Is D&C Advisable When Diagnosed With High HCG Levels?

Posted on Thu, 11 Aug 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 11 Aug 2016 Answered on

Wed, 31 Aug 2016 Last reviewed on

Question : I am 20 years old and have a very poor menstral cycle. I got pregnant while on the pill at 17 and had a beautiful baby girl. since her birth my cycle is hit or miss. I bleed for a few days in May and spotted one day in XXXXXXX I have recently taken several prenancy tests which have come back positive. I went to the doctor and they have taken blood tests several times. My HCG levels were 25,80, 8000. They did an US last week and saw a gestational sac and yolk sac. Could there be something wrong or do I just need to wait. My dr did mention a D&C until she saw my HCG level come back at 8000

Answered by Dr. Dr. B. Radhakrishnan. Nair (28 minutes later)

Brief Answer:
EARLY PREGNANCY .MISSED ABORTION

Detailed Answer:
Hi
Greetings
Your doctor would have advised D AND C because the hcg has to double up in 48 to 72 hrs.Since it us not doubling up ,Pregnancy may not be continuing.A repeat ultrasound scan can be done to know the progress .
After that you can take a decision.
Need not worry about it.It happens at time.
Discuss with your obstetrician.
Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. B. Radhakrishnan. Nair (36 minutes later)

My HCG levels was 25, then 80, then she recommended d&c until she saw the 8,000. Isn't that a good sign?

Answered by Dr. Dr. B. Radhakrishnan. Nair (3 minutes later)

Brief Answer:
Early pregnancy

Detailed Answer:
Hi
If hcg was 8000 ,it should be 16000 after 48 to 72 hrs for normal pregnancy. That increase has to be correlated with scan findings.
Hope you are convinced. Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng