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Family Medicine (Expert Forum)
HCG levels questionable
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.
HCG levels questionable
by moppy, Nov 03, 2003 12:00AM
Hi - On Oct 11, 2003 I transfered (3) 5-day blastocysts. On Monday, Oct 20 my HCG was 232, Oct 22 - 348, Oct 24 - 559, Oct26-993, and then on Oct 30 -2296. On the 30th they did an u/s and saw 2 sacs with yolk sacs. My doctor is very cautious and conservative and does not like my HCG levels and although they arent doubling every 48 hrs, they are doubling about every 2.7 - 3 days according to another websites calculator. I also read that under 1200 can take 2-3 days to double and after 1200-6000 can take 72-96 hours to double. Is there any truth to this? I know I need to wait for further fetal development showing up on my ultrasound this thurs (nov 6) at which point I will be considered 6w 1d. The anxiety is killing me - ugh! I would just like some kind of info as to what the viability of this pregnancy is with not stellar high numbers.
Thanks! Moppy
Thanks! Moppy
Doctor's Answer
by Kevin Pho, MD, Nov 05, 2003 12:00AM
, Nov 05, 2003 12:00AM
Here is a chart with the suggestive rise of HCG to weeks:
Week from LMP Amount of hCG in mIU/ml
3: 5 - 50
4: 4 - 426
5: 19 - 7,340
6: 1,080 - 56,500
7 - 8: 7,650 - 229,000
9 - 12: 25,700 - 288,000
13 - 16: 13,300 - 254,000
17 - 24: 4,060 - 165,400
25 - 40: 3,640 - 117,000
So based on the HCG, a viable pregnancy would be around 5-6 weeks. As you can see from this chart, the early HCG results and doubling rate are quite variable.
As you have said, the ultrasound would be the best choice of test and I would suggest waiting until these results.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Week from LMP Amount of hCG in mIU/ml
3: 5 - 50
4: 4 - 426
5: 19 - 7,340
6: 1,080 - 56,500
7 - 8: 7,650 - 229,000
9 - 12: 25,700 - 288,000
13 - 16: 13,300 - 254,000
17 - 24: 4,060 - 165,400
25 - 40: 3,640 - 117,000
So based on the HCG, a viable pregnancy would be around 5-6 weeks. As you can see from this chart, the early HCG results and doubling rate are quite variable.
As you have said, the ultrasound would be the best choice of test and I would suggest waiting until these results.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
Thank you