does not mean that you are not pregnant anymore. It simply means that your pregnancy has ended so early ...A slow rise in hCG levels can also be an early sign of a miscarriage, or it may indicate a pregnancy that is not viable. It is important to note that slow-rising hCG levels do not always result in a miscarriage, but it is a potential sign to be aware of. Another possible reason for slow-rising hCG levels is a miscalculation of the gestational age.

A slow rise was believed to be associated with an abnormal intrauterine pregnancy or a tubal pregnancy. More recent studies have shown that the rise could be as ... Unfortunately my hcg beta draws are trending in a poor direction. I spoke with an ob at my practice on Friday and she said that ectopic pregnancy is on the radar at this point due to my most recent beta. I guess I’m hoping to hear that my beta numbers could simply mean a failed intrauterine pregnancy... What Do Slow Rising HCG Levels Indicate? The most important factor with HCG levels is the rate of change over the first few weeks, where a rapid increase is typically seen with healthy pregnancies. However, a slow rising HCG level at the beginning of your pregnancy does not necessarily mean that there is an issue. In many cases, women with slow ...On Sept 11th we got our BFP! On Sept 12th my HCG was 116 & my progesterone was 10.9 (both on the low end of normal). I started progesterone suppositories right away. On Sept 15th my HCG was 495.6! Perfect! (5w+1) On Sept 16th my HCG was 755 & Progesterone was 21.5! (5w+2) Everything is looking good! September 20th HCG is 2423! (5w+6) Awesome!What is a slow hCG rise? Slower than expected hCG increases are more consistent with abnormal pregnancies such as miscarriages and ectopic pregnancies, and decreases are usually associated with failed pregnancies such as miscarriages or chemical pregnancies.Blood test on June 14 confirmed the pregnancy with a HCG of 21.9. Blood test on June 16 was disappointing with a HCG of 23.76. I am not expecting a very good outcome anymore. Though I was hoping that the low HCG rise might be due to the fact that I am fasting and also that my period was only due tomorrow (June 17)Slow rising HCG but heartbeat. This is my first pregnancy at 33 years old. Sharing in case anyone has had anything similar. I went to the doctor to confirm pregnancy around 4.5 weeks and got my first HCG test down - 2019. 4 days later it was 3229. Then 6 days later it was 3890. Doctor told me it was an abnormal pregnancy and likely not viable.Unfortunately my hcg beta draws are trending in a poor direction. I spoke with an ob at my practice on Friday and she said that ectopic pregnancy is on the radar at this point due to my most recent beta. I guess I’m hoping to hear that my beta numbers could simply mean a failed intrauterine pregnancy...

How Slow Rising hCG Levels After IVF Helped Diagnose My Miscarriage. Beta day. A day filled with so much hope, and yet so much anxiety. A day when you find out that either you’re pregnant, or you’re not. Quantitative hCG testing, often called beta hCG, measures the amount of hCG present in the blood. So on beta day, …

When hCG levels are rising normally, you can expect them to: 1. Weeks 1-4: Double every 48 to 72 hours 2. Weeks 6-10: Double every 96 hours 3. Weeks 10-40: Remain constant In cases of slow rising hCG levels, hCG may continue to rise – however, it will not rise as fast compared to normal pregnancies. … See moreMy hcg was very slow to rise with my blighted ovum in March. It went from 8 to 130 in a week then a week later was still only up to 374. I read that there are very low chances of a woman having a blighted ovum twice in her life since it’s such a rare thing! Like. Report as Inappropriate ...Slow cookers are a great way to make delicious meals with minimal effort. They are perfect for busy people who don’t have a lot of time to spend in the kitchen. If you’re new to sl...Uncontrolled or slow movement is a problem with muscle tone, usually in the large muscle groups. The problem leads to slow, uncontrollable jerky movements of the head, limbs, trunk...Is your laptop starting to feel sluggish and slow? It may be time for an update. Upgrading certain components of your laptop can significantly improve its performance and ensure th...A slow rise of hCG is closely monitored by doctors because if your hCG levels are growing but not doubling, there may be a possibility of miscarriage or other pregnancy hazards. At the same time, this can occur in perfectly normal pregnancies. If all other aspects appear to be normal, your team or doctor will most likely just monitor your hCG ...Feb 10, 2024 · A slow rise in hCG levels can also be an early sign of a miscarriage, or it may indicate a pregnancy that is not viable. It is important to note that slow-rising hCG levels do not always result in a miscarriage, but it is a potential sign to be aware of. Another possible reason for slow-rising hCG levels is a miscalculation of the gestational age.

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So I have some encouraging news about slow-rising hcg levels! I recently found out I was pregnant with our second baby and we were ecstatic! I requested that my hcg levels be drawn purely for my benefit (I am a nurse and unfortunately know more than I would like). Anyway, I got the first lab draw last Friday and it was 1042.5.Poor prognosis for successful pregnancy with slow rising beta-human chorionic gonadotropin (hCG) levels even with fetal viability at eight weeks. Objective: To …Figured I’d come back to this post and share that this low and slow rising beta resulted in a healthy pregnancy and healthy baby. I just went through what you’re going through. My rise was from 103 to 149 in 2 days which is only a 45% increase. Your …This is why low or high hCG levels are monitored — your fertility team is checking the acceleration rate. Slow Rising hCG. If your hCG levels are rising but not doubling, your fertility team may become concerned about risks of miscarrying or other risks with pregnancy. At the same time, this can happen during completely normal pregnancies.Hi all, I'm currently 7 weeks and 5 days pregnant as per my period. My hcg is rising very slow and im concerned it will end in a miscarriage. First hcg test at 4 weeks pregnant was 44, Second hcg 2 days later was 169 3 days later did one more 479. Stopped there as it was rising fine, had an ultrasound when I was 6 weeks and 2 days pregnant as I have …Sep 18, 2016 at 5:05 AM. With my son I had slow rising hcg levels. My first draw was just 33. They told me I was going to miscarry most likely but to come Bach in a couple days to redraw. It didn't double every time but it went up. They weren't sure it was a viable pregnancy.In early pregnancy, a 48-hour increase of hCG by 35% can still be considered normal. As your pregnancy progresses, the hCG level increase slows down significantly. Between 1,200 and 6,000 mIU/ml serum, the hCG level usually takes 72-96 hours to double. Above 6,000 mIU/ml, the hCG level often takes over four or more days to double.My doctor shared that my hcg level only went up to 770. This worries me. In one week my hcg level only increased by 80 and it was already low to begin with. My doctor has been staying positive in what im thinking is his way of reassuring me. He has explained that it could be that i have ovulated and implanted much later in my cycle, but even so ...Jul 16, 2019 · The low levels may indicated a problem like molar pregnancy. Though not common in most cases, a slow rise of HCG levels in early pregnancy may indicate blighted ovum, ectopic pregnancy and an impending miscarriage. Generally, a blighted ovum does not mean that you are not pregnant anymore. It simply means that your pregnancy has ended so early ... Slow rising HCG, bleeding and mild cramps. This is my first pregnancy, I'm somewhere between 5-7 weeks. I have been bleeding for 28 days now, started brown and light to now red in ewcm and medium for the past five days, during those five days I've also had mild to moderate cramping. I am not bleeding enough to fill a pad, it's mostly when I … ….

Even if your HCG levels rise quite slowly, by 50 or 60 per cent in the first few days, things may be okay. Anything less is a concern. Put it this way: if your HCG scores are roaring ahead, into four and five figures, there’s reason to be particularly optimistic. 8. HCG calculator? Tread carefully. Avoid online HCG calculators. Most are ...My numbers were still high, but the rate of increase was really low. Like over 180 hours to double low. She said they aren't increasing the way she'd like, but that she's seen it go either way. My numbers were as follows: 16 dpo: 780. 18 dpo: 1,975. 29 dpo (6+1): 32,506.So sorry you're feeling stressed. I don't know that much about slow rising hCG, but I have read that it happens to some women. Hope all is well at your scan on Wednesday. That's great that you've been feeling positive about everything! Maybe some women will post about their hCG experiences.Slow rise hCG levels are linked to miscarriages or ectopic pregnancies . A decline in hCG levels that is slower than 21% to 35% in 48 hours is abnormal and is associated with ectopic pregnancies or the presence of trophoblastic tissue . Also, if the hCG levels are above 6000 mlU/ml, it is not easy to detect the possibility of pregnancy. Hello. I am just about 7 weeks now and STILL having hcg trouble. They started monitoring it just when I hit 5 weeks and it has never doubled. Not even close to a 60% increase in 48 hrs even. My numbers were.. 8022---11000---16400--23300. (every 2 days) That means it's only increasing about 37-39% every 48 hours and taking up to around 100plus ... hCG levels rise at an accelerated rate after implantation. hCG levels are shown to increase 3 fold in the first few days. Usually around 1.6-3 fold during the first week. Interestingly, the day of implantation might affect your hCG levels and how quickly they rise. hCG may rise quicker if implantation occurs early ( 7 DPO or earlier).Materials and methods: The fetus of a woman with a slow rising serum beta-hCG levels which even plateaued was evaluated by serial pelvic sonography. Results: The fetal pole grew appropriately but at one point the sac size was a week behind. Nevertheless the woman completed the first trimester with a viable fetus and a normal fetal heart rate.hCG levels in our blood change during the first trimester, rising rapidly. Nonpregnant women have less than 5 milli-international units per milliliter (mIU/mL). “A normal blood level for hCG on the day a period is due (14 days after ovulation) is 40 to 120 mIU/mL,” Dr. Matthews says. Levels should then double every 48 hours from weeks four ...Low or slow-rising hCG levels can indicate an ectopic pregnancy, but your healthcare provider or doctor must do more than hCG tests alone before diagnosing you. It is crucial to note that low, slow-rising hCG does not necessarily indicate pregnancy problems. A small but significant percentage of pregnancies with low hCG levels go on without ... Slow rise hcg, May 27, 2023 · Slow rising hcg - miscarriage or ectopic. I keep trying to find an answer and stories of people who have had similar situations as me. I started spotting when I was about 4+4 which turned into heavier bleeding around 5+1. I had a scan at 6+1 which showed nothing inside or outside my uterus. The bleeding stopped at 6+3 and I am now at 6+6. , Oct 18 - 822 mIU/mL Oct 20 - 1033 mIU/mL (24.3% increase) My ultrasound today showed an intrauterine pregnancy measuring 6 weeks (so right on track) with a heartbeat, but it's too faint to measure. My RE is telling me that this ultrasound is a really good sign and that things are looking good, but my research suggests that even given today's ..., Low or slow-rising hCG levels can indicate an ectopic pregnancy, but your healthcare provider or doctor must do more than hCG tests alone before diagnosing you. It is crucial to note that low, slow-rising hCG does not necessarily indicate pregnancy problems. A small but significant percentage of pregnancies with low hCG levels go on without ..., Slow rising hcg, threatened miscarriage. Good afternoon everyone. I could use some advice. I am (according to LMS) 6 weeks 6 days. It’s my second pregnancy (had a chemical miscarriage in 2017) and it’s been rough. Found out I was pregnant at 4 weeks 4 days. At 5 weeks I went to ER because of pain in right hip and light bleeding., In a study of 287 subjects who presented with symptomatic early pregnancy, the rise in hCG could be as slow as 53% in 2 days and the pregnancy could still turn out to be viable (6). Adopting a lower limit based on a 99% confidence interval meant that less than 1% of viable pregnancies exhibited an hCG rise even slower than that.”. 3., Low and slow hcg trends can be signs of an ectopic so just continue blood draws and watch for any signs and symptoms especially since it’s going up not down. Reply ... I don’t want to frighten you, but when I had slow rising HCG, it ended up being an ectopic. Just pay close attention to your body and don’t ignore any occasional twinges or ..., Sep 18, 2016 at 5:05 AM. With my son I had slow rising hcg levels. My first draw was just 33. They told me I was going to miscarry most likely but to come Bach in a couple days to redraw. It didn't double every time but it went up. They weren't sure …, Slow, rising hCG. I pretty much know the outcome of this, but want to hear others experiences. Going in for another draw tomorrow. Vvvvvvfl on 10dpo. Tests got gradually darker every two days, with dye stealers by 18dpo. Went 19dpo for first beta, came back at 498. 21dpo was 718, only increased 44% with a 90 hour doubling time., Being stuck behind a slow-moving car on an open road can be very rankling. You want to pass, but on a two-lane road, you also don't want to crash into a truck in the opposite lane...., What is a slow hCG rise? Slower than expected hCG increases are more consistent with abnormal pregnancies such as miscarriages and ectopic pregnancies, and decreases are usually associated with failed pregnancies such as miscarriages or chemical pregnancies., It turns out hCG is way more important than I thought in early pregnancy, and slow-rising hCG levels after IVF ultimately identified my miscarriage. Here is my story: This summer, my husband and I decided we were finally ready to start trying again. Our twins were not babies anymore, and the trauma of infertility, a high-risk twin pregnancy ..., February 2nd I spotted a little and had an HCG level of 330.Â. On February 4th, I had an HCG of 390. I am spotting occasionally when I wipe. It varies in color. I have had a few stringy things in the toilet. I am not bleeding enough to even fill a pad. I still have the breast tenderness but not much nausea, just feeling a little ..., This is why low or high hCG levels are monitored — your fertility team is checking the acceleration rate. Slow Rising hCG. If your hCG levels are rising but not doubling, your fertility team may become concerned about risks of miscarrying or other risks with pregnancy. At the same time, this can happen during completely normal pregnancies., How soon will depend on how concerned they are. My clinic wouldn't bother with hcg below 1000, and only did it at 1000 because they were really really concerned but they still couldn't find it. 1500-2000 is where you should be to see it on transvaginal, and over 6000 for abdominal us. Good luck! Like. n., Beta hCG Doubling Time Calculator. Review and Javascript by Mark A. Curran, M.D. F.A.C.O.G. You can use the calculator below to calculate the doubling time of two beta hCG samples by entering the date of the blood test and the corresponding beta hCG value for that day. If the hCG level is decreasing the the half life will be calculated., Even if your HCG levels rise quite slowly, by 50 or 60 per cent in the first few days, things may be okay. Anything less is a concern. Put it this way: if your HCG scores are roaring ahead, into four and five figures, there’s reason to be particularly optimistic. 8. HCG calculator? Tread carefully. Avoid online HCG calculators. Most are ..., After no fetus was located on ultrasound, the doctor I met with let me know with the low and decreasing HCG that I likely had a blighted ovum, to prepare for miscarriage and basically wiped her hands clean of me. 4 days later I went for more blood work and my HCG went back up a bit! I went back for blood work again yesterday and it's up even ..., Sep 19, 2021 · MsladyRN21. My Hcg levels were slow rising as well. I had one episode of bleeding so they decided to check my levels. 9/2: 1695. 9/7: 4212. 9/9: 5776, initially they were concerned because it was rising but not doubling. My 1st ultrasound was scheduled for 9/14, and surprisingly we discovered Twins! , During the first few weeks of pregnancy, your hCG levels will rise pretty rapidly as your embryo grows. In a singleton pregnancy, HCG levels typically double every 48 hours. You may have heard ..., Is your computer running slower than usual? Don’t worry, you’re not alone. Many people experience a decrease in their computer’s speed over time. However, there are several things ..., A slow rise was believed to be associated with an abnormal intrauterine pregnancy or a tubal pregnancy. More recent studies have shown that the rise could be as ..., My first HCG level on Jan. 25 was @ 279 and Jan. 27 @ 734. Thought all was well, so scheduled my first ultrasound for February 10th. Results came back that they could not see anything. Doctor retested my HCG levels. Feb. 10 @ 5820 and Feb. 13 @ 6893. So, HCG is rising, but not doubling. Went for a second ultrasound yesterday, February 14th and ..., 17 - 24 weeks LMP. 4,060 - 165,400 mIU/ml. 25 - 40 weeks LMP. 3,640 - 117,000 mIU/ml. non-pregnant. 55-200 ng/ml. HCG blood levels are not routinely drawn on pregnant women. Generally, hCG levels are indicated when a problem is suspected with the pregnancy such as vaginal bleeding after confirmed pregnancy., hCG levels in our blood change during the first trimester, rising rapidly. Nonpregnant women have less than 5 milli-international units per milliliter (mIU/mL). “A normal blood level for hCG on the day a period is due (14 days after ovulation) is 40 to 120 mIU/mL,” Dr. Matthews says. Levels should then double every 48 hours from weeks four ..., It’s your body. But definitely guard your heart - I don’t think the HcG rise is indicative of a healthy pregnancy. I should be about 7 weeks - had my beta April 23rd 41.98 and second on April 25th - 125. I don't have my ultrasound until may 15th and I barely had…., Slow rising HCG, bleeding and mild cramps. This is my first pregnancy, I'm somewhere between 5-7 weeks. I have been bleeding for 28 days now, started brown and light to now red in ewcm and medium for the past five days, during those five days I've also had mild to moderate cramping. I am not bleeding enough to fill a pad, it's mostly when I ..., I know last time I googled madly and found lots of stories of people who lost symptoms or had misleadingly poor numbers and still had healthy full term babies. Just gotta cross our fingers and wait and see <3. In week 4, my HCG went from 65 to 88 (about 35%) in a period of 2.5 days and the doctor said it wasn't viable. , How soon will depend on how concerned they are. My clinic wouldn't bother with hcg below 1000, and only did it at 1000 because they were really really concerned but they still couldn't find it. 1500-2000 is where you should be to see it on transvaginal, and over 6000 for abdominal us. Good luck! Like. n., The low and slow rise you’re having is pretty concerning and could be indicative of that. Especially with the brown spotting happening now. ... I had no pain, slow rising HCG (it was rising a bit faster than yours, just under the 48hr doubling time), and just a tiny bit of spotting that stopped after a few days, which would have been when my ..., Aug 27, 2017 · Unfortunately my low, slow HCG did not have a good outcome, but while I was being worked up, I did a lot of research, and studies have shown that 48 hr increases of as low as 35% can lead to healthy pregnancies! So, don’t lose heart! , When hCG levels don't rise as expected, it could be a cause for concern, but many pregnant people with lower-than-expected hCG levels or slower-than-average …, Apr 10, 2024 · 1st FET slow rising HCG. On 3/29 I transferred 3 untested day 3 embryos. I had my first beta on 4/10-157.7 second was 4/12 and 230.3 then the third on 4/14 was 310.6. Basically a 46% rise and 35% rise.My doctor said it’s likely to end in miscarriage but could be ectopic.... , A slow rise of hCG is closely monitored by doctors because if your hCG levels are growing but not doubling, there may be a possibility of miscarriage or other pregnancy hazards. At the same time, this can occur in perfectly normal pregnancies. If all other aspects appear to be normal, your team or doctor will most likely just monitor your hCG ...