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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do Low Measuring Sac And HCG Level Of 2000 Indicate?

My last period was on14th dec 2010. I found out I was pregnant on the 17th Jan 2010. Due to some abdominal pain I was reffered to do a internal ultra sound. The ultra sound showed gastational sac measuring 1.6 mm, hcg levels 420. On 4th feb 2011 gastational sac measured at 6.5 mm with a yolk sac but no baby. I was told that I was probably having a miscariage as the sac was only measuring at four weeks instead of seven and my hcg levels were 2000. Is it possible that this could still be a viable pregnancy?
Thu, 21 Jan 2016
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OBGYN,  's  Response
Hello,
I have gone through your query and here are the answers:1. The period of gestation is determined either calculating from the last menstrual period if the cycles are regular or from an early sonogram. 2. If there is no evidence of a fetal pole, the sonogram should be repeated, preferably in the trans-vaginal route, after a week. Sometimes, due to miscalculation of the dates, errors can happen, but, the size of the gestation sac is confirmatory. 3. This should be coupled with serial titres of serum beta-hCG. Doubling titres every 2-3 days are observed if the pregnancy is progressing well. With all these done, if it is concluded that there is no progress, then it is a missed abortion. Further management should be planned accordingly. Hope this helps.
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What Do Low Measuring Sac And HCG Level Of 2000 Indicate?

Hello, I have gone through your query and here are the answers:1. The period of gestation is determined either calculating from the last menstrual period if the cycles are regular or from an early sonogram. 2. If there is no evidence of a fetal pole, the sonogram should be repeated, preferably in the trans-vaginal route, after a week. Sometimes, due to miscalculation of the dates, errors can happen, but, the size of the gestation sac is confirmatory. 3. This should be coupled with serial titres of serum beta-hCG. Doubling titres every 2-3 days are observed if the pregnancy is progressing well. With all these done, if it is concluded that there is no progress, then it is a missed abortion. Further management should be planned accordingly. Hope this helps.