PREGNANCY-BIRTH Messages for April, 2001: Re: HCG LEVELS RISING FALLING AND RISING AGAIN!

Re: HCG LEVELS RISING FALLING AND RISING AGAIN!

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 26 Apr 2001 07:17:02 -0500 (CDT)

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At Thu, 26 Apr 2001, Kimmy wrote: >
>I am totally confused now and more than a little bit distressed. I am 4 weeks pregnant (after my last period) and had HCG reading 10 days ago of 38 then two three days later it dropped to 33 (then I was told that I had misscarried and dealt with that), then three days later it went up to 73 and I was told that I was definately pregnant! Then today, three days later again, I went in again to makes sure it was progressing and it was 62!!! What is happnening to me!? I feel like I am on an emotional rollercoaster that wont let me off, my hopes go up and down constantly, first I am pregnant then not then pregnant then not again! Has anyone else had experiences where their HCG levels went up and down in the begginning? Please help! If the ObGyn could answer this I would really appreciate it! Thanks

The source of HCG is placental tissue and sometimes when the pregnancy is not "good", the placental tissue will continue to produce some HCG, making the testing somewhat confusing. This is why the "gold standard" is to measure the values 48 hours apart and if they do not double in that time, the pregnancy is likely not "good". Another issue here is that when the levels tend to plateau, one must keep the possibility of a tubal pregnancy in the back of one's mind. Most represent a miscarriage, but cannot forget about tubal... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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