HCG is a special hormone that is formed in the body of a woman from the moment of pregnancy. It is its presence that is determined in the first urine or blood tests that a woman surrenders when registering for a antenatal clinic. It is extremely important to know the indicators of such a hormone. Thanks to this, it is possible to determine whether pregnancy has occurred, and also to predict dangerous phenomena. In the article we will analyze which hCG during an ectopic pregnancy, does it change, what is it all about, how to determine it?
HCG hormone
HCG in medicine stands for human chorionic gonadotropin. It is secreted by the chorion, the so-called embryo wall. The hormone begins to be secreted from the moment the cell attaches to the walls of the uterus. This occurs approximately 4 days after fertilization.
It is this hormone that affects the appearance of the second strip of the pregnancy test, thanks to which you can learn about the fact of pregnancy in the early stages. When registering, blood and urine tests are also taken, which are tested for hormone. It is important not only to determine the fact of pregnancy, but also to diagnose a frozen, ectopic pregnancy. So, let's determine what is hCG for an ectopic pregnancy?
HCG production and measurement
Throughout the first trimester, a variety of hormones are actively produced. They ensure the normal development of pregnancy. The highest hCG is observed between 6 and 8 weeks of gestation. By the end of the first trimester, there is a tendency towards a decrease in the level of the hormone; at this level, indicators remain throughout the entire second trimester.
To detect pregnancy at an early stage, blood is donated already in the first week from the time the menstruation delayed, which should have come. In order to determine if there are pathologies in development, blood is donated to the hormone at 16-20 weeks. At the same time, other indicators are simultaneously determined.
Normal performance
We display the normal marker level in the table to understand what kind of hCG is during an ectopic pregnancy.
Pregnancy period in weeks | Analysis average in mMe per ml |
1-2 | 50-300 |
3-4 | 1500-5000 |
4-5 | 10000-30000 |
5-6 | 20000-100000 |
6-7 | 50000-200000 |
7-8 | 40000-200000 |
8-9 | 35000-140000 |
9-10 | 32500-130000 |
10-11 | 30000-120000 |
11-12 | 27500-110000 |
13-14 | 25000-100000 |
15-16 | 20000-80000 |
17-21 | 15000-60000 |
You can calculate the ratio of the hCG indicator to the norm, if the number ranges from 0.5 to 2, then there are no deviations.
Tabular Data Features
When receiving test results, a woman should not make hasty conclusions. We will analyze some of the features of the data table, with which we will identify what hCG should be during an ectopic pregnancy:
- In the table, the period of time from the moment of conception is indicated as the term. Many women recognize the day of their last period when they begin pregnancy. These are different calculation methods, which means that the indicators will be completely different.
- The indicators indicated above are ideal, real results may be above or below acceptable limits. This is normal, because each organism is individual. To diagnose an ectopic pregnancy, the doctor additionally prescribes a series of studies.
- Each laboratory makes research its own methods and methods, which is why the results can be completely different, as well as the standards established by the clinic. Focus primarily on the standards laid down by the laboratory; they are based on the methods used by it.
What is hCG for an ectopic pregnancy?
Such a phenomenon is dangerous for a woman, you need to immediately remove the fertilized cell from the body until it begins to dynamically develop and harm. When determining the level of the hormone, many mothers are interested in what level of hCG during an ectopic pregnancy, does it change? We will analyze several aspects of this situation:
- The level of hCG rises, but it remains lower than the level during normal pregnancy.
- The second strip on the pregnancy test remains dull, it is poorly visible.
- In medicine, the special norms laid down above are laid down, if there are deviations from them, the doctor prescribes additional studies.
- The study of the hormone should be carried out every 2 days in dynamics. In normal condition, it rises 2 times. What are the hCG rates for ectopic pregnancy? They do not increase and the difference is very minimal, the maximum level rises 2 times in a week.
If there is a suspicion of an ectopic pregnancy, the doctor prescribes additional studies, each of which we will consider further.
How does hCG change during normal pregnancy and pathology?
With a normally developing pregnancy, starting from 2 weeks from the moment of conception, the level of hCG increases dynamically. Every 36 hours, the concentration becomes 2 times greater. That is, if during the first study the result was 6 units per ml, then at the end of 3 weeks the level will reach 196 units. Until 12 weeks, the figure will constantly rise, and then it will gradually decrease.
If an ectopic pregnancy has arisen and is developing, then initially, as mentioned earlier, hCG indicators will be below normal. Growth and dynamics will also be slowly visible. The main thing is to determine which hCG during an ectopic pregnancy at 3 weeks after conception. It is up to this period that the indicator, although slowly, will grow. After overcoming this temporary threshold, the growth of the hormone will stop abruptly. From this moment, a violation of the course of pregnancy and rupture of the pipes begins, which can cause serious harm to a woman's health. It is advisable to remove a cell fertilized outside the uterus up to 3-4 weeks from the moment of conception.
It is impossible to determine exactly what evidence of hCG during ectopic pregnancy is informative. It is necessary to consider everything in a complex, assessing the well-being of a woman and conducting other studies.
Blood analysis
Deciphering the result, which shows a blood test, is the most optimal and accurate at first. So, what is the level of hCG in ectopic pregnancy? Deciphering the blood test shows an increase in the level of the hormone about 4 days after the moment of fertilization. In the normal course of pregnancy, the level is 15 mU per ml. An ectopic pregnancy is characterized by an indicator below this figure.
A blood test is taken from a vein, it is done exclusively in the morning. Blood donation is necessary on an empty stomach. Such studies are conducted no earlier than 4 days after the delay. In order to check the accuracy of the results, you need to take an analysis after another 2 days.
Analysis of urine
What is hCG for ectopic pregnancy in the early stages? Using a urine test to determine the level in the early stages is very difficult, because the hormone appears in the blood first and only then forms in the urine. If by blood you can see the result after 4 days from the moment of conception, then in the urine - only after 7-10 days. Urine is also used only in the morning, in advance you do not need to drink a lot of water so that the results are as accurate as possible. It is allowed on the eve to drink no more than 2 liters per day. The decoding of the indicators is the same as in the blood.
If the results of urine and blood are doubtful and indicate abnormalities, an ultrasound is prescribed, with the help of which everything is clarified with an accuracy of 100%.
Pregnancy test
Women often wonder what kind of analysis for hCG during an ectopic pregnancy can be done to verify the result. As noted above, the most informative type of study is a blood test.
The most common available tool for determining the presence of hCG in a woman’s urine is a pregnancy test. Having lowered the test into the biomaterial, it will be impregnated with it and will show the second strip if the level of hormone in the urine is high.
Recall that a pregnancy test will probably show the correct result only after about 13 days from the moment of fertilization of the egg. You need to use morning urine, it is advisable not to drink a lot so that the concentration of the hormone does not decrease.
An ectopic pregnancy can affect the test in different ways, it can give both a false negative and a false positive result. Often a second strip appears, but it is weakly colored. It depends on the term. Remember that the test shows only the fact of pregnancy, it does not specify whether there is a pathology. This can only show the dynamics of the levels of the hormone in the blood or urine.
Other symptoms of an ectopic pregnancy
Now that we have determined what results of hCG during an ectopic pregnancy show blood and urine tests, we will move on to additional symptoms. The doctor should evaluate all indicators and signs in order to accurately and correctly diagnose a possible pathology. During this phenomenon, the cell can attach to both the fallopian tube (in most cases) and the ovaries, in the abdomen, to the cervix, or anywhere else. An ectopic pregnancy is characterized by:
- The appearance of menstruation, it can come on time, but it will be more scarce, and it will also differ in soreness.
- Weakness and tearfulness, sudden changes in mood and condition may appear.
- Nausea and dizziness are signs of toxicosis, as in normal pregnancy.
- The appearance of secretions with impurities of blood - they are smearing.
- In the advanced case, sharp cutting pains appear in the lower abdomen, heavy bleeding and loss of consciousness - urgent hospitalization in the clinic is required.
In the event that a woman is diagnosed with an ectopic pregnancy, an urgent intervention by a surgeon is required, which will prevent organ rupture and internal hemorrhage. It can lead to large blood loss and, as a result, to the death of the patient. Even if there is no bleeding, surgical treatment of the disease is necessary. For a short period of time, the appendage must be removed, and in the event of a pipe rupture, it is removed. That is why it is important for the crane to diagnose and treat an ectopic pregnancy in time, which poses a serious danger to the patient.
HCG level and other pathologies
Indicators of the hormone in the blood or urine can either increase or decrease relative to the norm. If a significant decrease in the level of hCG is noticed, then this indicates not only a possible ectopic pregnancy, but also the following diseases:
- pathology in the development of the embryo, which can cause its death, which requires immediate removal of the fetus from the mother’s body;
- Frozen pregnancy - a phenomenon in which the course of pregnancy stops, and the fetus no longer develops;
- placental insufficiency.
If the hormone level is exceeded by the established norms, this indicates the following:
- possible development of diabetes;
- pregnancy with two or more children - multiple;
- toxicosis;
- pathology in the development of the child;
- the appearance of formations of both benign and malignant (tumors);
- erroneous calculation of gestational age.
Recall that analysis for hCG is primarily necessary to determine the fact of pregnancy. About pathologies, deviations, diseases, this diagnostic method can only say presumably. To make an accurate diagnosis, you need to pass additional tests and conduct studies that more accurately determine the state of health and the course of pregnancy.