Chemical Pregnancy

Chemical pregnancy is especially difficult to diagnose because not all women experience the symptoms. Because this pregnancy terminates too early, it cannot be detected by an ultrasound, and only pregnancy tests like the beta hCG test and blood tests can reveal its occurrence. However, the women who do experience some symptoms, describe the following:

• A positive pregnancy test that quickly turns negative.
• Mild spotting a week before the next period is due.
• Mild abdominal cramps.
• Vaginal bleeding after a positive pregnancy test.
• Low hCG levels in blood test after a positive pregnancy test or blood test.

The exact causes of a chemical pregnancy are unknown. However, in most cases, it is believed that a chemical pregnancy occurs because of problems in the embryo. The following are some of the presumed causes of a chemical pregnancy:

• Low quality of sperm or egg.
• Abnormal hormone levels in the uterus.
• Uterine abnormalities and growths, like fibroids, endometriosis, etc.
• Implantation outside the uterus, as in an ectopic pregnancy.
• Sexually transmitted infections (STIs) like syphilis and chlamydia.
• Being over the age of 35 years increases the risk.
• Blood clotting disorders, like haemophilia, Von Willebrand disease, etc.
• Thyroid disorders.

Read more: How to get pregnant when you have a thyroid problem

Unfortunately, there is nothing you can do to prevent a chemical pregnancy. Most women don’t even realise they are pregnant unless symptoms like morning sickness, delayed periods, etc., show up. It usually takes about 5 weeks into the pregnancy for them to get a positive pregnancy result. Chemical pregnancy usually happens well before this and most women who are not planning a pregnancy assume they are just having a regular period even if it is a bit heavier, more painful and clotted.

However, in the case of women who have been planning a pregnancy, the realisation that they have suffered a chemical pregnancy can dawn pretty quickly. In such a case, getting grief counselling might be necessary to help the woman and her spouse deal with it.

If there is an underlying issue which led to the chemical pregnancy - like uterine abnormalities, sperm or egg quality, STIs, etc. - it should be treated. Talk to your doctor for the lab tests needed to diagnose any underlying condition.

It’s important to remember that going through a chemical pregnancy once does not mean that you won't be to conceive in future.

For those who are planning a pregnancy and looking to welcome a child into their family, the loss of a pregnancy, no matter how early, can be devastating. A chemical pregnancy can also be distressing to those who started making plans for the future after getting a positive pregnancy test result. In either case, feeling upset or distressed is quite natural.

However, not feeling upset by the loss of pregnancy due to chemical pregnancy is also natural. You might be relieved that the loss occurred early rather than late into the pregnancy, or you could even be looking forward to dealing with the underlying issues that made the pregnancy unsustainable. 

There are no right or wrong feelings when it comes to an issue like this, and couples as well as their family and friends should refrain from passing judgement on the situation. No matter how the woman who has gone through a chemical pregnancy feels, it’s necessary that people in her circle ensure that she and her spouse get the support they need.