Does a high beta hCG level with a negative urine card test indicate a chemical pregnancy?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

The card beta hCG is positive only if the value is above 25 IU. Values less than that are not significant. If there was a pregnancy, the value would be a lot higher. A chemical pregnancy is when beta hCG values are high, and the card test is positive, but there is no sign of pregnancy on ultrasound. That is not the case in your scenario. A value of 16.8 UI does not signify a pregnancy. For confirmation, however, you can repeat the beta hCG test 48 hours after the first one. If the values are rising, then you would need to do further tests. If not, then your period should start in a few days.

Hope this helps.

Thanks and take care.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

Yes, I understand the reason for your doubt. It would be best if you repeat the test after 48 hours as what is more important is the change in the two values rather than an individual value.

Hope this helps.

Thanks and take care.

Hello,

Welcome back to icliniq.com.

The repeat value after 48 hours is more than double the initial value, which favors a pregnancy. But given the duration since your last menstrual period, the value is very low for that gestational age. It just means that there are 2 possibilities

1. Delayed implantation of intrauterine pregnancy.

2. Ectopic pregnancy.

You would need to get a transvaginal ultrasound done with frequent monitoring.

Thank you.

Hello,

Welcome back to icliniq.com.

You need to get a transvaginal scan (TVS) done now, and it is not harmful to the fetus. The findings of the scan will determine the type of monitoring needed. If there are signs of intrauterine pregnancy, then you would just need to repeat the TVS. If there are no signs of pregnancy, then you might need to repeat both beta hCG and TVS. You would also need to get physically examined by a doctor including an internal examination.

Thank you.

Hello,

The rise in hCG is more than double, so it is probably suggestive of a growing intrauterine pregnancy. Yes, the ultrasound should be repeated only after 2 to 3 weeks to see any growth as before that the changes would not be seen. For now, you can just take Folic acid supplements and repeat the scan after 2 to 3 weeks.

Thank you.

Hello,

Welcome back to icliniq.com.

As it is on the rising trend and the titles are more than doubling it is a good sign but only an ultrasound showing fetal cardiac activity will be able to confirm a growing intrauterine pregnancy. It will be best for you to wait and try to relax as stress is not good for the growth of the fetus.

Thank you.