Importance of beta hcg test in diagnosing pregnancy

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Ovulation is an abnormal condition in pregnancy, if not detected early and properly treated, it can lead to dangerous complications. Testing hCG levels in pregnancy is a routine test, which plays an important role in the diagnosis and monitoring of patients during treatment.

1. What is egg pregnancy and how is it treated?

1.1 What is egg pregnancy? Normally, after the egg and sperm combine during fertilization, it will develop into a fetus and its appendages have the effect of protecting and nourishing the fetus such as the placenta and the amniotic sac.
However, in some cases, the trophoblastic cells grow too fast, the connective tissues and capillaries of the umbilical blood vessels of the umbilical cord blood vessels in the placental umbilicus do not develop in time, leading to the degeneration of the placenta, edema forms fluid-filled sacs like bunches of grapes filled with water, these bags are not interconnected but connected by small fibers, 1 to 10 millimeters in diameter, overwhelming the fetus. This phenomenon is called oviposition.
Ovulation includes two types:
Complete egg pregnancy: All placental spines become water follicles, there is no pregnancy in the uterus. Partial pregnancy: Only a few placental spines become hydrocystic, in the pregnant uterus. Ovulation often occurs in women over 35 years old, women who have given birth many times, have a history of abnormal first pregnancy, people with inadequate nutrition, lack of protein, folic acid, vitamin A, etc. ...

Most of the cases of ovum are benign, but some cases can progress to dangerous complications such as: blood loss, bleeding, eggs deep into the uterine muscle layer, perforation of the uterine muscle. Abdominal bleeding. In particular, cells that nourish the placenta with cancer can enter the mother's body through the bloodstream through the bloodstream, causing cancer to metastasize to other organs, this is a malignant cancer causing high mortality rate. high mortality.
1.2 Treatment of ovulatory pregnancy Patients after being diagnosed with ovulatory pregnancy are often prescribed aspiration curettage, combined with oxytocin mixed infusion to contract the uterus and use antibiotics to avoid infection. Scrape the second time after 2-3 days if the first scraping does not guarantee all the eggs. The scraped tissue sample will be sent for pathology to determine if it contains cancer cells. Patients should avoid pregnancy for 2 years after treatment.
In the case of an invasive pregnancy that causes a perforation of the uterus in women who are older or do not want to have more children, the doctor may recommend hysterectomy after aspiration abortion.

2. Significance of testing hcg levels in pregnancy

2.1 Beta hCG test is a basic pregnancy test to help diagnose disease. When a patient is ovulatory, the beta hCG level is usually elevated above 100,000 mUI/ml. Ultrasound images and beta hCG test results for pregnancy are the two main laboratory factors that help doctors diagnose the disease.
2.2 Beta hCG pregnancy test helps to monitor the effectiveness of treatment and disease progression Beta hCG concentration will decrease rapidly in the first week after egg curettage, about 80% of patients will have normal urine hCG concentration within 30-60 days. However, to ensure that the pregnancy has been completely eliminated, the patient needs to have a beta hCG test within two years for follow-up.
The frequency of testing is as follows:
After the egg is aspirated, the patient performs a quantitative hCG test once a week until the hCG level returns to normal. For the next 6 months, if previous results are negative, test once a month. Thereafter, dosing was continued every 2 months until a follow-up period of two years was reached. During the follow-up period, if the pregnancy hCG test results occur in the following cases:
The concentration of beta hCG in the next test is higher than the previous test. Beta hCG levels on 3 consecutive tests did not decrease or fell below 10%. Beta hCG concentration > 20,000 UI/L 4 weeks after curettage, beta hCG > 500 UI/L 8 weeks after curettage, beta hCG > 5 UI/L 6 months after curettage. The disease is considered unfavorable progress, the patient needs to be carefully examined, ultrasound and other tests performed to detect complications of the disease.

Fortunately, the treatment of ovulatory pregnancy does not affect a woman's ability to get pregnant, the rate of pregnancy in the next pregnancy is very low, only 1-2%. However, to ensure safety, women should only become pregnant after 2 years of treatment without complications. The next pregnancy, the patient should be closely monitored, especially in the first trimester of pregnancy.
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