WOMENS-HEALTH Messages for November, 2000: Re: Yet another HCG question

Re: Yet another HCG question

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 23 Nov 2000 10:43:09 -0600 (CST)

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In reply to: jhc: "Yet another HCG question"

At Thu, 23 Nov 2000, jhc wrote: >
>I posted earlier and need to ammend my question to the docs.
>
>I had IVF, with embryo transfer on November 12. 8 days post embryo
>transfer I had a HCG of 25, 11 days post embryo transfer I had a HCG 62,
>13 days post embryo transfer I had a HCG of 67. My doctor told me to
>stop my progesterone and recheck a HCG in 1 week to make sure it had
>dropped to 0 or near 0. Just for peace of mind that the lab value was
>correct I had the HCG repeated today (day 14 post transfer) and the HCG
>was 75. All indications show that the pregnancy is not a healthy
>pregnancy and as stated above my doctor confirmed that by having me stop
>the progesterone. My question is why is the HCG continuing to rise, and
>will it eventually stop? Could this be an ectopic pregnancy? What should
>I do, if anything?
>
>Thanks,
>
>--
>JHC
>

The HCG will continue to slowly rise if either the pregnancy is going to miscarry or if the pregnancy is where is shouldn't be. This is because either the pregnancy that is going to miscarry still has some placental tissue that is active producing HCG or an ectopic pregnancy is not implanted in the appropriate place, therefore unable to proliferate appropriately, therefore the HCG is not rising appropriately. I would certainly contact your physician and follow his/her direction. This likely represents an impending miscarriage, but could also certainly represent an ectopic pregnancy... 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 ;-)

Next message: Lynn D. Montgomery, MD: "HAPPY THANKSGIVING EVERYONE!"
Previous message: Lynn D. Montgomery, MD: "Re: Another Question about FSH and Estradiol levels"
In reply to: jhc: "Yet another HCG question"

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