HCG Levels & Miscarriage Concerns: Understanding Your Situation

Question
yes what i wrote was correct it was 5,100 on tues. and now has dropped to 4.170...why is my cervix still closed? i was reading that you could take some medication to increase hormonal levels, would this make a difference or is it already to late? i appreciate all your help in my matter and thank you greatly for your time. er staff has not been helpful in explaining if there is anything i can do to prevent further loss...-------------------------
Followup To
Question -
i am 27, no children, first time pregnant. established that i am b/w 5-6 weeks pregnant. last cycle beginning of oct. on tuesday went to er due to cramping and pinkish discharge. did sonogram and established ok, pelvic exam and cervix closed, hcg count 5,1000. went to er again today-cramping increased and lots of bleeding. bled through clothes in sleep last night. pelvic exam-cervix still closed. hcg dropped to 4170 though. is this definate sign of miscarriage? could hgc count decrease or vary w/out miscarring? could if drop b/c of loss of blood? is there anything i can do from here to prevent futher loss or miscarriage?, or is this inevilable already? monday i go back for hcg count again...please help me i am very concerned..er staff didnt say much...
Answer -
Usually, if the HCG value halves in 48 hours, it is a sign of a miscarriage. You said that, on Tuesday, you had an HCG value of 51000 and on Thursday you had a value of 4170. That is quite a drop. Did you mean 51,000 or 5,100? If the HCG drops some more, I'm afraid that it is definitely a sign of a miscarriage, especially since you had so much bleeding.

Answer
There are no homones or medications you can take to increase hormonal levels. The hormone (HCG) is found in growing pregnanies. If it drops it means that the pregnancy is not viable. Raising the hormonal levels will not "reverse" a miscarriage. Miscarriages occur in 15-20% of every pregnancy. There is nothing you can do to cause a miscarriage and there is nothing you can do to prevent a miscarriage. If the HCG value continues to drop, you have to assume that this is not a viable pregnancy and empty your uterus, either with a D&C or with medication. I'm sorry that I can't be more hopeful.