Help with Blood HCG Lvl!?!?!?!?

Question

I had a question about my HCG levels. I went to the Dr because of pelvic pain and thought I had a cyst since I have been on Nuva Ring for 6 months and found out I tested positive on a urine preg. The NP freaked out and sent me for a STAT ultrasound and blood work, and said it was probably an ectopic preg and no to leave the office. After 5 hrs (OMG!) of crying and waiting in the office she sent my home to wait for the results since there was "problems getting my results reviewed". She finally called me back that evening (11/15) and said my blood level was HCG 1209 and said she thought 4 weeks. To repeat the blood work the next afternoon as my ultrasound was inconclusive (they didn't see anything). And since it was going to be Friday that I wouldn't get a call until Saturday. I worried all weekend and never got a call. So this morning I drove straight to the office to get some answers. The NP didn't even speak with me and sent the Medical Assistant out with a referral and said your numbers really didnt change (there were HCG 2182) so follow up at a GYN. I came home and started researching and I'm so confused. Based on charts online those numbers are too high for 4 weeks and they almost doubled in 24 hrs and the web says should double every 72? (But according to my NP thats not much change? I took my ring out Oct 14th - Oct 21 and had a period. So I should only be 4 weeks since last period, 5 on 11/21. So are my levels high for what they should be? And if I'm further along, is there still a chance they missed it on the ultrsound. Sorry for the book, but I'm freaking out! I don't know whether I'm about to loose a baby and have surgery or if I should be celebrating that everything is OK!?
Thanks

Answer 1

It's very hard to tell since it's so early. But hCG levels are supposed to be monitored every 2 days or 48 hours to see if they're doubling. The beginnings of pregnancy can be a bit tricky with numbers as there is a lot that can change them. levels of 1200 indicate you may be further than 4 weeks along but doesn't say much more, you cannot accurately date a pregnancy off hCG since it can be all over the place. You could be less than that but something is causing them to be a bit higher. Unfortunately you're going to have to wait a little bit. Since they didn't see anything yet on ultrasound they cannot tell what's going on until it develops a little more. Hopefully in another week or so you'd be able to tell. In the meantime, watch out for symptoms such as pain or bleeding, don't hesitate to go to the ER if you don't feel right. If they feel it may be ectopic you need to be monitored closely with ultrasound to avoid a possible rupture. Your doctor sounds lazy and not very helpful, I'd go somewhere else for my care. Best of luck to you!

Answer 2

There is a very wide variation in Hcg levels and there is no absolute number for a particular age of pregnancy. You can not accurately date a pregnancy with Hcg levels. Generally the numbers do double within 48-72 hours at the early stages of pregnancy. You sound like you are pregnant and if you had a period on 10/14 then medically you are about 5 weeks. You need to follow up with an OB or a midwife ASAP to have another ultrasound and see what is going on.

Answer 3

My numbers didn't double every 24 hours and I am now 27 weeks pregnant. I also didn't see anything on an ultrasound until a little after 5 weeks. Everyone's levels are different, so I wouldn't worry about it quite yet. Wait until you follow up with a GYN to be concerned/excited. My levels started at 50, then went to 80, then 151 and they thought I was miscarrying. Then, the fourth time I had it drawn, they went up in the thousands and everything is fine now :) I think everyone focuses way too much on the numbers. Best of luck to you!!!!

Answer 4

The levels are confusing. U should get another us since they didnt see anything u maybe very early or having a mc