Re: Abnormal Pregnancies (HCGs/Progesterones)

From: ATFSOCCER@aol.com
Tue Oct 14 06:25:17 1997


In a message dated 97-10-12 19:58:53 EDT, you write:

<< >Let me see if I got this straight. The 1st HCG was 144, then 2 days
>later 150, then 2days later 380. Is that right? If so how are you so
>sure this was na abnormal pregnancy?? It seems to me that if you throw
>out the first value, it looks pretty normal to me. I would strongly
>consider the lab goofed on the first value. That has happened many
>times. Also possible they got the sample mixed up. Happens very
>frequently. This is why I make the residents have a repeat HCG before
>giving MTX.

Dan: See the above, and pardon me if I don't have the exact dates, as this was from memory. She went from about 150 to 150 in 2 days, and then in 3 days to 250; thus, combined with a low progesterone, it clearly was an abnormal HCG rise, and I believe that the diagnosis was correct. >>

Dan,

Also, I believe that if you have a progesterone level less than 5ng% you can be assured 100% of the time that you have a bad pregnancy.

Andy Folley MD FACOG





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