What Causes Higher HCG Levels Post Menopause ?
Thanks for the query,
Human chorionic gonadotropin is a glycoprotein hormone produced during pregnancy by the placenta. HCG is also produced in the pituitary gland of males and females of all ages.
The reference range of HCG in non pregnant women is < 5.0 mIU /mL.
The levels in post menopausal women is slightly higher : < 9.0 m IU/ mL.
From the history and details provided, you need not worry about cancer. It is commonly seen among some normal, non-pregnant, post-menopausal women to have β-hCG levels that are slightly above normal laboratory limits, and these levels do not show an increasing pattern over time (As in your case).
With regard to the possibility to live with ovarian cancer for more than 2 years is not likely. Ovarian tumors are definitely fast growers and hence usually present within a few months of development.
The Possible causes for an elevated Serum HCG Levels in a post menopausal women can include the following:- (But the titres in these cases would be very higher than that seen in otherwise normal postmenopausal women).
1. Elevated Pituitary hCG (Very high levels - Associated with pituitary tumors).
2. Ovarian cancer ( Very high levels).
3. False postive testing (by confusing hCG with LH and FSH)
4. End-stage renal failure ( is associated with up to 10-fold elevations in serum hCG levels.)
5. hepatic disease
6. NON OVARIAN Cancer OR tumors (e.g., lung, liver, breast, bladder, and gastrointestinal tract)
I hope this helps to answer your questions.
Please feel free to consult me again if you have additional queries
Regards.
Dr Anvekar.