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Family Medicine  (Expert Forum)
 | 
hgc levels/not doubling
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D. Boston - MA
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.

hgc levels/not doubling

by guerra, Feb 24, 2004 12:00AM
My LMP was 1/11/04. After taking two home pregnancy tests, both of wich were negative (the last test two days after missing my period 2/10).  After one week of missed period I decided to call my doctor and (2/16) and a urine sample came out possitive.  I went to see my ob/gym on 2/20 who told me that something was wrong and I may loose the baby (he said he saw a 1 1/2 or 2 weeks pregancy.  He sent me to do hcg level test. On 2/20 my hcg levels were 678 and two days later were (2/22)the levels only went up to 789.



I am devasted because he told me I am lossing the baby.  I haven't had cramps neither bleeding. I feel ok, but desperated.



Could you explain why there is the possibility of loosing my baby and if the hcg levels should be of my concerns.



Thank you!

by Kevin Pho, MD, Feb 28, 2004 12:00AM
Here is a chart of how the HCG should double:



from LMP:       HCG:

3 weeks 0 to 5

28 days 3 to 426

35 days 18 to 7,340

42 days 1080 to 56,500

49 - 56 days 7,650 to 229,000

57 - 78 days 25,700 to 288,000

79 - 100 days 13,300 to 253,000

2nd trimester 4060 to 65,400

3rd trimester 3640 to 117,000



As you can see, there is a wide range of what normal is.  



To confirm the fetal status, you may want to consider a pelvic ultrasound for further evaluation.



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Thanks,

Kevin, M.D.
Member Comments (2)

by SMAGNOLIA, Feb 27, 2004 12:00AM
To: GUERRA
HELLO GUERRA

by SMAGNOLIA, Feb 27, 2004 12:00AM
To: GUERRA
HELLO GUERRA, I WAS JUST BROWSING AND SEEN YOUR POST.... I ALSO NOTICED THAT NO ONE HAD RESPONDED YET...I THINK YOU SHOULD TRY THE MATERNAL CHILD FORUM ON THIS SIGHT THOSE LADY'S ARE VERY CONCERNED AND HELPFUL TO EACHOTHER AND I'M SURE THEY WOULD WELCOME YOU POST AND REPLY WIHT ANY INFORMATION THEY MAY HAVE..AND THEY ARE PRETTY INFORMATIVE...I HOPE YOU KEEP CHECKING THIS POST TO FIND THIS AND I HOPE TO SEE YOUR NAME AT THE MATERNAL CHILD FORUM SOON....SUGARMAGNOLIA
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