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Hcg Levels By Week

Hcg Levels By Week

hCG levels

Human chorionic gonadotropin (hCG) is a hormone normally produced by the placenta. If you are pregnant, you can detect it in your urine. Blood tests measuring hCG levels can also be used to check how well your pregnancy is progressing, including your baby’s development.

hCG levels chart during pregnancy

Generally a woman’s hCG levels double every 72 hours. hCG levels reach their peak in the first 8-11 weeks or pregnancy and then they will tend to level off for the next two trimesters. This is why in the first trimester (3 months) of pregnancy symptoms can be so much stronger and intense.

hCG levels can vary between individual women and whether they are carrying more than one embryo. How she as an individual responds to pregnancy and how her body reacts is entirely unique.

Where does hCG come from?

hCG comes from the placenta and enters the blood soon after implantation and is detected via pregnancy tests. hCG starts to be produced by the placenta as soon as implantation occurs. This happens about one week after fertilization and ovulation when the embryo implants and the placenta attaches to the uterine lining.

How is it treated?

Unfortunately, there is nothing that can be done to treat low hCG levels, though low levels alone are not always a cause for concern.

If your low hCG levels have been caused by a miscarriage, it’s possible that you may need treatment if any pregnancy tissue is left inside your womb. If there’s no tissue retained, then you won’t require any treatment at all. If there is, then there are three treatment options available:

  • You can wait for the tissue to pass naturally.
  • You can take medication to help you to pass the tissue.
  • You can have it surgically removed.
  • Your doctor will discuss with you what the best course of action is.

The treatments for an ectopic pregnancy are similar. Medications are given to prevent the pregnancy from continuing to grow. If surgery is required, it’s standard for the doctors to remove the affected fallopian tube as well as the pregnancy.

Comparing Slow Rising And Normal Rising hCG Levels

Comparing changes in hCG titers with those of established expected curves can help the doctor determine what to do about the pregnancy and how to counsel the patient. However, there are many limitations to the serial assessment of hCG titers and the titers should never be used exclusively to replace clinical judgment based on symptoms or signs.

A normally rising hCG level would usually be a level that rises over 60% over a 48 period, though later on in pregnancy, the rise would be normally slower. Seebert et al reported in 2006 and Morse confirmed this in 2012 that a rise of at least 35% over 48 hours was proposed as the minimal rise consistent with a viable intrauterine pregnancy.

Causes of low hCG levels

If your hCG levels fall below the normal range, it’s not necessarily a cause for concern. Many women have gone on to have healthy pregnancies and babies with low hCG levels. Most women don’t ever have cause to find out what their hCG levels are specifically.

However, sometimes low hCG levels can be caused by an underlying problem.

When hCG Results Can Signal a Problem

In instances where a first hCG measurement is lower than expected, or when there is cause to worry about miscarriage due to previous loss or other symptoms, a second test will most likely be ordered. When there is a decline in the level of hCG from the first test to the second test, this often means a miscarriage may take place, also known as impending miscarriage.

If you are concerned about your hCG levels, you should direct your questions to your physician and try not to read too much into any single measurement.

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