Patient's question:
I had my period on October 3rd, took progesterone on the 27th, tested HCG on the 31st which showed a faint positive, on the 2nd it showed positive, and on the 4th the HCG was quantified at 300. On the 10th, the HCG was quantified at 2500. I have been taking progesterone and HCG every day during this period.I haven't experienced any other discomfort symptoms.
Is this normal?
: On the 10th, an ultrasound showed a gestational sac in the uterus, but no fetal pole echo was observed.
Please help analyze whether my HCG levels are normal and what it means that no fetal pole echo was observed. First follow-up question: From the time of the missed period to
Doctor's answer:
30-40 days form the gestational sac, 40-50 days form the embryo, and 50-60 days form the fetal heart. Therefore, a routine ultrasound should be performed around 60 days to check if the gestational sac, embryo, and fetal heart are normal. It is recommended to wait for one week and then have another ultrasound to re-evaluate the situation. If there is still no embryo, it may indicate that the fetus has stopped developing. It is advised to consult with a doctor for a D&C procedure.