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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is My HCG Level In Pregnancy Normal?

I am a pregnant 39 year woman, 5 wks 5 days (LMP 05/05/10). I conceived via IUI on May 18th. My quantative HCG s have been as follows: 41 June 1st, 49 June 3rd, 66 June 5th, 122 June 7th, 242 June 9th, and 800 June 14th. Clearly, an abnormal rise, at least at the start. I understand there may be some concern that it s an ectopic pregnancy, but I am wondering if there is a chance that this is still a viable pregnancy? I will have an ultrasound next week, unless I develop concerning symptoms (I have had no bleeding, but have had some mild cramping). I am using Progesterone 200mg intra-vaginally at bedtime. This is my 5th pregnancy: 3 miscarriages, and 1 live birth. Thank you in advance for your kind insight into this matter.
Wed, 20 Apr 2016
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OBGYN 's  Response
Hello and welcome to healthcare magic.

Rule of thumb is that in viable intrauterine pregnancy pregnancy the beta hcg level increases by 66% (RCOG guideline).

In case of an ectopic pregnancy the beta hcg level DOESNOT RISE as per the above mentioned level. So a falling beta hcg level is an indicator of ectopic pregnancy or missed abortion.

In your case there has been a rise and not fall. Please wait for the USG report and then we can decide on the future course of action.

Mild cramping in first 12weeks of pregnancy is normal.

Do write back if you have any more doubts or queries.
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Is My HCG Level In Pregnancy Normal?

Hello and welcome to healthcare magic. Rule of thumb is that in viable intrauterine pregnancy pregnancy the beta hcg level increases by 66% (RCOG guideline). In case of an ectopic pregnancy the beta hcg level DOESNOT RISE as per the above mentioned level. So a falling beta hcg level is an indicator of ectopic pregnancy or missed abortion. In your case there has been a rise and not fall. Please wait for the USG report and then we can decide on the future course of action. Mild cramping in first 12weeks of pregnancy is normal. Do write back if you have any more doubts or queries.