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Understanding HCG Levels in Early Pregnancy After IVF


Question
Hi Gayle, I have just been through my 1st cycle of IVF treatment.  I had the embryo transfer (blastocyst) on 01/08/07.  2 weeks ago (13/08/07), I had a positive result to pregnancy.  My HCG level was 144.  Last Monday (20/08/07), my HCG level was 1840.  This afternoon (27/08/07), I was advised that my HCG level was not optimum.  It only raised to 3800.  Today is my 6th week of pregnancy.  I am extremely worried about the results of this blood test.  I was told that all the other hormones level were very good except for the HCG.  It was supposed to have quadrupled since my last test to more than 6000.  I was told to wait till next Tuesday for another blood test and ultrasound scan for confirmation.  In the meantime, I am extremely worried.  Please advise.  Thank you.

Answer
Know that with majority of good pregnancies, the hCG levels double approximately every 72 hours, reaching a peak around 10 weeks gestation, then they start to decline.  

There is a wide range of normal in the levels, so the thing to be aware of is a proportionate CHANGE in the level.  Your ultrasound scan will be the confirmatory sign.

Remember, your attending MD is your best resource.