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Does HCG Level Of 235 Suggest Early Pregnancy?
Question: last cycle was oct 12, went to the dr last night and My hcg levels are 235. no visual sac just thick uterus. dr said I'm having a miscarriage, or a ectopic pregnancy, can there be a chance I'm just early?"
Brief Answer:
Yes it could be early pregnancy... it is ok not to see a sac with low HCG
Detailed Answer:
Hello, and I hope I can help you today.
Even though the first day of your last period was more than a month ago, the timing of your ovulation is impossible to know, which means that it may be only two to three weeks since you conceived. At that gestational age, it is normal not to see a gestational sac in the uterus, and a HCG level under 500 may be completely normal.
So there is no way to tell the difference between an early pregnancy, a miscarriage, or an abnormal pregnancy like an ectopic.
As long as you have no symptoms of bleeding or pain, and you have no previous history of tubal surgery or ectopic pregnancy, there is no reason you need to worry. You should have a repeat ultrasound in a week or so and a repeat HCG level. Once the level is in the thousands, if the pregnancy is normal they should be able to see it on an ultrasound.
Signs of problems include vaginal bleeding and/or severe abdominal pain (especially if it is on only one side).
So in summary, you could have a perfectly normal pregnancy, but be on alert for abnormal symptoms. I advise eating a well-balanced diet, taking prenatal vitamins, and getting enough rest.
I hope I was able to adequately answer your question today and I wish you the best of luck with your pregnancy. If you need any further assistance, please do not hesitate to contact me.
Best wishes,
Dr. Brown
Yes it could be early pregnancy... it is ok not to see a sac with low HCG
Detailed Answer:
Hello, and I hope I can help you today.
Even though the first day of your last period was more than a month ago, the timing of your ovulation is impossible to know, which means that it may be only two to three weeks since you conceived. At that gestational age, it is normal not to see a gestational sac in the uterus, and a HCG level under 500 may be completely normal.
So there is no way to tell the difference between an early pregnancy, a miscarriage, or an abnormal pregnancy like an ectopic.
As long as you have no symptoms of bleeding or pain, and you have no previous history of tubal surgery or ectopic pregnancy, there is no reason you need to worry. You should have a repeat ultrasound in a week or so and a repeat HCG level. Once the level is in the thousands, if the pregnancy is normal they should be able to see it on an ultrasound.
Signs of problems include vaginal bleeding and/or severe abdominal pain (especially if it is on only one side).
So in summary, you could have a perfectly normal pregnancy, but be on alert for abnormal symptoms. I advise eating a well-balanced diet, taking prenatal vitamins, and getting enough rest.
I hope I was able to adequately answer your question today and I wish you the best of luck with your pregnancy. If you need any further assistance, please do not hesitate to contact me.
Best wishes,
Dr. Brown
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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