Patient's question:
I urgently need to know: What are the reasons that could have led to a miscarriage in my first pregnancy? When is it most meaningful to do HCG and progesterone tests during pregnancy? When is the best time to do an ultrasound? My partner and I have both undergone pre-natal screening, and the results for the four pre-natal tests were normal. The ultrasound was also normal. My partner had a sperm analysis done, with a sperm density of 27.306 million per milliliter, a sperm motility rate of 82.979%, and an A+B grade proportion of 68.085%. The doctor said the results were normal. Previously, I was tested as Type A blood, and my partner is Type B blood. At that time, we did not have an Rh test.Condition: My menstrual cycle is 30-40 days. At 42 days of pregnancy, I tested B-HCG at 1934 IU/L, and progesterone (P) was 2.
Doctor's answer:
The main reasons for embryonic arrest mainly include four aspects. The first is related to reproductive endocrinology. During the early development of the embryo, three important hormone levels are required: estrogen, progesterone, and human chorionic gonadotropin (hCG). If the mother's endogenous hormone levels are insufficient, it can lead to embryonic arrest. The second is a problem related to reproductive immunity. If the body has certain antibodies, they can resist the development of the embryo. The third is an issue with the uterus. If the uterine environment is poor or if there is a malformation, the embryo will not develop. The fourth is a problem with chromosomes. It is recommended to go to the hospital for examination and confirmation.