Chemical Pregnancy Symptoms and Causes
                     
Chemical Pregnancy Symptoms and 
Causes
Early Miscarriage Due to a Chemical Pregnancy
Kids are one of life’s greatest 
blessings; they fill the house with 
love and laughter bringing an 
unsolicited joy into their parents’ 
lives. But whether you are a 
newly-wed or just trying to get 
pregnant, you may experience a 
positive pregnancy test followed 
shortly by a negative one. This 
experience is known as chemical 
pregnancy.
It is a hard experience that can 
leave you feeling overwhelmed 
with negative thoughts, however 
let us explain to you what does it 
actually means.
What is a Chemical Pregnancy?
Chemical or biochemical pregnancy is a type of early 
miscarriage in which hormones are detected early in the 
pregnancy but a gestational sac is not visible on the ultrasound 
yet. This type of early miscarriage happens before the fifth week 
of pregnancy.
HCG or human chorionic gonadotropin levels, the pregnancy 
hormone, can be detected by a pregnancy test as early as 2 
weeks but a gestational sac is not visible before the sixth week 
hence the name chemical pregnancy.
Chemical pregnancies are only increasing in statistics as new 
pregnancy tests can detect hCG very early so it is becoming more 
noticeable.
How Long Does a Chemical Pregnancy 
Last?
A chemical pregnancy occurs shortly after implantation, two to three weeks after 
your last period and can last for up to 5 weeks.
It can be missed if you are not trying to get pregnant and taking a pregnancy test 
monthly as it only causes a short delay in your next period and a light blood 
implantation bleeding which can be confused for mid-cycle spotting.
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What Causes a Chemical 
Pregnancy?
A chemical pregnancy like any other 
miscarriage is usually caused by an abnormal 
egg or sperm.
Chromosomal abnormalities are the leading 
cause of miscarriage: this means either the 
number of chromosomes is decreased or 
increased or the structure of the chromosome 
is abnormal. These chromosomal 
abnormalities usually mean that the fetus 
cannot sustain a healthy life so it is expelled 
by the uterus.
Another reason may be deficient hormonal 
level. An increased level of progesterone is 
needed to maintain a successful pregnancy 
and if the body cannot secrete enough 
hormones, early miscarriage will occur.
Uterine abnormalities as fibroids, polyps, or 
irregularities in lining can prevent successful 
implantation leading to early fetus loss. Also, 
women with a lower BMI have a higher rate of 
early miscarriage as well as older women who 
are above the age of 35.
How High is hCG in a Chemical 
Pregnancy?
Human chorionic gonadotropin “HCG” is the pregnancy hormone that indicates that 
you are pregnant; hence the name chemical pregnancy as it is named by the way it is 
diagnosed. It can be detected in either blood by visiting your doctor to withdraw 
blood or urine by pregnancy tests.
The level of hCG that indicates a pregnancy starts from 5 
mIU/mL but more importantly is the rise in the hormonal level.
Once a baseline is set, the human chorionic gonadotropin hormone is supposed to 
double each two to three days so that it can sustain a successful pregnancy.
In chemical pregnancy either the hormone level doesn’t rise steadily, remains 
constant, or even decreases indicating early miscarriage.
Is Chemical Pregnancy a 
Real Pregnancy?
A chemical pregnancy is a true 
pregnancy as it involves the fusion of 
an egg and a sperm. Chemical 
pregnancies encounter 75% of all 
miscarriages and 25% of pregnancies 
end in early miscarriage.
The occurrence of a chemical 
pregnancy means that successful 
fertilization and implantation have 
been achieved and a normal 
pregnancy can occur as soon as 2 
months later.
Statistics also show that if a chemical 
pregnancy occurs after an IVF, the 
rates of a successful next IVF increase 
by 34%.
Chemical Pregnancy or Implantation 
Bleeding: What’s the Difference?
Implantation bleeding which is one of the early pregnancy symptoms which 
occurs 10 to 14 days after fertilization as the embryo attaches itself to the uterine 
wall causing damage of a few blood vessels which causes faint bleeding that is light 
pink or brownish in color.
It is usually painless and very small in amount that it can pass unnoticed. Chemical 
pregnancy bleeding, however, occurs one to two weeks after a positive pregnancy 
test.
This is usually shortly before or a week after your normal next period. It is associated 
with pain similar to menstrual cramps and may contain some tissue that can be 
noticed within the normal blood flow.
The bleeding is usually heavier than normal as the body is expelling the content of 
miscarriage. It may also be accompanied by a strong odor.
First Period After a Chemical 
Pregnancy
You should expect your next 
period within six weeks after the 
miscarriage. This is the time 
needed by your body to recover 
from the miscarriage to the pre-
pregnancy hormonal state.
Your first period will not be 
different from your normal period 
in quantity or pain or the duration 
it lasts, however some women 
may experience a heavier or a 
lighter bleeding and that is 
completely normal.
Since a chemical pregnancy does 
not affect fertility, you can get 
pregnant on your first period if 
you are trying.
How to Prevent a Chemical 
Pregnancy?
Since chemical pregnancies usually occur due to 
chromosomal abnormalities, there is not much to 
do about genetics. You should know that this is not 
your fault at all but there are a few tips to do that 
proved helpful in preventing the reoccurrence.
•Eating healthy and regular exercise can help 
sustain your upcoming pregnancy as they improve 
body functions including hormonal secretion.
•Taking prenatal vitamins like iron supplements 
and folic acid also can help maintain your 
pregnancy. Avoid smoking or alcohol as they affect 
fetal development.
•If you have been diagnosed with PCOS or have 
menstrual irregularities, you may benefit from 
hormonal support guided by your doctor’s 
supervision.
•Assisted reproductive techniques as IVF can be 
helpful as well as they make sure that the 
implanted embryo is healthy.
How to Treat a 
Chemical Pregnancy?
There is no specific treatment 
needed after a chemical 
pregnancy. In most cases, a 
chemical pregnancy may be 
missed as it ends too early before 
causing any pregnancy symptoms 
as nausea or vomiting.
One thing you can do is visit your 
doctor to make sure there is no 
treatable cause as PCOS or a 
uterine abnormality.
However, what is more important 
is to recover from the experience 
of miscarriage. Miscarriage is a 
difficult experience to go through 
but always remember that it is 
neither your or your partner’s fault 
and there is nothing that you could 
have done to prevent this from 
happening.
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