Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
123 Doctors are Online

Have got HCG report. had miscarriages. Are the reports normal?

User rating for this question
Very Good
Answered by

Infertility Specialist
Practicing since : 2000
Answered : 3580 Questions
Need inputs on HCG rise , My HCG did not increase (2404 to 2420 in 4 days), though u/s shows growth. My HCG was (314- Day 28, 1381- Day 32, 2404- Day 34, 2420-Day 39) Scan results ( Day 34- 0.26 gest. sac,nothing else seen Day 39- 0.53 gest sac, foetal pole-0.23 cm, no heartbeat). Missed miscarriage in Aug 12 (HCG rise slowed, no heartbeat in 8th week). Both thru IUI. 3 IUIs and 1 IVF earlier, did not conceive. Aug IUI conceived after HLT + DHEA supplement. (LMP-Nov 6). Investigation after first miscarriage included thrombophilia profile , XXXXXXX antibodies, both of our karyotypes etc. All are normal. Product of conception did not grow in culture, so chromosome analysis of foetus could not be done. All other values-FSH,AMH,LH etc. are done. A diagnostic laproscopy was done last Dec, which also did not find anything. Currently treating at Dr. XXXXXXX XXXXXXX hospital Bangalore. Could there be any immunological causes ( as HLT was needed to conceive). Should we test for NK cells. Also both IUIs produced a large no. of follicles(probably after DHEA?). This time 5 of them ruptured at same time, doctors doubted multiple pregnancy. Only one seen on ultrasound ( could there be a vanishing twin?) Why does HCG levels do not correlate with scan results
Posted Fri, 4 Jan 2013 in Infertility Problem
Answered by Dr. Mahesh Koregol 38 minutes later

Thanks for your query. I read your query and I understand your concerns.

Following is my reply:
1) First possibility could be a wrong hCG report which happens sometimes. Since your scan results are showing improvement, there is no need to panic.
2) hCG value doubles every 48 hours. Hence I would advise you to repeat hCG after 4 days to be very sure.
3) Mean while make sure your doctor is giving ecosprin tablets & discuss the option of starting low molecular weight heparin which can be of some help in women like you with past history of abortions.
4) I advise you to stay relaxed physically and mentally and take complete rest.
5) There is no question of vanishing twin as twin is not identified on USG.
6) No need to do any other tests like NK cell or other tests.
7) As of now I advise you to stay relaxed and wait for 4 days.

Please get back to me with hCG and Scan reports after 4 days.

All the best

Dr. Mahesh Koregol
IVF and infertility specialist
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask an Infertility Spclst

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor