Chemical Pregnancy - A Very Early Miscarriage

A chemical pregnancy is like a cruel joke. You take an early pregnancy test around the time your period is due that shows a faint positive. Naturally, you get excited and start spreading the joyful news that you're expecting. Then, a few days later you get your period and the doctor says, "It was just a chemical pregnancy."

Meanwhile, you're left confused and possibly devastated. The term chemical pregnancy sounds like a false positive pregnancy test, as if you were not really pregnant at all. But the truth is that a chemical pregnancy was indeed a conception and is actually a very early miscarriage.

The term chemical pregnancy means that the miscarriage happened at a point that a missed period and biochemical tests, such as an hCG blood test or a home pregnancy test (checking hCG in urine), were the only evidence that you were pregnant. The miscarriage happened before an ultrasound could have shown a gestational sac.

When the pregnancy develops to the point that ultrasound could confirm the existence of the pregnancy, the term becomes clinical pregnancy. Thus, a chemical pregnancy would be a miscarriage before the fifth week of gestation -- or within about week after your missed menstrual period.

Symptoms:
The primary symptom of chemical pregnancy would be if you begin to have vaginal bleeding shortly after having a positive pregnancy test. Blood tests reveal low hCG levels that are decreasing rather than increasing.

Causes:
Doctors believe that chemical pregnancies happen for the same reasons as most other miscarriages –- probably because of chromosomal abnormalities in the developing baby. It is hard to know for sure what causes these early miscarriages, however, because it is nearly impossible to retrieve any samples for chromosomal testing.

Frequency:
No one really knows how common chemical pregnancies are, but some researchers have theorized that as many as 70% of conceptions end in miscarriage. Women who are not actively trying to conceive and not closely watching their menstrual cycles may have chemical pregnancies and never know it; in other cases, chemical pregnancy could be a reason (but not the only possible reason) why a menstrual period arrives a few days late.

Physical Recovery:
Chemical pregnancies happen early enough that they have little effect on women’s bodies, and in many cases, they can be mistaken for a normal period that is a few days late (or even on time). One 2007 study found that the bleeding after a chemical pregnancy is sometimes even lighter than a woman’s usual menstrual period. The bleeding from a chemical pregnancy might be accompanied by more cramps than usual also, but recovery should be fairly swift.

Trying Again:
With a very early miscarriage, many doctors will say that it’s OK to go ahead and try again right away. Other doctors recommend waiting to try to get pregnant again as a standard answer after all miscarriages, no matter how early. Talk to your doctor about what is right for your specific situation.

Grieving a Chemical Pregnancy:
In many cases, chemical pregnancy might put you in a weird situation from a grieving perspective. Some women don’t feel very sad over chemical pregnancies, whereas others are completely devastated emotionally. People in your life might not recognize the validity of your loss, insisting that you are wrong to grieve because it happened too early for you to get attached to the pregnancy or that “it wasn’t a real baby.”

Regardless of what anyone says, a miscarriage is a miscarriage. You do not have to justify your grief or compare it to anyone else’s grief for it to be valid. A chemical pregnancy was still a pregnancy, and for many women, it’s still a loss of a baby and grief that will always they will carry for their entire lives.

It’s also OK to not be too sad about a very early miscarriage and to decide you just want to try again. Everyone reacts differently to the situation, and there is no single, right emotional response to chemical pregnancy.

If you do tend to grieve chemical pregnancies deeply, and you are actively trying to conceive, think about perhaps waiting to test each cycle until your period is actually late. This way, you do not necessarily have to know about very early miscarriages. Many doctors recommend against early pregnancy testing for this reason.

Chemical???

So ... I just got the call from the doctors office that I have been waiting for...I had to go into the hospital again yesterday because when I was there earlier they only did a "rapid" HCG blood test and my doctor wanted a "qualitative". The rapid results are POS/NEG {my test came back postive, obviously} and the qualitative are actual numbers as to how high my hormone levels are.The nurse just told me that the numbers were so low that this could very well just be a "chemical pregnancy" which may never amount to a baby...She told me that I could come in ever 48 hours for more blood draws and see if my numbers go up, if they do - it is a pregnancy, if they don't - it's not...I do not know what to say or think at this point...

God works in mysterious ways!

Today I was scheduled for an endoscopy to see if the pains that I have been having are an ulcer or an internal hernia. I went into the hospital and was taken back to be prepped for surgery. The nurse asked for a urine sample as soon as I was taken back to surgery holding. I gave my urine sample, lied down on the cot and was quickly given my IV. All of a sudden I notice that there is a little commotion surrounding my pregnancy test. I see nurses standing at it, staring at it and chatting with one another while pointing at it. They call over more nurses and the surgeon. They decide that they will do another one. I was sitting there in utter shock when a nurse told me: "there is a faint line so we're going to do another one". You cannot even begin to image my instant shock. So a couple minutes later I notice the same commotion ... I'm looking at them with my 'tell me now' eyes! She said: "another faint line, we're going to do a blood test!" My first question - "how long does it take!?!?" They told me it shouldn't take any longer than 1/2 hour. They asked me if I wanted Doug and Addy brought back to sit with me. I said I would love that - just don't tell him what's going on!! Doug and Addy spent the next excruciating 20 or so minutes with me. I was crawling out of my skin in anticipation; luckily he thought it was just nerves for the surgery. The whole time I am watching the nurses walk around, answer the phone; patiently as can be - waiting for the answer. All of a sudden I look up to one that is approaching me and her lips whispered "it's POSITIVE!" I threw my head back in disbelief! I looked at Doug and my eyes started watering. All this time I hadn't even thought about that I would say to him. The only thing I could think to say was: "honey, I am not having my surgery today... and I am not having my tummy tuck next month". He looked at me - puzzled as can be: "WHY!? What's going on!?" {The nurse had given me the urine test and I had tucked it into my bra before Doug ever joined me.} I pulled it out and held it up for him. He stared at it, it took a few seconds to register and he said "what's that!? A pregnancy test!? You're pregnant!?!?" I looked into his eyes and whispered “yes”. He immediately looked at Addy and said “you’re going to be a big sister Addy!!” It wasn’t until a few moments later when we had a little more privacy without the doctors and nurses running around congratulating us that we were able to finally hold one another and give each other a congratulatory kiss. The whole event couldn’t have been more perfect – finding out as a family of three (even if there were a couple dozen other attendees LOL).
So … obviously I didn’t end up having my scope surgery and I will not be having my tummy tuck as planned on July 8th. God works in mysterious ways…

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Week 3

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Week 2