What is the reason for the slow decline of hCG in natural miscarriage?

Patient's question:

After getting pregnant, I naturally miscarried, but my blood hCG levels rose very slowly—it took two weeks to rise by a few. Hello, is it a problem if hCG levels rise slowly after a natural miscarriage?

Doctor's answer:

Human chorionic gonadotropin αβ is produced by syncytiotrophoblasts. Chorionic gonadotropin begins to be secreted on the 6th day after fertilization, and it can be detected in the serum and urine of pregnant women on the 7th day after fertilization. It is used for the early and definitive diagnosis of pregnancy. A slow rise in hCG is associated with uterine inertia. Medications such as Eucommia ulmoides, Shengxin Flower Granules, Qi and Blood Granules, and Cinnamon and Bupleurum Capsules are used. Shengmai Decoction and Fu Ling Pills can be used to regulate uterine function, promote the discharge of lochia, and invigorate qi and blood.

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