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Re: hcg high then drop

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 1 Jun 2002 12:55:16 -0500 (CDT)

At Sat, 1 Jun 2002, Susan wrote: >
>Hello, I am pregnant for the first time at 35. My initial hcg level at
>29 days past ovulation was 149,000. I went to the emergency room 5 days
>later with pelvic and low back pain and the level came back over
>200,000, but U/S showed intrauterine pregnancy with good fetal heart
>rate. No one told me these readings were high until I saw my OB 17 days
>later, but he just saw the second lab test. Tested again that day,came
>back at 142,000. The Nurse Practioner said this was strange that this
>level would be below the initial test, but everything on the U/S she
>administered looked normal with a single pregnancy. Five days later,
>retook test and the results are 72,000. Unfortunately, all the
>providers were not in the office this Friday when my test results came
>back(to primary care Dr.)Please advise as to what might cause this, as I
>have taken a lot of medication in the past and am concerned as to the
>health of this baby. Thank you.

Susan

Once you get high enough your levels can fluctuate. The drop to 142,000 is ok, but I am not sure what to make of the drop to 72,000. I would sit tight and call docs on mon 

--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
Private Practice
New Orleans, La.


*Please understand I can not respond to private emails.


*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.



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