24.05.2014

Getting pregnant after miscarriage hcg levels

Human chorionic gonadotropin, also known as hCG, is actually the hormone which is measured by blood and urine tests during pregnancy. HCG is usually detectable in the blood serum, usually 8 days after conception, of approximately 5 percent of women who are pregnant. The normal level of hCG varies especially in early pregnancy, as it’s produced by the placenta immediately after implantation takes place and rise progressively. There is a possibility that you can have slow rising hCG levels in early pregnancy and eventually go along to have a normal pregnancy. There is probably nothing that can interfere with your hCG levels except the medications which contain the hCG. Checking your hCG may not be such a common routine, but it can be performed when you show some signs of a possible problem.
You should not get too worked up about your hCG levels because there is little you can do about them. You can have a blood test if you want to definitively know your hCG levels since the levels vary at different times. The most sensitive, accurate and reliable pregnancy test is a blood test for the presence of beta HCG (human chorionic gonadotropin), often just called "beta". The post IVF 2ww is full of suspense and anxiety; and women want to know how soon they can do a urine pregnancy test after the transfer to find out if the cycle has been successful or not. The major advantage of blood tests is the fact that they measure the actual level of the HCG in the blood - and this factor can be very helpful in managing pregnancy problems, if they occur.
As one would expect, the levels are higher in a multiple pregnancy because there is more placental tissue in a multiple pregnancy. While a single level provides useful information , serial measurements are much more useful. To get maximal information from a HCG level, remember that it needs to be interpreted in conjunction with your ultrasound scan results. Problems with HCG testing can occur if you have earlier been given HCG (human chorionic gonadotropin) injections for inducing ovulation.
One drawback with the HCG test is that a positive HCG simply means a pregnancy is present in the body - it does not provide any information about the location of this pregnancy, which may be tubal or ectopic. Many IVF doctors are very creative in manipulating the HCG results and interpreting them, because they want to inflate their success rates ! They give HCG injections during the luteal phase, after the embryo transfer, claiming this is for "luteal phase support".
Although in conventional medicine no assessment is traditionally done until a woman has had 3 first trimester miscarriages, there are factors that can be investigated both prior to conceiving again and during the early stages of the next pregnancy to ensure that all is well.  Having 2 miscarriages is often enough to warrant this first stage of testing. There are 3 things that are important to assess in a woman who has experienced miscarriage.  If the miscarriage is incomplete, ultrasound scans will also be necessary to add to these. Once pregnant, early progesterone and quantitative hCG levels can be assessed.  These can help determine if there is sufficient progesterone to maintain pregnancy.
Assess stress levels and ensure stress management techniques are in place for the next pregnancy.  This can include yoga, meditation, acupuncture or deep breathing exercises. If the miscarriage is caused by a chromosomal disorder then the miscarriage cannot be prevented.  If it is caused by hormonal imbalance, clotting factors, thyroid disease, male factor or autoimmune disease, it can often be successfully treated with integrative medicine.
Sufficient folic acid.  1mg per day of folic acid is recommended prior to achieving pregnancy. Get acupuncture in early pregnancy.  This can not only address stress, but can balance hormones, improve thyroid function, and reduce inflammation. It is hCG that causes the early signs and symptoms of pregnancy and also triggers the need to actually go and have a pregnancy test done. While it is not a hard and fast rule, it is generally the case that hCG levels increase by about 60% every two to three days during early pregnancy. Studies show that every two to three days in 85% of normal pregnancies, the hCG levels increase two times.


When you take a pregnancy test, what it really means is that you are checking for the presence of hCG. Repeated hCG levels tests should be performed for proper assessment of health during pregnancy. It is not recommended that hCG levels are used as an indicator of gestation age because these figures tend to vary considerably.
The purpose of checking hCG levels is certainly not to determine the physical or psychological health of the fetus. When a woman gets pregnant, hCG is produced by the tissue which eventually becomes the placenta.
Virtually, the rest 95 % of the women will experience its detection at about 11 days after conception. However, it’s important to know that these hCG levels are just relative approximates and varies with each pregnancy. You might find that your first test indicates a lower hCG level, but when you come for the subsequent test, it’s found to be normal.
Other testing methods such as abdominal or trans-vaginal ultrasound are also used to determine pregnancy progress depending on the estimated gestational age. Your medical care giver may have to recheck your hCG levels if you experience severe cramping, bleeding as well as if you have a history of miscarriage. However, one hCG test will tell you no more than the levels of that day or that point in time. You should be confident about yourself and let your body do the functioning since hCG level control is not under your power. The HCG is produced by the embryo, and is the embryo's signal to the mother that pregnancy has occurred. The benefit of urine pregnancy test kits is that they are less expensive; and testing can be done at home by the patient herself.
Even if you are pregnant, the urine test may not be positive, because the HCG levels in the urine are often very low at this time.
Even if you are not pregnant, the urine test may be positive, because of the HCG present in your body as a result of the HCG trigger shot given before egg collection. Possibilities include a non-viable intrauterine pregnancy which will miscarry; or an ectopic pregnancy. Thus, one reliable sign of a healthy pregnancy is the fact that the HCG levels are increasing rapidly, and often doctors may need to do 2 HCG levels 3 days apart in order to determine the viability of the pregnancy. Normally, this exogenous HCG is excreted by the body in 10 days; but sometimes it can linger on.
HCG levels which do not increase as rapidly as they should may mean that there is a problem with the pregnancy - the embryo may miscarry because it is unhealthy; or the pregnancy could be an ectopic pregnancy. This means that the HCG levels may continue to rise even if you have a non-viable pregnancy ( also known as an anembryonic pregnancy or missed abortion).
After this time, ultrasound scans are much more useful, as they allow us to directly see the fetus. This HCG is then detected in the blood when doing the HCG blood test ( or in the urine, when doing a pregnancy test). Signs of miscarriage include bright red colored bleeding, passing of clots, prolonged loss of pregnancy symptoms, and significant or intense cramping.  Mild cramping in early pregnancy is very normal.
This can alleviate stress around miscarriage and is an important part of preventing another miscarriage. Progesterone is essential to prevent the immune system from rejecting the embryo, is anti-inflammatory, stimulates hCG production, and produces the mucous plug which protects the baby from infection. This is very important as having a prior miscarriage usually increases stress in the earliest weeks of pregnancy.  Stress management is of the utmost importance at this stage.
Ensure you are getting 9 hours of high quality sleep in early pregnancy and be in bed by 10pm at the latest to maximize adrenal health.


Low-dose aspirin and omega-3 fatty acids improve uterine artery blood flow velocity in women with recurrent miscarriage due to impaired uterine perfusion.
Indeed, the typical symptoms of pregnancy, such as sudden bouts of nausea, particularly in mornings for most women, seemingly unexplained fatigue, exaggerated emotional responses, extra fullness or tenderness of the breasts, are all attributable to the presence of hCG in a female. Nevertheless, the level of the increase is dependent on the particular woman as well as on the number of fertilized eggs she is carrying. As pregnancy advances, the rate at which the hCG levels increase, and may take as much as four days to double. This is because each pregnancy is unique and hCG levels may change at different points for various reasons. Rather, it is simply to establish that the levels of the hormone are consistent with what is considered the medical norm.
After eight to twelve weeks gestation, the rate of increase of hCG levels will decrease even more, until it reaches and maintains an ambient level for the rest of the pregnancy. HCG production signals the corpus luteum-a remnant of the follicle that had grown in the ovary, to keep or continue producing progesterone. Other medications such as painkillers, antibiotics, contraceptives should not have any effect on an hCG test. This is why, if the HCG level is very low, the test may need to be repeated, to confirm that the level is increasing. While they are not clinical pregnancies, they are of useful prognostic information, because they may mean that your chance of getting pregnant in a future cycle are good.
Since the HCG test is positive, they then proudly proclaim that the patient is pregnant and that their treatment was successful.
This is caused by stretching of the uterus and its ligaments, and nearly all healthy pregnant women experience some degree of cramping.  Brownish discharge in early pregnancy is also a common phenomenon and occurs frequently after intercourse, irritation of the cervix and pap tests, as changes in hormones make bleeding from the cervix more likely. Normal levels of beta hCG should double every 2-3 days in early pregnancy, though the range of what is considered as a normal hCG level can be very large. Be sure to consult with your doctor if you are concerned that your own hCG levels are not within these quoted ranges.
The result of an ultrasound taken at about five or six weeks of pregnancy is a more reliable indicator of fetal and maternal health than hCG levels.
Yes, this is logical, but in real life, pregnancies are dated from the first day of the last menstrual period ( LMP).
Thus, when patients get levels of 14 or 16, they proudly declare that the IVF was successful and that the patient is pregnant.
Eventually, the placenta takes over the progesterone production at around the tenth week of pregnancy, after which hCG levels stabilize for the entire pregnancy. After this, the rate of increase is individualized and peaks between 60th and 70th day of last menstrual period. For instance, a dropping hCG level indicate a problem, and the numbers that go very high for an estimated gestation period also indicate a problem (molar pregnancy). To make a bad situation even worse, they continue giving the HCG injections to "support the pregnancy".
The doctor then claims that the IVF pregnancy miscarried because of "bad luck" and that the patient's best option is to try again.
Patients feel that since they did get pregnant, this is a good IVF doctor - and they keep on doing IVF treatment cycles with him repeatedly.



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