QuestionI am 41, with 2 children ages 4.5 and 2. My LMP was 9-20-2005.
I transferred 2 embryos on 10-7 and have had HCg readings of 62(11 day past transfer), 194 (14 day past transfer) and 615 (17 days past transfer)
My doc - who I love and trust and have been working with for 7 years, is being VERY pessimistic about this pregnancy and not too open as to why.. just that he "expected" the numbers to be higher(he did say he would have liked the last number to be over 1000)..He has not scheduled any further blood work, just indicated that I would be called to schedule and U/S the end of next week..
I like to hear your thoughts on how you would be guiding a non-IVF patient with these numbers..
AnswerIf your last period started on September 20, and had a transfer of two embryos on October 7, then by October 21 (14 days post transfer) your HCG vlues should have had a value of 100-5000. By 3-4 weeks (from the first day of your last period) the values should have been between 500-10,000. Your values of less than 1000 are a bit low for a viable pregnancy. A sonogram will not show anything other than an empty gestational sac until 6 weeks from your last period (November 1) at which time we should be able to see a fetus and a fetal heartbeat. I would recommend getting a sonogram after November 1. If there is no fetus and fetal heartbeat seen at that time, I, too, would be pessimistic.
