What changes are seen in hCG levels in ectopic pregnancy?

Question

Hello doctor,

I am pregnant about five weeks. However, my Hb is 13.2 but beta hCG is 106.2 and after 48 hours it was 108.4. Is it failing intrauterine or ectopic? Or what should I do now? Currently, I am not taking any medicine.

Answer 1

Hello,

Welcome to icliniq.com.

You should get a serial beta hCG levels done after 48 hours each again and also an ultrasound pelvis to check if fetal pole has arrived. The rise in beta hCG levels is less than 63 % of course and indicates a possible chemical pregnancy. Do not be in a hurry to abort. You can safely wait for two weeks, observe and follow up with ultrasound and beta hCG levels.

Answer 2

Hello, The rise in hcg in not adequate but its more than the last levels so without an ultrasound it would be difficult to judge regarding viability of pregnancy. If there is a foetal pole now with a heart beat then its a viable pregnancy so , next best step shall be to get a transvaginal ultrasound done. Regards