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What Does My Blood Test Report Taken During Early Pregnancy Indicate?

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Posted on Tue, 26 May 2015
Question: Hi,
My wife had a 5 day embryo transfer on April 24. Technically she was supposed to receive a blood test tomorrow but when we tested at home on Friday with a First Response hpt, she tested positive. Again on Sunday. She asked the doctor is she could get blood test earlier than Wednesday. As a result, today early blood test showed hcg levels at 126. Should we be alarmed or is this possibly the result of testing too early
doctor
Answered by Dr. Kathy Robinson (13 minutes later)
Brief Answer:
do not be alarmed

Detailed Answer:
Hello and thank you for your question.
There is no single normal level for HCG in early pregnancy. What is important is the rate of rise. HCG should double every 48-72 hours during early pregnancy so she will need to be retested again in a few days. Also HCG is made by the corpus luteum and maintains the pregnancy until the placenta starts making progesterone to maintain the pregnancy. Because she had an embryo transfer she will naturally have lower initial HCG levels than if she had a pregnancy after a spontaneous ovulation. Do not be alarmed, just do the follow up that is requested by your obstetrician.
Good luck on a healthy pregnancy
Dr. Robinson
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kathy Robinson (2 hours later)
Thank you for your reply. I neglected to mention that she is taking progesterone and estrogen shots as well.
doctor
Answered by Dr. Kathy Robinson (2 minutes later)
Brief Answer:
good

Detailed Answer:
The progesterone will help maintain the pregnancy in the absence of high levels of HCG. It is good that she is on that.
Regards to you both
Dr. Robinson
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Kathy Robinson

General & Family Physician

Practicing since :1989

Answered : 3535 Questions

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What Does My Blood Test Report Taken During Early Pregnancy Indicate?

Brief Answer: do not be alarmed Detailed Answer: Hello and thank you for your question. There is no single normal level for HCG in early pregnancy. What is important is the rate of rise. HCG should double every 48-72 hours during early pregnancy so she will need to be retested again in a few days. Also HCG is made by the corpus luteum and maintains the pregnancy until the placenta starts making progesterone to maintain the pregnancy. Because she had an embryo transfer she will naturally have lower initial HCG levels than if she had a pregnancy after a spontaneous ovulation. Do not be alarmed, just do the follow up that is requested by your obstetrician. Good luck on a healthy pregnancy Dr. Robinson