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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fluctuate HCG Level. Ultrasound Could Not Find Anything. Ectopic Pregnancy?

hey, i am a 30 yr old female,this is my first pregnency after 2 months of marriage ,i had my last period on 26th nov2012, on 10thjan 2013 my beta HCG levels were 335. the doctor could not find anything in the ultrasound scan.......on 13thjan2013 the repeated beta HCG level showed 1479.58.......have to go for an ultrasound scan on satuday now.......very worried if lts a delayed conception or ectopic pregnency case......hope all is ok.....what are my chances of a normal intautrine pregnency??
Fri, 18 Jan 2013
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OBGYN,  's  Response
Hi,
If you were previously menstruating every 28-30 days, your pregnancy should now be around 8 weeks. Usually, beta-hCG levels at this stage are around 7,000-220,000 mIU/ml. Ultrasound diagnosis is better made only after the levels reach 2000 mIU/ml. A gestational sac is usually viewed in a trans-vaginal ultrasound when the levels reach 1000-2000 mIU/ml. If not, it could be either an ectopic pregnancy or a very early intrauterine pregnancy.In such a case, the tests need to be repeated again to establish the diagnosis. Since your beta-hCG levels have gone up fast, which is not the case with an ectopic pregnancy, your chances of having an intrauterine pregnancy are high. Please consult your gynecologist after the sonogram for further advice. Good luck.
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Fluctuate HCG Level. Ultrasound Could Not Find Anything. Ectopic Pregnancy?

Hi, If you were previously menstruating every 28-30 days, your pregnancy should now be around 8 weeks. Usually, beta-hCG levels at this stage are around 7,000-220,000 mIU/ml. Ultrasound diagnosis is better made only after the levels reach 2000 mIU/ml. A gestational sac is usually viewed in a trans-vaginal ultrasound when the levels reach 1000-2000 mIU/ml. If not, it could be either an ectopic pregnancy or a very early intrauterine pregnancy.In such a case, the tests need to be repeated again to establish the diagnosis. Since your beta-hCG levels have gone up fast, which is not the case with an ectopic pregnancy, your chances of having an intrauterine pregnancy are high. Please consult your gynecologist after the sonogram for further advice. Good luck.