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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abnormal HCG Levels, Spotting And Sore Breasts In A Pregnancy?

Hello. I m 5w6d pregnant today and very concerned about my hcg levels. At 4w they were at 266 and at 5w2d only 379. My ob didn t seemed concerned and did not want me to do more test to ensure they were rising. I have not had and cramping but have been spotting for over a week. My breast are also extremely sore. Any thoughts or recommendations would be greatly appreciated. Kimberly
Wed, 30 Mar 2016
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OBGYN 's  Response
Hi
Dr. Purushottam welcomes you to HCM virtual clinic.
I have gone through your query.
I think I have understood your concern, I will try to suggest you the best possible treatment options.

It seems that your concern about rise in beta HCG titres is right.
Titres should rise multi folds over a week's time.
I will suggest to get urgent USG done to check viability of pregnancy.

With viable USG report you can support the pregnancy with HCG injections 5000 I.U., 2 times a week , and Micronized progesterone 200 mg twice a day till 14 weeks of pregnancy.

I hope my answer helps you.
Thanks.
Wish you good health.
With regards
Dr Purushottam Neurgaonkar
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What Causes Abnormal HCG Levels, Spotting And Sore Breasts In A Pregnancy?

Hi Dr. Purushottam welcomes you to HCM virtual clinic. I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options. It seems that your concern about rise in beta HCG titres is right. Titres should rise multi folds over a week s time. I will suggest to get urgent USG done to check viability of pregnancy. With viable USG report you can support the pregnancy with HCG injections 5000 I.U., 2 times a week , and Micronized progesterone 200 mg twice a day till 14 weeks of pregnancy. I hope my answer helps you. Thanks. Wish you good health. With regards Dr Purushottam Neurgaonkar