HomeAnswersObstetrics and Gynecologybeta hcgIs it abnormal for hCG to rise slowly?

Does slow rise in hCG indicate any abnormality?

Share

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At April 7, 2016
Reviewed AtJune 21, 2023

Patient's Query

Hi doctor,

My hCG level is not doubling. What can be the reason? A week back it was 250 and now it is 423. Is this abnormal?

Please suggest.

Hi,

Welcome to icliniq.com.

If hCG (human chorionic gonadotropin) report can be relied, it indicates possibility of impending abortion (miscarriage).

Patient's Query

Hi doctor,

Thanks for your reply. For severe allergy and wheezing, I have been taking Ebast-M tablet for a week. Is this related to the slow increase of hCG? Should I get a scan immediately? Since hCG is only 420, will it show anything?

Hi,

Welcome back to icliniq.com.

Rise in beta hCG is not related to tablet Ebast-M (combination of Ebastine and Montelukast). You can wait for another week and then decide for an ultrasound scan. Normally pregnancy can be seen on ultrasound scan when beta hCG is ≥1500 mIU/mL. So there is no point in going for scan at this moment.

Patient's Query

Hi doctor, Should I continue the routine medicines prescribed by my doctor that is Folic acid and Progesterone tablet (Susten VT 200)? When can we decisively say whether the pregnancy is normal or not (miscarriage)? I have attached the reports of my blood test. Also, I had forgotten to mention that I had PCOD before conception.

Hi,

Welcome back to icliniq.com.

You need to continue your medicines till your next scan and if scan report comes normal, you need to continue till 11-12 weeks. Normally scan is done between 6 and 7 weeks of gestational age for viability or dating and location of pregnancy, when expected level of hCG is ≥1500 mIU/mL. Regarding PCOD, women having PCOD are at increased risk of miscarriage. There is no specific intervention to reduce the risk. Your report appears fine except eosinophilia and leukocytosis for which you are already taking treatment.

One more thing you need to keep in mind is risk of ectopic pregnancy (pregnancy outside uterus, for example in tubes), especially with slow rise of beta hCG. It can manifest with ruptured ectopic with severe abdominal pain, giddiness and bleeding vaginally. If you experience these symptoms, you need to go to hospital for emergency intervention (commonly laparoscopy). Though from the rise in beta hCG, chance of ectopic is low (but not zero). Remember, you need to get an ultrasound by sixth week (42 days from last menstrual period) for localization and health of pregnancy.

Same symptoms don't mean you have the same problem. Consult a doctor now!

default Img
Dr. Dattaprasad Balasaheb Inamdar

Obstetrics and Gynecology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

Obstetrics and Gynecology

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy