Doctors Lounge - Gynecology Answers
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Forum Name: Obstetrics
Question: Very Low HCG for 6 weeks
|cristinaadela - Tue Jan 13, 2009 5:48 pm||
My story:TTC for 2.5 yars
dec 25 -LMP(NO pregnancy test done)
dec 8-jan 1 -clomid
jan 5 -blood test-hcg 34(my dr think am pregnant in 6 w)
jan 7-hcg 35
jan 10-hcg 37
she recomanded one more hcg level jan 15, metotrexat jan 16.
I am confuse, can I be pregnant after clomid?
What chance to be ectopic?
If tubal pregnancy how big HCG have to be to rupture my fallopian tube?
I want to wait more , do you thik it is wise.
|Debbie Miller, RN - Fri Jan 16, 2009 12:50 pm||
HCG levels alone cannot answer your questions. There are parameters that help diagnose pregnancy vs miscarriage but if there is implantation in the fallopian tube (ectopic) the lab value alone will not diagnose it. These are just part of the whole picture. In a pregnancy, the values typically double every couple of days; otherwise it is likely not a viable pregnancy but sometimes only time can tell since some women have lower levels. The pattern is the most significant part and that is why your doctor is recommending another test.
I'm not understanding your question about clomid. Of course you can be pregnant on it since that is the purpose for which it is prescribed. But, the HCG levels are not looking like you are pregnant now. I would follow the advice of your physician who has the advantage of your health history and physical exam. Sometimes ectopic is diagnosed by ultrasound; often pain is what alerts you to seek help.
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