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What Does Increase In HCG Level During Pregnancy Indicate?

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Posted on Wed, 10 Sep 2014
Question: As per Ultrasound (TVS) my wife is having a pregnancy of 4 weeks and 5 days and we gone through the test of HCG twice within 48 hours and its showing 2608 and after 48 hours its showing 2777 and PROGESTERONE, SERUM is 4.4. so the next suspect is whether baby is on tube but we did the ultrasound and as per report its normal.

Apart from this doctor suggested every alternative Sustan 200 (injunction) and Sustan 400 mg put in XXXXXXX (twice in a day)
Can you clarify about HCG more. Should we worry about this. Please advise.
doctor
Answered by Dr. Manisha Jain (35 minutes later)
Brief Answer:
dying intrauterine pregnancy

Detailed Answer:
Hello sir thanks for trusting health care magic.
Your report is suggestive of a dying intrauterine pregnancy as first possibility and tubal ectopic as second.
So you need to take susten as advised and repeat the test of bHCG after exactly 48 hours of previous test.
But as rise is just of around 100 units and progesterone is also very low the possibility of dying pregnancy is much more which kind of a better news than a tubal ectopic.
But still we need to be sure about it so wait for 48 hours and till them ask her to take rest and not to do any physical exertion.
Normal wall till washroom and kitchen is fine but not more than that.
Wish you all the best and you can upload the report after 48 hours as soon as possible and we can discuss the same to decide further course of action.
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Manisha Jain (15 minutes later)
What does it mean by "dying intrauterine pregnancy". Is it something not good.
doctor
Answered by Dr. Manisha Jain (10 minutes later)
Brief Answer:
see detailed description

Detailed Answer:
I'm sorry to say that yes you are right it is good as by dying intrauterine pregnancy I mean intrauterine pregnancy in the process of abortion slowly.
It is definitely a bad news but comparing with tubal ectopic it is easy to manage.
Because tubal ectopic pregnancy is an emergency situation once diagnosed and many a times requires surgical management.
By taking susten we might get fortunate and be able to save the intrauterine fetus from aborting like the way it is now.
Take care.
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. Chakravarthy Mazumdar
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Answered by
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Dr. Manisha Jain

OBGYN

Practicing since :2007

Answered : 5136 Questions

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What Does Increase In HCG Level During Pregnancy Indicate?

Brief Answer: dying intrauterine pregnancy Detailed Answer: Hello sir thanks for trusting health care magic. Your report is suggestive of a dying intrauterine pregnancy as first possibility and tubal ectopic as second. So you need to take susten as advised and repeat the test of bHCG after exactly 48 hours of previous test. But as rise is just of around 100 units and progesterone is also very low the possibility of dying pregnancy is much more which kind of a better news than a tubal ectopic. But still we need to be sure about it so wait for 48 hours and till them ask her to take rest and not to do any physical exertion. Normal wall till washroom and kitchen is fine but not more than that. Wish you all the best and you can upload the report after 48 hours as soon as possible and we can discuss the same to decide further course of action. Take care.