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What Can I Do About Low HCG Level At Four Weeks Of Pregnancy?

Posted on Thu, 18 Jan 2024

Question: Hello Doctor ! I've just found out that I'm pregnant. My LMP is 12th April, 2018. So I think I'm 4 weeks and 2 days according to LMP. My first hcg draw on 9th May was 62.3 and my hcg that was taken yesterday (48 hours apart) was 193. I feel this is such a slow increase. I read in various blogs that many women reached 2000 or 3000 hcg level by this time. Am little worried though it is doubling. Please advise.

Answered by Dr. Richa Agarwal (46 minutes later)

Brief Answer:
HCG levels are low.

Detailed Answer:
Hello dear,
Thanks for trusting us about your healthcare.
I have gone through your history and understand your concern.
Yes,Your hcg is on lower side but it is in normal range and doubling is also there.
You should get your pelvic ultrasound after 2 weeks for viability of the foetus and if everything is fine no need to worry about it.
Because in some healthy pregnancy also hcg on lower side.
Hope found useful,feel free to ask more information.
Good luck.
Regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Richa Agarwal (4 hours later)

Thank you Doctor. I know a cousin who has pcos (I have it too though there are no symptoms like insulin resistance and I have somewhat regular periods) and got her progesterone level checked when she got pregnant. She says if it is not sufficient, it might lead to miscarriage. Should I also check that?? Is it really important? I'm hypothyroid too.

Answered by Dr. Richa Agarwal (11 hours later)

Brief Answer:
Yes, it is important.

Detailed Answer:
Hello dear,
Sorry for the delay in my response.

Yes, You have to check for progesterone levels because it is important hormone for fetal well being and check your thyroid hormones as well, thyroid is very important hormone for fetal brain and other development.

The requirement of thyroid increased during pregnancy.
Hope you found this useful.

Good luck.
Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Richa Agarwal (15 minutes later)

Ok doctor. But without checking, my gynec suggested to take susten 300 mg daily at night. Is it safe? I've heard it sometimes causes birth deformities. Please help.

Answered by Dr. Richa Agarwal (1 hour later)

Brief Answer:
It is safe.

Detailed Answer:
Hello dear,
There is no need to worry about it.
You can take progesterone during pregnancy,It will support your pregnancy and no foetal anomalies detected.
Hope found useful.
Good luck.
Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Richa Agarwal (13 hours later)

Thank you Doctor. Am having hot flashes on and off. Sometimes it goes on for hours like evening to night. When I checked temperature, it is normal. Is this ok in pregnancy?

Answered by Dr. Richa Agarwal (1 hour later)

Brief Answer:
It is normal.

Detailed Answer:
Hello dear,
It is normal as you are already started progesterone to support pregnancy.
Good luck
Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Richa Agarwal (19 hours later)

My heart is always close to 100 for the past 4 or 5 days. Before pregnancy it used to be 80 and it will reach 100 only after eating... now bpm at rest itself is 100 throughout the day. Is this normal doctor?

Answered by Dr. Richa Agarwal (10 hours later)

Brief Answer:
Yes,It is normal.

Detailed Answer:
Hello,
Sorry for the delay in my response.
Yes,It is normal if you are not having any other symptoms.
So take some rest.
Get your thyroid profile and check for your blood pressure.
Hope found useful.
Good luck.
Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Richa Agarwal (11 hours later)

Last week I gave two blood tests for beta hcg in the gap of 48 hours... This week my doctor asked me to repeat again after a gap of 4 days. I had to take tests tsh and cbc also. Am worried about losing that much blood at this time. Will this affect my fetus? Thank you Doctor.

Answered by Dr. Richa Agarwal (7 hours later)

Brief Answer:
It will not affect your baby.

Detailed Answer:
Hello dear,
As you are having slow increase in your beta hcg levels,It is important to get your investigations done.
This much blood loss does not affect your baby.
Hope found useful.
Good luck.
Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Richa Agarwal (2 days later)

Thank you Doctor. Last Wednesday, I checked for my progesterone level and it was 18.68 ng/ml at 5 weeks. I checked with my Doctor to ask for progesterone supplements and she said it is not required now. I'm worried that my progesterone level might go down as time passes. I've heard that it was the cause of miscarriage in many women. Do I need to take those supplements?

Answered by Dr. Richa Agarwal (10 hours later)

Brief Answer:
You can use progesterone.

Detailed Answer:
Hello dear,
Sorry for the delay in my response.

Yes, you can take Progesterone because it is helpful in your case and it will support pregnancy as well.

You can talk to your treating doctor regarding this because progesterone support pregnancy,so there is no harm to the baby.

Hope you found this useful.
Good luck.
Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee