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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How effective is taking HCG ingection abd clomid to trigger ovulation?

My last menstrual period was May 15, 2014. I am seeing a fertility specialist. On June 11th, I took a home pregnancy test (positive) The following day June 12, I had HCG and Progesterone drawn. 6/12: Progesterone 33 HCG 59 6/14: Progesterone 35 HCG 149 6/ 17: Progesterone 24.8 HCG 294 My doctor says that I should be cautiously optimistic at this point. I have had one other pregnancy and it resulted in a miscarriage at 7 1/2 weeks. I am 29, 5 3 140lbs. I take Metformin to control my insulin. I also had an HCG injection to trigger my ovulation and Clomid 100mg. Realistically, how do things look for my baby?
Fri, 3 Mar 2017
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General & Family Physician 's  Response
Hello,
Thank you for your query.

The blood values don't look promising. Hcg values should double up every 2 days in a healthy pregnancy and is usually seen in about 80%of healthy pregnancies.
However, the remaining 20%can still have a normal pregnancy.
The better prognostic factor is the presence of a heart beat detected by an ultrasound between 6-8 weeks from the last menstrual period.
The presence of a heartbeat is a sure. Sign that your baby is thriving.

Clomid and a trigger shot help in increasing your chances of conceiving & sustaining the pregnancy initially. After implantation, progesterone levels (natural or supplements) help in maintaining the level of hcg to ensure proper development of your baby.
As these values vary widely within the normal range, it is better to wait for the scan to check for viability.

I am sorry you are going through this. I hope this helps. Please let me know if there is anything else I can help you with.
Wish you well
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