Re: HCG levels

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--
Susan

At Tue, 11 Jun 2002, William McIntosh, MD wrote:
>
>At Tue, 11 Jun 2002, Susan wrote:
>>
>>Hello;
>>
>>I posted a question about a week ago concerning a rapid drop in my hcg
>>levels from 142,000 to 72,000 at only 7 weeks post ovulation.  This from
>>a high of 200,000.  I waited as the Doctor's reply suggested to talk to
>>my Dr.  on Monday.  The nurse got back to me Tuesday night, she said the
>>other O.B.  in the practice (mine was out), said to as long as the U/S
>>had looked fine the week of the test, that's what we'd go by.  My
>>questions are this;
>>
>>Shouldn't the HCG be rechecked,esp.  after such weird high initial
>>readings? Should I get a second opinion?
>>
>>Could these readings indicate a Down's baby or similar problem?
>>
>>My temperatures have dropped in the past 2 days, and bounced up and
>>down.  Also, my breasts are not as sore in last 2 days.  Could this
>>coupled with the HCG drop mean a miscarriage may have occurred? If so,
>>could it take this long for the tissue to begin passing?
>>
>>Any advice is most appreciated.
>>
>>--
>>Susan
>>
>A drop in HCG of that magnitude is very concerning for miscarriage, but
>if the U/S shows a intrauterine pregnancy with a heartbeat, that is what
>you should go by.  Your U/S needs to be repeated, but repeating the HCG
>at this point is not helpful.  Afterall, you would not have a D&C just
>because the HCG was acting weird and the U/S was ok.  HCG is not usefull
>for predicting Down's at this point in pregnancy.  There are no normals
>established.  I am not sure that a second opinion is going to help.  Time
>is the only thing that is going to show us what is happening.  There is
>no treatment one way or the other.  Wait and see what the next U/S
>shows.  Hope for the best.
>
>--
>William D. McIntosh, MD, FACOG
>
>This is for educational purposes only, and is not a substitute
>for consultation and examination by a licensed medical professional.
>

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