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Does a hCG level of 638.8 IU/L indicate pregnancy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My pelvic TVS (transvaginal scan) shows mass-free fluid in a pod, is it dangerous? My HCG (human chorionic gonadotropin) level is 636.8. Does this indicate pregnancy?

Please help. Thank you.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I would like to see your scan reports to know where is the mass situated. HCG (human chorionic gonadotropin) of 636.8 shows pregnancy. The mass could be an ectopic pregnancy or an inflammatory mass, or an endometriotic cyst. Free fluid could be due to infection or ectopic pregnancy.

I hope this helps you.

Thank you.

Patient's Query

Hello doctor, thank you so much for the reply.

Three months back I had an ovarian ectopic pregnancy and underwent surgery. Is it safe to conceive now? The reports you had asked for are uploaded.

Thank you.

Hello,

Welcome back to icliniq.com.

I have gone through your reports and I would like to know the date of the last menstrual period. As of now, the ultrasound is not showing any evidence of intrauterine or ectopic pregnancy but beta HCG is showing your pregnancy. It could be a very early pregnancy. Once you have had an ectopic pregnancy three months back chances of having ectopic pregnancy again are increased. So before going on with the pregnancy make sure that the pregnancy is intrauterine, not ectopic. Which can be ruled out only on a repeat ultrasound.

I hope this helps you.

Thank you.

Medically reviewed byiCliniq medical review team

Published At November 11, 2023
Reviewed AtDecember 7, 2023

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

Dr. Sangeeta Milap
Dr. Sangeeta Milap

Obstetrics and Gynecology

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