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A missed miscarriage occurs when a fetus stops developing but the body does not recognize the pregnancy loss, while a blighted ovum happens when a fertilized egg implants but no embryo develops. Both conditions involve abnormal human chorionic gonadotropin (hCG) hormone patterns where levels fail to rise appropriately or begin to decline. The Pregnancy Test (Very Early) - Human Chorionic Gonadotropin (hCG), Total, Quantitative is the most important test for detecting these complications because it measures exact hormone levels that reveal pregnancy viability concerns.
Missed miscarriage and blighted ovum are caused by chromosomal abnormalities in the fertilized egg that prevent normal embryonic development. Most cases result from random genetic errors during cell division, particularly extra or missing chromosomes that make it impossible for the embryo to develop properly. These genetic problems are usually not inherited and do not indicate future fertility issues, though they become more common as maternal age increases beyond 35 years.
The Pregnancy Test (Very Early) - Human Chorionic Gonadotropin (hCG), Total, Quantitative is the most important blood test for missed miscarriage and blighted ovum because it measures the exact amount of pregnancy hormone in your blood. In a healthy pregnancy, hCG levels double every 48-72 hours during early weeks, but with these complications, levels plateau, rise too slowly, or decline unexpectedly. Serial testing over several days reveals these abnormal patterns and helps your healthcare provider assess pregnancy viability before ultrasound confirmation. While ultrasound provides the definitive diagnosis by showing absent fetal development, quantitative hCG testing offers early warning signs and helps monitor your body's response after diagnosis.
You should get tested if you experience any concerning symptoms during early pregnancy, including vaginal bleeding or spotting, cramping or abdominal pain, or suddenly losing pregnancy symptoms like breast tenderness and nausea. Testing is also recommended if you have a history of previous miscarriages, are over 35 years old, or feel uncertain about your pregnancy progression. Getting serial hCG blood tests 48-72 hours apart can reveal abnormal hormone patterns early, giving you and your healthcare provider important information about pregnancy viability and helping guide next steps in your care.
What this means
Your hCG test is positive, confirming pregnancy. Your level of 125 mIU/mL is consistent with very early pregnancy, typically around 4-5 weeks from your last menstrual period. In a healthy pregnancy, hCG levels should approximately double every 48-72 hours during the first few weeks.
Recommended actions
Schedule your first prenatal appointment with an OB-GYN within the next 1-2 weeks
Begin taking prenatal vitamins with folic acid if you haven't already
Avoid alcohol, smoking, and certain medications - consult your doctor about any current medications
Consider retesting in 48-72 hours to confirm hCG levels are rising appropriately
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