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What Do These HCG Levels Indicate?

Posted on Wed, 23 Aug 2017

Question: Hello, I just completed IVF and My total HCG at 5 weeks, 2 days pregnant was 14,400. I am worried that this seems abnormally high and out of the normal range. Do I have anything to worry about? Does this seem at risk for Down Syndrome?

Below are my results:

July 10th - 10 Days after Transfer (4 weeks pregnant): HCG 289
July 14th: HCG 2089
July 19th (5 weeks, 2 days): HCG 14,400

Please let me know your thoughts.

Answered by Dr. Deepti Verma (2 hours later)

Brief Answer:
Ultrasound should be done after one week

Detailed Answer:
Hi dear,
I have gone through your question and understand the concerns.
The hCG levels can be high for the gestational age in cases of multiple pregnancy, H mole , Down Syndrome and sometimes in normal pregnancy.
So, the exact diagnosis can be confirmed only by an ultrasound at 6 weeks gestation.
I will suggest you not to panic and get an ultrasound after one week.
Serum screening and detailed anomaly scan should be done at 18-20 weeks to rule out any Down Syndrome.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Maternal and fetal medicine specialist

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Deepti Verma (1 hour later)

Thank you. I have already had an ultrasound to confirm one pregnancy.

Answered by Dr. Deepti Verma (11 hours later)

Brief Answer:
Happy to help

Detailed Answer:
Hi dear,
I am happy to have helped you.
You can get back to me anytime for further queries by asking a direct question to me on this site.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Kampana