Big hugs it is always scary when we are thrown a curve ball...

Higher than average Free BHCG levels between 11 weeks and approx 5 days and 13 weeks and approx 5 days occur sometimes in babies with chromososmal challenges. Coupled usually with low PAPP-A levels. That is a fact. However, they also occur when there is not a problem.

Please please remember that these are all SCREENING tests. They are not definitive and cannot be wrong or right. They can indicate a possible issue but do not by any means conculsively decide it.

When you enter into a screening test you should be made aware that it is just that -screening. Yes, there is a risk of a "false ?positive" but then you can decide wheather to continue on with more invasive testing or to wait. It can be very traumatic - and I feel so very much for you.

It is universally accepted that CVS and amniocentesis carry a risk of miscarriage - a needle is invading the gestational space... However, these risks are lower with some clinicians than with others. Ask for their stats and then make your decision if you decide on invasive testing.

It must be remembered that a high free hcg and low papp-A can occur with an otherwise "normal" nt u/s. This will increase your risk ratio. Many clinicians will conuduct a very thorough u/s including facial bones, etc - the heart is impossible to u/s fully at this gestation.

My advice is to take it a step at a time. Yes, that hcg is a little high but in the absence of anything else it can just be a quirk.

Sending you a big squishy understanding hug my love...