HCG and a successful pregnancy. HCG and successful pregnancy HCG level at 5 obstetric weeks of pregnancy

15.05.2024
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"We explained the purpose of determining the level of hCG in the blood, as well as the general trend in this indicator during pregnancy. However, we did not dwell in detail on the hCG norms by week. These values ​​are necessary to determine the normal or pathological course of your pregnancy. Let us warn you right away: managing pregnancy, including ordering tests and their interpretation, is the work of a professional. Only a qualified doctor can adequately assess the condition of a woman and her fetus, but it will be much easier for him if the woman is informed about the hCG levels by week, and at the same time trusts him and follows the instructions.

Changes in hCG levels during pregnancy

Before we begin to describe the hCG level by week, we should dwell on the features of the analysis itself. Human chorionic gonadotropin consists of two fractions - alpha and beta. Alpha-hCG is identical to the constituent parts of some other hormones that are in no way related to the presence of pregnancy, while beta-hCG is highly specific: this fraction is produced exclusively by the chorion.

Home tests, so-called test strips, are based on the reaction of hCG of both subunits, but when determining hCG in the blood, they use a technique that captures only a specific beta fraction.

The second important point: any laboratory technique has its own sensitivity threshold. Please note that hCG standards for weeks of pregnancy, although they begin from the first week of embryonic development, however, at this period the results are practically no different from hCG levels in non-pregnant women. You should not run to the laboratory the very next day after the expected conception - this is a waste of money and time. The earliest period at which laboratory diagnosis of pregnancy is possible in some cases is 7-8 days after the expected conception. However, here too, gynecologists recommend not to rush, but to conduct the study only after a delay.

When determining hCG by week, they focus on several main points:

    a reading of up to 5 mIU/ml is considered negative;

    an indicator from 5 to 25 mIU/ml is doubtful and requires repeating after a few days;

    When assessing deviations from the hCG norm by week, a difference exceeding 20% ​​of the standard is taken into account. A decrease or increase in hCG levels by 50% or more is considered a pathology.

A deviation of 20% usually requires repeat analysis. If a repeated study reveals an even greater deviation from the norm, a conclusion is drawn about the presence of a pathological process, but if the result remains the same and there is no clinical picture of pregnancy complications, elevated hCG is considered as a variant of the individual norm.

A single test of hCG levels is rarely used - it is only relevant for the early diagnosis of pregnancy. To identify pathological conditions (threat of abortion, feto-placental insufficiency, etc.), the dynamics of changes in hCG are observed.

So how does the hCG level change by week of pregnancy? Its growth is especially pronounced in the first weeks, then the increase in the rate slows down somewhat and it stabilizes. The increase in hCG value over the weeks is usually expressed in the time required to double its concentration in the blood. Initially, it only takes 2 days for hCG levels to double. Starting from 5-6 weeks this figure is already 3 days, at 7-8 weeks - 4 days. By 9-10 weeks, the concentration of hCG reaches its peak and subsequently decreases slightly, reaching the norm for 6-7 weeks by 16 weeks. In the second half of pregnancy, the dynamics of hCG levels by week are not subject to sharp fluctuations: for the remaining time, its level is only about 10% of its maximum at 10 weeks, increasing slightly on the eve of childbirth.

HCG levels are very variable between weeks of pregnancy. The initial increase is explained by the intensive growth of the fetus, the child's place and active hormonal changes in the female body: at this time, the chorion secretes a large amount of hCG to prepare the place for the baby and provide conditions for its successful development. But after 10 weeks, the placenta undergoes significant changes: now it is not so much a hormonal organ as a respiratory and nutritional one - after all, it is thanks to the placenta that the fetus receives nutrients and oxygen. This explains the decrease in the increase in hCG in the blood.

HCG readings by week

To make it more convenient to navigate the hCG indicators by week, the standards are usually presented in the form of a table.

What should you consider when comparing results with table data?

    The hCG table by week shows obstetric weeks, which are counted from the date of the start of the last menstruation. That is why you will not see the hCG rate at 2 weeks here - during this period we are not talking about any pregnancy, because Conception itself occurs only at the end of this very second week or at the beginning of the third.

To make it easier to navigate when comparing the embryonic (from conception) and obstetric (from the last menstruation) periods, you can take it as a rule that the first is always 2 weeks behind the second.

    If your result shows a slight increase in hCG (more than 5 mIU/ml), remember that before reaching 25 mIU/ml, the result is considered doubtful and requires repeating in 2-5 days.

    The hCG level by week is not an absolute norm: there are minimum acceptable, maximum and average values. However, even if your result does not fit within the specified framework, the criterion for prescribing an additional examination (repeated hCG study, analysis of estrogen and progesterone) is usually considered to be a deviation of more than 20%. And even in this situation, it may turn out that this deviation is a variant of the individual norm, so do not draw your own conclusions - entrust this matter to a specialist.

    In each case, the obtained indicator should be compared with the hCG norms for weeks that are accepted in the laboratory where you took the test. This is explained by the fact that different institutions may use different methods, so compare your result with the data indicated on the laboratory form.

Update: October 2018

Human chorionic gonadotropin (hCG) is a hormone that is normally produced only during pregnancy. It begins to be synthesized by the fertilized egg, and after the formation of the trophoblast (precursor of the placenta) - by its tissues.

Therefore, normally the hormone is not detected outside of pregnancy. When talking about hCG, we usually mean its B-subunit, which is unique, so it is almost impossible to confuse it with other hormones.

Determining the level of hCG is an important step in the diagnosis of many pathologies of the fetus and mother. In the conditions discussed below, hormone levels are usually sharply reduced or sharply reduced. In cases where deviations from the standards are small, this analysis has no diagnostic value, therefore

  • chronic fetoplacental insufficiency
  • post-term pregnancy
  • intrauterine infection of the fetus

determined using other methods and analyses.

What is hCG used for?

  • Prevents the disappearance of the corpus luteum of pregnancy and stimulates the synthesis of estrogen in the first weeks
  • Initiates changes in the anatomy and physiology of the pregnant woman's body
  • Prevents aggression of maternal immunity against fetal cells
  • Stimulation of the gonads and adrenal glands of the fetus
  • Participates in sexual differentiation in male fetuses (stimulates the production of testosterone by the fetal testes)

Determination of hCG levels during pregnancy

Human chorionic gonadotropin performs a tremendous function in the body. It is produced by a fertilized egg and allows pregnancy to develop, as it triggers all the processes necessary for this. This substance prevents regression of the corpus luteum and stimulates the synthesis of hormones (estrogen and progesterone) to maintain pregnancy.

  • HCG is detected in blood plasma already 9 days after ovulation, that is, at the moment of implantation of the fertilized egg into the endometrium.
  • During normal pregnancy, its concentration doubles every two days, reaching a peak of 50,000-10,000 IU/l at 8-10 weeks of pregnancy from the last menstruation (see).
  • Plasma hCG levels then begin to decline rapidly, by half by 18-20 weeks, after which they remain stable until the end of pregnancy.

HCG rise after conception

It is excreted from the body by the kidneys, therefore it is excreted in the urine and detected in it in the interval 30-60 days after the previous menstruation, reaching a peak at 60-70 days. This is the basis of all urinary tests during pregnancy.

From the first day of the delay, that is, approximately on the 30th day of menstruation, the hormone level is high enough to use test strips. In late pregnancy, a repeated peak of hCG may be recorded.

Previously, this was considered a variant of the norm, but this peak can have pathological significance when it is a reaction of the placenta to placental insufficiency in case of Rh conflict, when hyperplacentosis is observed. No hCG should be detected in plasma or urine after delivery or after 7 days, although it is common to wait 42 days before considering the presence of trophoblastic disease.

The hCG table by week of pregnancy will help you navigate the tests and consult a doctor in time if there is the slightest deviation:

Causes of elevated hCG levels

  • Multiple pregnancy
  • Diabetes
  • Chromosomal pathologies and fetal malformations
  • Trophoblastic tumors
  • Taking human chorionic gonadotropin for therapeutic purposes

Causes of low hCG levels

  • Ectopic (ectopic) pregnancy
  • Frozen pregnancy and threatened abortion
  • Antenatal fetal death
  • Some chromosomal abnormalities

HCG as a marker of fetal abnormalities

To monitor the development of the baby, every pregnant woman should undergo prenatal screening (see). It consists of several stages, including assessment of ultrasound data and hormone levels, including hCG.

In the first trimester, at 10-14 weeks, 2 biochemical markers are examined:

  • PAPP-A (pregnancy-associated plasma protein A)

In the second trimester, at 16-18 weeks, a woman undergoes a triple test:

  • AFP (alphafetoprotein)
  • estriol-A

Data from these screenings, together with ultrasound results, make it possible to assess the risks of having a child with certain chromosomal abnormalities and developmental defects. These risks are calculated taking into account the mother’s age, her weight and the health of children from previous pregnancies.

In the 90s of the 20th century, scientists noted that in the blood of mothers carrying children with Down syndrome, the level of hCG was increased twofold or more. The mechanism for increasing the hormone is still not exactly clear, but human chorionic gonadotropin is the most sensitive marker for trisomy 21 chromosomes.

Fetal abnormalities leading to changes in hCG levels:

  • (high hCG and low levels of other markers)
  • and Patau syndrome (low levels of hCG and other markers)
  • Turner syndrome (unchanged hCG but decreased other markers)
  • Severe neural tube and cardiac defects

If an increased risk of developing abnormalities is detected, the woman may undergo additional examinations. Invasive diagnostics helps to confirm fetal developmental disorders with high accuracy. Depending on the stage of pregnancy, various methods are used:

  • chorionic villus biopsy
  • amniocentesis
  • cordocentesis

It is important to remember that if screening results, including hCG levels, are unsatisfactory, consultation with a geneticist is required.

There are situations when screening is extremely difficult, and sometimes impossible. This happens during multiple pregnancies. In this case, the hCG level will be increased in proportion to the number of fetuses, but calculating the individual risks for each baby will be problematic.

HCG for ectopic pregnancy

An ectopic pregnancy is a condition in which a fertilized egg implants anywhere other than the inner layer of the uterus (endometrium). More often it is located in the fallopian tubes, less often in the uterus, ovaries, and even on the intestines. The danger of an ectopic pregnancy is that it is sure to be interrupted (with the exception of a few cases). As a result, a woman may die from profuse internal bleeding, which is very difficult to stop. But there is a “gold standard” of diagnosis, which allows you to make such a diagnosis and take timely measures. This is an ultrasound examination combined with the determination of hCG in a woman’s blood.

During ectopic pregnancy, the conditions for egg attachment are extremely difficult, so the trophoblast secretes significantly less human chorionic gonadotropin than during normal pregnancy. If the hormone level grows extremely slowly and does not correspond to the norms for the weeks of pregnancy, then it is necessary to perform an ultrasound with a vaginal sensor to find the fertilized egg in or outside the uterus. This is possible with a high probability at a hCG level of 1000 IU/l. If the embryo is not found with such an amount of hormone, then laparoscopic surgery and search for the fertilized egg are necessary.

Signs of an ectopic pregnancy

  • abdominal pain after missed period
  • pain during vaginal examination and intercourse
  • sometimes – bloody vaginal discharge
  • fainting with delayed menstruation

If the above-described signs appear, you must consult a doctor, do an ultrasound and take a hCG test (often dynamically) to rule out ectopic pregnancy.

Frozen pregnancy and antenatal fetal death

Sometimes it happens that after a delay in menstruation and a positive pregnancy test, signs of pregnancy do not occur or end abruptly. In these cases, the embryo dies, but for some reason the miscarriage does not occur. As a result, the level of human chorionic hormone, which corresponded to the gestational age, stops growing and then decreases. On an ultrasound, you can see an embryo without a heartbeat or even an empty fertilized egg (anembryony). This condition is called a frozen (non-developing) pregnancy.

Causes of frozen pregnancy

  • chromosomal abnormalities (most pregnancies that fail to develop before 10 weeks)
  • maternal infections (often chronic endometritis)
  • anatomical defects of the uterus
  • maternal blood clotting disorder (thrombophilia)

If, after a detected frozen pregnancy, a miscarriage does not occur in the near future, then it is necessary to perform a medical abortion or curettage of the uterine cavity. If pregnancy loss occurs 2 or more times, the couple needs to be examined to determine the causes of this condition.

If the fetus dies at a later stage, it is called antenatal death. Since during long periods the hCG level is not measured over the weeks of pregnancy, it has no diagnostic value, although a decrease in the hormone occurs in any case.

Trophoblastic tumors

Another pregnancy pathology diagnosed by assessing hCG levels is trophoblastic tumors.

Complete and partial hydatidiform mole

During the development of a normal pregnancy, the sperm, merging with the egg, forms a zygote, which equally combines maternal and paternal genetic information. But sometimes there is a loss of the “female contribution” when the chromosomes of the egg are, as it were, expelled from the fertilized egg. In this case, a condition similar to pregnancy develops, but only based on the paternal genetic material. This phenomenon is called. With a partial hydatidiform mole, the information from the egg remains, but the information from the sperm is doubled.

Both in normal pregnancy and in hydatidiform pregnancy, the paternal chromosomes are responsible for the trophoblast and the formation of the placenta. In the case of doubling of these chromosomes, the trophoblast begins to develop at tremendous speed, releasing large quantities of hormones, including hCG, into the blood. This is what the diagnosis of this disease is based on.

With a hydatidiform mole, the development of a normal pregnancy is impossible; it ends in spontaneous abortion. But the biggest problem is that the hyperactive trophoblast begins to invade the uterus, then beyond it, sometimes turning into a malignant tumor with metastases. Therefore, it is important to detect this disease in time and begin treatment.

Signs of hydatidiform mole:

  • uterine bleeding in early pregnancy
  • uncontrollable vomiting (more painful than during normal pregnancy)
  • the size of the uterus is larger than it would be at this age
  • sometimes – symptoms of preeclampsia
  • rarely - rapid heartbeat, trembling fingers, weight loss

With such signs, it is necessary to consult a doctor, perform an ultrasound and measure the level of hCG in the blood. During normal pregnancy, the level of this hormone rarely exceeds 500,000 IU/l, and there are approximate norms for each stage of pregnancy. With hydatidiform mole, the amount of hCG exceeds them several times.

Treatment for hydatidiform mole involves removing all trophoblast from the uterus. This can be done by curettage or other surgical intervention. Sometimes a relatively benign hydatidiform mole turns into a frankly malignant chorionic carcinoma. This tumor metastasizes very quickly, although it responds well to chemotherapy.

Indications for chemotherapy for hydatidiform mole:

  • the amount of hCG exceeds 20,000 IU/l a month after removal of the hydatidiform mole
  • increase in hCG levels after removal of a hydatidiform mole
  • metastases to the liver, stomach, brain

Chorionic carcinoma

Chorionic carcinoma can occur not only after a hydatidiform mole, but also after a successful birth or abortion. In this case, 40 days after the end of pregnancy, the hCG level does not fall, but often rises. A woman may be concerned about uterine bleeding and signs of metastases to organs. In such cases, treatment is carried out with chemotherapy (methotrexate and other drugs), surgery and further observation.

Taking medications containing human chorionic gonadotropin

The results of a blood test for hCG, including during screenings, can be affected by taking this hormone orally. It is usually prescribed for infertility and as a preparation stage for IVF.

It is very rarely taken for threatened abortion at short term. In any case, if you are taking this drug or any other hormonal medications, be sure to notify your doctor.

When can a false positive test result occur?

  • As some sources indicate, taking COCs (oral contraceptives) can affect the analysis. This is not correct information. Taking contraceptives does not affect hCG levels. The result of the analysis is influenced by the intake of the drug human chorionic gonadotropin, usually as a stage of the IVF protocol.
  • After childbirth or abortion, hCG usually drops to normal within 7 days. Sometimes they wait up to 42 days before making a diagnosis. If it does not fall, or even begins to grow, then it may be a trophoblastic tumor.
  • Other tumors may produce an increase in the hormone in metastases of hydatidiform mole or chorionic carcinoma.
  • There are other tumors from germinal tissues, but they rarely give rise to hCG. Therefore, if there is a formation in the lungs, stomach or brain plus high hCG, then first of all they think about trophoblastic tumors with metastases.

Immunity against hCG

In rare cases, a woman’s body develops immunity against human chorionic hormone. The resulting antibodies to this substance prevent the fertilized egg from attaching normally in the uterus and developing. Therefore, if a woman’s 2 or more pregnancies ended in early spontaneous abortion, then it is worth getting tested for antibodies to hCG.

If the results are positive, treatment is prescribed during the 1st trimester. It consists of glucocorticoids and low molecular weight heparins. We must not forget that this pathology is very rare, so before treatment it is necessary to exclude other causes of infertility and miscarriage.

Determining the level of human chorionic hormone is an important step in monitoring the health of a woman and baby. But this analysis should be prescribed by a doctor, since hCG norms for weeks of pregnancy have an average value, and incorrect interpretation of the indicator leads to causeless anxiety and worry, which is extremely undesirable during pregnancy.

FAQ

Hello! The pregnancy test shows 2 lines, my period is already about 3 weeks late. But the ultrasound still hasn’t found a fertilized egg. Blood test for hCG: 7550 mIU/ml. How long can I wait for embryo imaging?

With modern devices, the fertilized egg is visible in the uterus or outside it already at a hormone concentration of more than 1000 mIU/ml. Therefore, in your situation, you need to immediately consult a doctor to find a solution. You may have to undergo laparoscopic surgery. Delaying a visit to the doctor can result in internal bleeding after termination of an ectopic pregnancy.

At screening at 13 weeks of pregnancy, risks were calculated; for almost all pathologies they turned out to be high. After chorionic villus biopsy, a fetal karyotype of 69xxx was obtained. They offer an interruption. Is hydatidiform mole possible in my case?

Triploidy may indicate the formation of a partial hydatidiform mole. Since a fetus with such a set of chromosomes is not viable, you are recommended to terminate the pregnancy, followed by ultrasound and monitoring of the b-subunit of hCG. The material obtained after the interruption must be sent for histological examination.

After completing the screening, I was given the results in the form of hCG and PAPP-A values. The value of human chorionic gonadotropin is slightly higher than normal. How dangerous is this?

The results of any screening should be given in the form of a quantitative value of individual risks. For example,

  • risk of Edwards syndrome: 1:1400
  • risk of Down syndrome: 1:1600
  • risk of Patau Syndrome: 1:1600
  • risk of neural tube defect 1:1620

In the form in which the results were given to you, it is impossible to determine the risks. Contact the laboratory where you took the tests and ask them to calculate your individual risks.

Human chorionic gonadotropin (abbreviated as hCG, hGT, HCG in English, HGL in Ukrainian) is a hormone that, in the normal state of the body, is produced exclusively during pregnancy. The hCG hormone is produced after conception - it is synthesized by the fertilized egg, and after it is formed trophoblast (this is the precursor of the placenta), this hormone is produced by its tissues. That is why the level of hCG is determined only after conception.

Human chorionic gonadotropin consists of two different subunits - alpha And beta . Moreover, alpha is identical to the subunits of alpha hormones. When we talk about hCG - what it is, its B-subunit is considered. It is important to understand when considering what beta hCG is that it is a unique subunit, so it cannot be confused with other hormones. When talking about testing for human chorionic gonadotropin, we mean that there is no difference between hCG and beta-hCG.

What is hCG during pregnancy? Its definition and decoding is a very important stage in the diagnosis of a number of pathologies of both the fetus and the woman. In some conditions that will be described in this article, hCG values ​​are either greatly reduced or increased. When considering what kind of analysis this is, you need to take into account that with small deviations from the norm, this study has no diagnostic value. Therefore, some diseases and conditions of the expectant mother ( post-term pregnancy , intrauterine infection, chronic fetoplacental insufficiency ) is determined by other methods.

After the hCG results have been received, they are interpreted over time, since each woman’s hCG level changes differently during pregnancy. Therefore, one result cannot judge the situation as a whole.

It is important that the result of the hCG pregnancy test be reviewed by a qualified specialist. After all, decoding the hCG test is very important, as it allows you to correct some problems in fetal development.

Since the free beta subunit of gonadotropin is unique, the test that determines the norm of hCG during pregnancy is also called beta-hCG. The norm is if during pregnancy HCGb appears in the blood a few days after conception. But, nevertheless, if, for example, hCG is 8, what does this mean cannot be definitely said after the first analysis. A repeat test will be needed to confirm pregnancy. In general, the fb-HCG norm is a very important indicator of fetal development.

When taking hCG at Invitro, Hemotest, Helix and other clinics, a woman needs to understand what this indicator is, when such a test will show pregnancy, etc. This will be discussed in the article below.

What is hCG used for?

When determining HCGb levels, you need to understand what human gonadotropin is needed for. Wikipedia states the following:

  • this hormone at the beginning of pregnancy stimulates the process of synthesis and;
  • prevents disappearance corpus luteum ;
  • prevents aggression maternal body against fetal cells;
  • initiates physiological and anatomical changes in the pregnant woman’s body;
  • stimulates the adrenal glands and gonads of the fetus;
  • participates in the process of sexual differentiation in male fetuses.

Why is this test prescribed?

The analysis is prescribed to women for the purpose of:

  • early diagnosis of pregnancy;
  • monitoring the dynamics of how pregnancy progresses;
  • determination of developmental defects (fetal anatomy);
  • development exceptions ectopic pregnancy ;
  • the need to assess whether the artificial one was completely carried out;
  • establishing that there is a threat;
  • diagnostics And tumors .

For male patients, such analysis is necessary to diagnose testicular tumors .

HCG levels during pregnancy

The function of human chorionic gonadotropin in the body is very important. Its indicators begin to increase in the early stages, as it is produced by a fertilized egg. It is hCG that makes it possible for pregnancy to develop, since it triggers all the processes necessary for bearing a baby.

Already 9 days after ovulation, hCG can be detected in the blood plasma. That is, already when the fertilized egg has penetrated the endometrium, there is a slow increase in the levels of this hormone. And if its low level is determined in the early stages, then the concentration doubles every two days. What exactly its level should be in a certain week, how hCG should grow, whether slow or fast growth is noted, can be found out from the corresponding tables.

The increase in hCG during pregnancy occurs until 8-10 weeks from the last menstruation, when its peak is noted - 50,000-10,000 IU/l. Then the hormone level begins to decrease, by 18-20 weeks it is already reduced by half. Then the hCG level remains stable throughout the entire pregnancy.

During pregnancy, gonadotropin is excreted from the body by the kidneys, and therefore is excreted in the urine. It can be determined by performing a urine test in the range of 30-60 days after the last menstruation. The highest rates are observed on days 60-70. This is why, when hCG begins to be produced, you can do a pregnancy test strip or other urine tests.

HCG levels during late pregnancy may reach repeated peak levels. Previously, doctors considered this to be normal. However, it has now been proven that elevated hCG in later stages may indicate developmental pathology. In particular, a high level of the hormone in the last weeks of gestation sometimes means that there is a reaction of the placenta to placental insufficiency in the case of Rhesus conflict .

Therefore, it is necessary to promptly identify this disease and carry out treatment.

The main signs of hydatidiform mole are:

  • Constant, indomitable vomit , much more painful than with normal.
  • Uterine bleeding (severe spotting) in the early stages.
  • The size of the uterus is larger than normal at this stage.
  • Symptoms preeclampsia (Sometimes).
  • Trembling fingers, palpitations, weight loss (rare).

When the signs described above are noted, it is important to consult a gynecologist, undergo an ultrasound and be tested for hCG.

If pregnancy develops normally, then the level of this hormone rarely increases above 500,000 IU/l. There is an approximate calculation of hormone norms for each period. But if a hydatidiform mole develops, the hCG level is different, several times higher than these norms.

To cure a hydatidiform mole, all trophoblast must be removed from the uterus. To do this, curettage or other surgical interventions are performed.

It may happen that a benign hydatidiform mole turns into malignant chorionic carcinoma . As a rule, metastases appear very quickly with this tumor. But it responds well to treatment with chemotherapy .

There are the following indications for chemotherapy:

  • HCG level is above 20,000 IU/L one month after the hydatidiform mole was removed.
  • An increase in the level of this hormone after a hydatidiform mole has been removed.
  • Metastases to other organs.

Chorionic carcinoma

Chorionic carcinoma may appear both after a hydatidiform mole, and after childbirth or abortion. If a woman develops this disease, then 40 days after the pregnancy ends, the hCG level does not fall, but its increase is noted. Uterine bleeding may also occur, signs that indicate metastases. In such a situation, there are indications for chemotherapy and surgery. In the future, the patient should remain under observation. The doctor decides how long it should last.

The use of drugs with human chorionic gonadotropin

Like all human hormones, human chorionic gonadotropin levels can depend on various factors. Thus, the test result is influenced by whether the woman takes medications containing human gonadotropin orally.

As a rule, such drugs are prescribed to women with, as well as during the period when preparations are underway for IVF, in order to increase hormone levels.

In rare cases, such medications are taken if there is a threat of miscarriage. In any case, if a woman uses such medications, then before carrying out any measurements and tests, you need to warn the doctor about this.

Taking a variety of medications, many women are interested in whether they can affect the levels of this hormone. For example, it is often asked whether to the hCG level. According to experts, Duphaston may slightly affect the level of this hormone, since this drug controls the level progesterone . However, if hCG does not meet the norm, this cannot be attributed to the influence of the drug, since it may be a pathological condition.

The level of this hormone is not affected.

Hormonal medications, the active component of which is human chorionic gonadotropin, are drugs Profasi , Humegon , Horagon , Khoriogonin , Menogon . They restore the ovulatory process and activate the hormonal activity of the corpus luteum. At what size of the follicle the injection is given is determined by the doctor.

Initially, studies are carried out on hormones, their norm in women and deviations. If certain abnormalities occur, in particular, progesterone is below normal, what this means, the doctor will explain during the consultation and prescribe specific treatment.

If necessary, to stimulate ovulation, hCG injections from 5000 to 10000 IU are prescribed, in order to maintain pregnancy - from 1000 to 3000 IU. Individual dose selection is important. Therefore, if the 10,000 injection was given, when is ovulation, if the 5,000 injection was given, how long after ovulation, the specialist will explain.

Currently, human chorionic gonadotropin is also used by athletes, since under its influence it increases in the male body.

False positive test result

Those who are interested in what stage of pregnancy a test for this hormone shows, should take into account that in some situations the tests can be false positive.

This happens in the following cases:

  • Some experts say that when taking oral contraceptives, hormone levels may increase. However, there is no proven evidence that taking contraception affects hCG.
  • As a rule, after childbirth or abortion, hormone levels decrease for seven days. In some cases, the doctor waits 42 days, after which tests are taken and he can make a diagnosis. If the analysis shows that hCG has not decreased or increased, then we can talk about a trophoblastic tumor.
  • Levels may remain elevated when metastases occur chorionic carcinoma , hydatidiform mole .
  • Other tumors can also develop from germinal tissues, but they rarely produce an increase in hormone levels. Therefore, if there is a formation in the brain, stomach, lungs and a high level of human chorionic gonadotropin, first of all, a suspicion of trophoblastic tumors with metastases arises.

Thus, the hCG level in non-pregnant women should not be higher than those that are normal. The normal level of hCG in non-pregnant women is from 0 to 5. The level of this hormone in a non-pregnant woman may be higher in the first days after an abortion, when taking certain medications, as well as with the development of certain pathological conditions.

Immunity against hCG

In rare cases (units) the female body produces to chorionic hormone. They are an obstacle to the normal attachment of a fertilized egg in the uterus and its subsequent development.

Therefore, if in two or more cases the pregnancy ended in spontaneous miscarriage, it is important to take a test to determine antibodies to hCG and find out if there are any certain abnormalities. If the result is positive, treatment is carried out during the first trimester.

The woman is prescribed glucocorticoids And low molecular weight heparins . However, it is important to consider that organisms producing antibodies to hCG are rare. Therefore, in the absence of pregnancy, you must initially undergo all tests and exclude the influence of other factors on women’s and men’s health.

conclusions

Thus, an analysis for hCG is a very important study during the period of bearing a baby. It is understandable that after receiving research results, patients have many questions. For example, why hCG increases but does not double, how to correctly decipher hCG by DPO, etc., whether fibroids affect the level of the hormone, etc. You need to ask a gynecologist about everything, who will help decipher the tests and give comprehensive answers to all questions.



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