On November 2, I went for my annual gyn checkup. I am 47 and had not had a period since mid-June. On November 6, I learned that my HCG level was 28,000 and was told to come for an ultrasound November 2. The ultrasound showed an empty uterus and I was scheduled for a
laparoscopyDiagnostic laparoscopy
Gynecologic laparoscopy
Incision for abdominal laparoscopy
Laparoscopy
Pelvic laparoscopy/laparotomy that afternoon. At the hospital, the HCG level was found to be 3. The procedure was cancelled. I am to have tests repeated on November 13 or 16, including
FSH levels, which I am told are elevated. However, I'm told they are normally elevated during pregnancy.
I don't understand why I would have had such a highly elevated HCG level, and why it would have dropped so fast. The doctor thinks its a chronic
ectopicEctopic pregnancy pregancy. I also wonder when, or if, I am likely to experience a
normalNormal saline flush menstrual cycle. My husband and I abandoned attempts to have a second child about four years ago and now are wondering whether to try for an intentional pregnancy.
And of course, the underlying anxiety I have is whether some sort of tumor or other problem might be producing these hormone results.
Susan
Dear Susan:
I am also confused by the sudden drop in the hCG level: a third measurement would be the arbitrator as to whether the value is truly high or low.
An
FSH level is normally very low, almost unmeasureable, in pregnancy. A high
FSH level fits with a decline in ovarian function as occurs with the transition to menopause.
An ultrasound image, besides showing the empty uterus, can also demonstrate a chronic ectopic pregnancy.
Keywords: hCG, FSH
This information is provided for education purposes and is not a medical consultation. If you have specific questions, please contact your physician.