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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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2 HcG Beta Tests And Ultrasound Shows Gestational Sac And 12mm Endometrium. Will It Work Out ?

I have had 2 blood tests done one on 10/15 ( hCG Beta at 829) another test done on 10/17 (hCG Beta at 896) I also had a ultrasound done on 10/18/12 and per the measurements i am 5 weeks and 2 days and they saw a gestational sac and the endometrium measuring at 12mm. Just by looking at my levels do you think everything could work out?? My doctor requested I have the shot right after the second blood test to terminate and I requested the ultrasound then saw the sac, and had another round of blood work. Please give me your honest opinion. Thanks.
Thu, 25 Oct 2012
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Infertility Specialist 's  Response
Hello madam,
I am not happy with the beta HCG rise in two days. It should have risen more and nearly doubled in a viable intrauterine pregnacy.I would also like to know whether you have got any pain, because then we have to be more cautious to rule out a ectopic pregnancy. (a sac in the uterus can also be seen in ectopic pregnancy, called a pseudo-gestational sac) . I would advise you to repeat the transvaginal ultrasound after two weeks,if you don't have any symptoms of pain or bleeding in the mean time, before going for a termination.
good luck
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General & Family Physician Dr. Das Arindam's  Response
Hello, welcome to HCM,
From your reports, it is clear that there is pregnancy. Because, the gestational sac is a definitive sign of pregnancy.
But it has to be followed up by repeating the Ultrasound scan for demonstrating presence of fetal parts, and fetal heart activity after 8 th week.
So, wait for few more days for more definite signs of confirmation of pregnancy.
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2 HcG Beta Tests And Ultrasound Shows Gestational Sac And 12mm Endometrium. Will It Work Out ?

Hello madam, I am not happy with the beta HCG rise in two days. It should have risen more and nearly doubled in a viable intrauterine pregnacy.I would also like to know whether you have got any pain, because then we have to be more cautious to rule out a ectopic pregnancy. (a sac in the uterus can also be seen in ectopic pregnancy, called a pseudo-gestational sac) . I would advise you to repeat the transvaginal ultrasound after two weeks,if you don t have any symptoms of pain or bleeding in the mean time, before going for a termination. good luck