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Question
Hello doctor,
My wife tested beta HCG on the 10th day of pregnancy, and on the 12th day of pregnancy tested HCG 34. I see the HCG level increases slowly. Doctor let me ask if the HCG level of the fetus increases slowly? Is the fetus developing normally, doctor? Thank you.
Cuong (1989)
Answer
Hello,
To the question “Is it okay if the HCG concentration of the fetus increases slowly? ", the doctor would like to answer as follows:
Beta HCG (Human chorionic Gonadotropin) is a particularly important hormone that is initially secreted by the placenta's trophoblast shortly after the egg is fertilized. The rapid increase in serum HCG levels after conception makes it an excellent marker for early identification and fetal monitoring.
Beta HCG can be detected in maternal serum approximately 8-9 days after ovulation. Thereafter, beta HCG levels increased rapidly, doubling in just 1.4 to 2 days when the zygote began to implant. HCG will reach its highest level at 60 to 70 days and gradually decrease to its lowest level, stabilizing around 100 to 130 days.
The concentration of beta HCG is expressed in units of mUI/ml. For non-pregnant women, the beta HCG level is below 5mUI/ml, in pregnant women the beta HCG level is above 25mUI/ml. If the HCG level is in the range of 6-24 mUI/ml, it should be checked and monitored further to confirm pregnancy or not.
In your wife's case, the beta hCG level on day 10 was 21 mUI/ml, (within the threshold of pregnancy), on day 12 increased to 34 mUI/ml, although there is an increase but still uncertain about the development fetal development and implantation in the correct position? Therefore, your wife needs to be examined by a specialist in combination with fetal ultrasound to accurately assess the fetal status.
If you still have questions about the slow increase of HCG level of the fetus, you can go to the hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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Answered by Master, Doctor Tran Thi Huyen Trang - Laboratory Doctor - Laboratory Department, Vinmec Times City International General Hospital.