PREGNANCY-BIRTH Messages for November, 1998: Re: HCG LEVELS

Re: HCG LEVELS

From: William F. von Almen, II, MD (anonymous@obgyn.net)
Tue, 10 Nov 1998 15:19:18 -0600 (CST)

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In reply to: Leann: "HCG LEVELS"

At Tue, 10 Nov 1998, Leann wrote: >
>On Fri. I had a u/s that said I was 5.2 weeks and according to my lmp I
>should have been 7 weeks so naturally they were concerned and ordered my
>hcg levels to be tested. On Fri. they were 13,000 and on Mon. they
>were 21,000. They said those levels were acceptable but, since we only
>saw the gestational sack on my last u/s (which she said was o.k. for
>how early I was) they want to do another u/s this Fri. to make sure
>everything is advancing like it should. I'm still a little concerned
>that my dates are so far off but, if I did just have a blighted ovum
>(which is what they thought it was)and if everything stopped growing 2
>weeks ago wouldn't my hcg levels at least have stopped almost doubling
>by now?
>
>--
>Thank-You,
>Leann
>

Leann; We do expect to see HCG levels double every 48 hours in the first trimester, but we all have anecdotal stories that we can tell where the lab values and our clinical evaluation did not agree, and the patient went on to a successful pregnancy. My advice is to wait until fri and repeat the scan. If the sac shows no growth, or no fetal pole/yolk sac by 6+ weeks it would be a little more worrisome. HCG levels do not just stop with a miscarriage. They tend to rise slowly, plateau, and then decline. This is why most women "miscarry" about 3-4 weeks after the death of their fetus.

-- William F. von Almen, II, MD, FACOG Editorial Board, OB/GYN.NET Pregnancy and Birth New Orleans, La.

The above comments are for educational purposes only.

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