My RE told me my HCG will need to be mostly gone before I can expect AF and ovulation. I've been trending it out every few days, and am wondering what you all think. My loss was on 5/26 at 12w6d, so I'm now 31 days out from that. I heard 4-6 weeks thrown out a lot, but wanted to present some data to aid in predictions. (I totally understand these are just guesses, just trying to pass the time during this painful wait.)
13 votes
grapefruit / 4770 posts
Again I’m really sorry for your loss. It took exactly four weeks for me to test negative. I think in another four days the hcg will be out of your system based on no medical training whatsoever obviously.
pear / 1697 posts
I expect you already know that it asymptotes down, so it can be at barely there for a maddeningly long time. That said, I’ve gotten AF, and ovulated, with trace amounts of hCG still there multiple times now. At least for my body, things move along once I get below 10-15mIU
cantaloupe / 6086 posts
I didn’t vote because it takes foreeeeeeeever sometimes (mine dropped to a light test within about 12 days but wasn’t totally negative until 6w out). but I also had a normal ish cycle while still testing positive. Ovulated around 4w out so that took longer but then af about 2 weeks later, i think by the end of af (so 6w or so) I was testing negative (on a wondfo, i didn’t have follow up betas).
I have seen so many different responses on how people’s hcg drops that it really is a horrible waiting game, but I sure hope you see af soon!!
grapefruit / 4466 posts
I had a period about 4 weeks after a D&E and the hpt was still really positive during my period. I made a post about it at the time, and this is apparently common. I thought my cycle would be really screwed up but I ovulated two weeks after AF arrived, on schedule. My RE though refused to do anything (they wanted to do some further testing) that cycle since hcg wasn't 0 on CD1 - they had a general policy about this.
Thinking of you, I know it must feel like forever 
kiwi / 548 posts
Obviously you and I have talked and you know my background, however, I figured I would still add my two cents in anyway. 
AF arrived for me 5 weeks after my D&E. I was still testing positive for hcg at the time and even from AF through ovulation, which occured right on schedule on cd15. I kept testing and still had hcg after ovulation. I ended up with a BFP just before I would be 4 weeks pregnant and knew it was real because the lines kept getting darker.
I did talk to my OB who was basically shocked that I still had hcg in my system at the time of AF. She said "that should've been out of your system a while ago". Obviously I had the tests to prove that it wasn't but whatever, I was pregnant so that was all that mattered to me.
I will add that at on the day of AF, my wondfos were barely showing anything but a frer was a pretty good line. If I had to guess, I would guess another week or so for you based on your picture.
Hang in there!
pear / 1767 posts
Just wanted send hugs. I’ve had two D&Cs and waiting for my hcg to zero out was agony. For two D&Cs at around 10 weeks, it took me about 4 and 6 weeks, respectively. I also tested on the wondfos and procrastinated my betas at the doctors office since I knew it was going down but not gone. Eventually it zeroed out and I was able to move on. Hope this painful process comes to an end soon for you!
nectarine / 2649 posts
@Shantuck: I wonder why so many emotions are tied to still having HcG. I suppose for me it’s a reminder still of what could have been. On top of it being a quantifiable reason I’m not allowed to move forward yet. Who knows.
Just an update - no AF yet despite some promising cramping. POAS again today.
cantaloupe / 6086 posts
@yellowbeach: i hope that cramping means something! I had never been so happy to see AF as that cycle!
grape / 86 posts
I'm not sure when my hcg disappeared as I didn't test, but my period returned 8 weeks after i delivered my 2nd daughter at 18 weeks pregnant.
nectarine / 2649 posts
*Crosspost*
Making no headway really towards HCG leaving, so going in for an US Thursday of next week with my RE to ensure there's no retained POC. Tomorrow marks 6 weeks since my TFMR.
nectarine / 2436 posts
@yellowbeach: That is incredibly frustrating. It really is. If it's any consolation, many, many girls i know had some retained products, and after a little intervention, it did get resolved quickly. It seems to be a surprisingly common thing 
(When I had my d&C, apparently I was a very "cheap date" with the sedation and was really out of it and I kept telling the poor doctor, GET IT ALL OUT! Please!!! Crude, right? She did tho. She was probably afraid of me.)
pear / 1697 posts
@yellowbeach: As an alternative possibility (at least if you've been having unprotected sex): I've twice had line progressions that looked like that because I was pregnant with a new pregnancy (in one case it was a surprise, in the other I knew because I was charting).
pear / 1697 posts
Retained POC is certainly a possibility though. Two of the physicians that I work with (including one who sees at least as many fetal indication cases as elective cases) swear that retained placental fragments are a bigger problem with aneuploidies and other anomalies because the placenta tries so hard to compensate for the fetus and it is more likely to have micro accretas. They both sharp curette for fetal indication procedures even though it isn't really considered a standard best practice anymore (and neither of them routinely do it for elective cases).
pear / 1767 posts
@yellowbeach: I haven’t had retained product after my D&Cs but I did have retained placenta after the birth of my daughter. I had to do an HSG to confirm everything was gone because the u/s can only show so much. Hope this is just a case of slow moving hsg and won’t require any further intervention.
kiwi / 548 posts
@yellowbeach: ugh that’s so annoying! Hopefully AF shows up before then and you won’t have to bother with the US!
nectarine / 2649 posts
@lilyofthewest: sadly DH and I haven’t BDed since the TFMR because we were so afraid of conceiving naturally and getting another Trisomy. That was why we did PGS so fast. I am also hesitant to start any birth control when we want to do a FET asap.
nectarine / 2649 posts
Ugh - as suspected, retained POC. awaiting results of my bHCG and progesterone to know if I actually need a D&C or not. Apparently I look like I'm ovulating on the right which is sustaining the contents which are there. If HCG od high and progest low, we will D&C. If both are high we will wait it out as the progesterone is likely sustaining the HCG. Ugh. But glad I pushed for this US instead of waiting another 4 weeks and being in the same place.
persimmon / 1495 posts
Oh man. I'm so sorry you are going through this. As if having to do the tfmr wasn't hard enough
pear / 1767 posts
@yellowbeach: Ugh. I’m sorry to hear that. Was it your RE that did the u/s? I know this is completely different but with my retained placenta after childbirth, my ob/gyn referred me to an RE so we could treat in a way that would avoid uterine scarring. The RE didn’t want to do a d&c and suggested a more wait and see approach (they didn’t seem to think I had a high risk of infection as the tissue had already been there for 6 weeks before it was discovered). The remainder of my tissue expelled on its own about 6 months after childbirth following my first couple periods and I was able to avoid a d&c entirely. Obviously this is a very different scenario because your risk of infection may be higher but I would try to treat in a way that will minimize uterine scarring. Anyway, I know you are anxious to move on with this whole ordeal but just wanted to share my retained tissue story.
pomegranate / 3809 posts
Ugh!! I'm sorry you have to deal with this. Hopefully there is still time to make an Aug FET.
nectarine / 2649 posts
@Shantuck: Thanks for sharing your story - this is new territory for me. It was my RE who did the US and who would do the procedure if needed. I actually think I semi hope the progest is low and the hcg hish which would mean D&C. Otherwise we just have to wait for my progesterone to drop, my body to hopefully expel stuff on its own, and then wait for a real AF.
nectarine / 2649 posts
Looks like we get to avoid a D&C. Progesterone is consistent with ovulation and HcG still positive (which I knew from POAS). Hopefully this will be like a normal cycle and I’ll get a period in 14 days or so and then be able to move on with life.
kiwi / 662 posts
@yellowbeach: I'm so sorry to hear this. FX for AF so that you can move on!
nectarine / 2649 posts
Beta on Friday was 46. Tonight I finally got a 
on HPT. Finally working our way down towards zero.
pear / 1697 posts
@yellowbeach: ::highfive!:: So glad you've got long-overdue progress.
nectarine / 2436 posts
@yellowbeach: yayyyyy! Excellent news!!! Never been so glad to see a negative HPT 
nectarine / 2649 posts
Just got another HCG drawn - ugh the waiting... any guesses? It was 46 on Friday, down from 78 on the 12th.
(Need help passing the time, can't you tell?)
nectarine / 2649 posts
@pachamama: Do you know how much HCG it takes to register on the qualitative Wonfo HPT?
nectarine / 2436 posts
@yellowbeach: I dug this thread up. https://boards.weddingbee.com/topic/post-your-hpts-and-beta-hcg-results/ Looks like very very faint is under 10. I really think you're in the teens.
nectarine / 2649 posts
@pachamama: Interesting thread - thanks for sharing. Those FRERs really are sensitive buggers.
nectarine / 2649 posts
And the result is......
29
So headed the right direction... looks like I'll be needing another US in the next week or so. {twiddles thumbs}
nectarine / 2436 posts
argg cmon!!!!!! Maybe in real life it seems a little darker. I find that happens with mine (when I took like 209349320).
nectarine / 2649 posts
Ok, I long ago exceeded obsessive status, but here's more proof... predictive trendline says out by Aug 1.
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