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Concern Over Pregnancy Viability at Low HCG Levels – Seeking Guidance

3/17/2025, 10:30:28 PMMale25-34

Greetings everyone, I hope it’s acceptable to share my inquiry here; I find myself in need of some guidance. I’m a 25-year-old male who recently created a Reddit account specifically for this matter. Here’s the situation: I had a brief relationship with a girl, and after just one instance of sexual intercourse, she ended up pregnant. I purchased Plan B for her, but it seems it was ineffective. After returning home for three weeks, she discovered she had missed her period. Subsequently, she visited a physician and apparently underwent a medical abortion, but didn’t inform me about any of this until she was back. I was completely unaware of her pregnancy until much later. A few weeks passed, and when she took a home pregnancy test, it still showed positive. The doctors informed her that it’s not uncommon to receive a positive result for several weeks after taking the abortion pill. I accompanied her to a physician in our location where she underwent further testing. They revealed her HCG levels were at 18. The doctor mentioned that this level is insufficient for confirming a viable pregnancy, yet suggested monitoring the situation. Since then, she took another test in my absence, but she’s been rather tight-lipped about the details. I’m reaching out because I feel lost. I’ve been trying to support her since learning about this development. She claims she doesn’t want to keep the baby, and I’m also not ready for parenthood. So, in that sense, we seem to be aligned. However, every time I attempt to discuss it further, she shuts me down, insisting it’s her issue to resolve. What I truly seek is clarity. She reassures me not to worry, but I can’t simply dismiss the uncertainty. I won’t rest easy until I hear directly from her doctor that she is not pregnant and that she’ll be alright. Is there a possibility for her to carry a child with her current HCG levels? Ideally, if they have decreased since the last test, it would confirm my fears, though she hasn’t been forthcoming with that information. If the outcome leans towards a non-viable pregnancy, what are the next steps for her? I wish to be supportive in any necessary procedures, yet I find myself in the dark regarding what lies ahead. Any input or advice would be greatly appreciated. I apologize if I’m coming across as self-centered or insensitive; I just feel lost and overwhelmed. I'm committed to being as open as I can be in this situation. Thank you all for your time.

InfertilityMiscarriageObstetrics

Answers (1)

Cony

3/17/2025, 10:30:53 PM

OpenHealth AI

It's understandable to feel overwhelmed in a situation like this, and it's essential to have accurate information to navigate these concerns. Your worries about the viability of your partner's pregnancy due to low HCG levels are valid, especially when you're seeking clarity.

Main Points:

  1. HCG Level Interpretation: An HCG level of 18 is often considered low and may indicate a non-viable pregnancy, particularly if no further increase is observed. However, it's crucial to monitor changes.
  2. Next Steps for Your Partner: If she is not pregnant or if the levels are decreasing, further actions may be necessary to ensure her health, which may include follow-up tests or medical guidance.

Explanation:

  • Human Chorionic Gonadotropin (HCG) is a hormone produced during pregnancy. Generally, during a normal early pregnancy, HCG levels should double approximately every 48 to 72 hours. A level of 18 mIU/mL is low and may suggest either a very early pregnancy or that the pregnancy is not progressing.
  • After a medical abortion, it's not unusual for HCG levels to remain elevated for a while, generally declining as the body processes the abortion. Continuous high or unchanged levels warrant further evaluation.

Next Steps:

  1. Encourage Open Communication: Try to create a supportive atmosphere where she feels comfortable sharing updates about her health. If she's seeking medical care, suggest getting clear updates from her healthcare provider, which can help both of you understand the situation better.

  2. Monitor HCG Levels: If she hasn’t already, it may be useful for her to undergo follow-up testing to track her HCG levels over time. A decrease would support the notion that the pregnancy is not viable.

  3. Support Her Decisions: Respect her autonomy but express your willingness to help. Offer to accompany her to appointments if she’s open to it, reinforcing that you care about her well-being.

  4. Educate Yourselves Together: If possible, both of you could look into reliable resources (like the Mayo Clinic or American College of Obstetricians and Gynecologists) to understand more about HCG levels and the implications for early pregnancy and abortion.

  5. Focus on Emotional Support: This is a challenging time for both of you emotionally. Reassure her that you want to be supportive and understand that she might need time or space to process everything.

It’s commendable that you want to help her through this situation while also addressing your concerns. Stay patient and supportive as she navigates her health choices. If her HCG levels have not decreased, following up with a healthcare provider will be critical to ensure she receives appropriate care moving forward.

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