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Gynecology case NO 2.Blood for Beta HCG

  • অনেকসময় কিছুরোগী এসে বলেন যে “একমাস সাতদিন পার হয়েছে ইউরিন টেস্ট করেছি, আবার কেউকেউ বলেন আল্ট্রা করেছি কিছুই আসে নাই কিন্তু আমার মনে হচ্ছে আমি কনসিভ করেছি। কিভাবে শিওর হতে পারবো??”
  • এইধরনের রোগীকে অবশ্যই Blood for Beta-HCG করতে দিবেন। বলবেন এটাই কনফার্মেটরী টেস্ট। যারা আগেই জানতে চায় তাদের জন্য এই টেস্ট।
  • General Quaries:-
  • 1.কনসিভ এর কতোদিন পর Blood for beta hcg positive ase?

Answer is:-

within 7days only.

What is HCG in blood test ?

Answer is:-

A quantitative human chorionic gonadotropin (HCG or hCG) blood test measures the specific level of HCG in the blood. HCG is a hormone produced in the body during pregnancy.

Other HCG TEST:-

1.Hcg urine test

2.Hcg blood test Qualitative .

What is HCG in blood test value of Result ?

Answer is:-

An hCG level of less than 5mlU/ML IS CONSIDERED Negetive for pregnancy but anything 25mlU/ML IS CONSIDERED IS POSITIVE FOR PREGNENCY.

An hCG level between 6 and 24 mIU/mL is considered a grey area, and you’ll likely need to be retested to see if your levels rise to confirm a pregnancy.

Normal Results:-

Results are given in milli-international units per milliliter (mUI/mL).

Normal levels are found in:

  • Non-pregnant women: less than 5 mIU/mL
  • Healthy men: less than 2 mIU/mL

In pregnancy, HCG level rises rapidly during the first trimester and then declines slightly. The expected HCG ranges in pregnant women are based on the length of the pregnancy.

  • 3 weeks: 5 – 72 mIU/mL
  • 4 weeks: 10 -708 mIU/mL
  • 5 weeks: 217 – 8,245 mIU/mL
  • 6 weeks: 152 – 32,177 mIU/mL
  • 7 weeks: 4,059 – 153,767 mIU/mL
  • 8 weeks: 31,366 – 149,094 mIU/mL
  • 9 weeks: 59,109 – 135,901 mIU/mL
  • 10 weeks: 44,186 – 170,409 mIU/mL
  • 12 weeks: 27,107 – 201,165 mIU/mL
  • 14 weeks: 24,302 – 93,646 mIU/mL
  • 15 weeks: 12,540 – 69,747 mIU/mL
  • 16 weeks: 8,904 – 55,332 mIU/mL
  • 17 weeks: 8,240 – 51,793 mIU/mL
  • 18 weeks: 9,649 – 55,271 mIU/mL
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  • What is Abnormal value of mean ?
  • Answer Is:-

Higher than normal level may indicate:

  • More than one fetus, for example, twins or triplets
  • Choriocarcinoma
  • Hydatidiform mole of the uterus
  • Ovarian Cancer
  • Testicular cancer
  • During pregnancy, lower than normal levels based on the gestational age may indicate:-
  • 1.Featal Death
  • 2.Incomplete Miscarriage
  • 3.Theartened spontaneous miscarriage
  • Ectopic Pregnency.
Risks:

Risks of having blood drawn are slight, but may include:

  • Excessive bleeding
  • Fainting or feeling lightheaded
  • Blood accumulating under the skin (hematoma)
  • Infection (a slight risk any time the skin is broken)

What Does a Low hCG Level Mean?

A low hCG level can mean any number of things and should be rechecked within 48-72 hours to see how the level is changing. A low level can indicate:

  • Miscalculation of pregnancy dating
  • Possible miscarriage  Or Blighted Ovum
  • Ectopic pregnancy.

Is a High hCG Level a Bad Thing?

A high level of hCG can also mean a number of things and should be rechecked within 48-72 hours to evaluate changes in the level. A high level can indicate:

  • Miscalculation of pregnancy dating
  • Molar Pregnancy
  • Multiple Pregnency
  •  
What You Need to Know About Your hCG Levels:
  1. As you get further along in pregnancy and the hCG level gets higher, the time it takes to double can increase to about every 96 hours.
  2. Caution must be used in making too much of hCG numbers. A normal pregnancy may have low hCG levels and result in a perfectly healthy baby. The results from an ultrasound after 5 -6 weeks gestation are much more accurate than using hCG numbers.
  3. An hCG level of less than 5 mIU/mL is considered negative for pregnancy, and anything above 25 mIU/mL is considered positive for pregnancy.
  4. An hCG level between 6 and 24 mIU/mL is considered a grey area, and you’ll likely need to be retested to see if your levels rise to confirm a pregnancy.
  5. The hCG hormone is measured in milli-international units per milliliter (mIU/mL).
  6. A transvaginal Ultrasound should be able to show at least a gestational sac once the hCG levels have reached between 1,000 – 2,000 mIU/mL. Because levels can differentiate so much and conception dating can be wrong, a diagnosis should not be made by ultrasound findings until the hCG level has reached at least 2,000 mIU/mL.
  7. A single reading is not enough information for most diagnoses. When there is a question regarding the health of the pregnancy, multiple testings of hCG done a couple of days apart give a more accurate assessment of the situation.
  8. The hCG levels should not be used to date a pregnancy since these numbers can vary so widely.
  9. There are two common types of hCG tests. A qualitative test detects if hCG is present in the blood. A quantitative test (or beta) measures the amount of hCG actually present in the blood.
What are HCG Levels?

HCG (Human Chorionic Gonadotropin) is often called the pregnancy hormone because it is made by cells formed in the placenta, which nourishes the egg after it has been fertilized and becomes attached to the uterine wall. Levels can first be detected by a Blood test about 11 days after conception and about 12-14 days after conception by a Urine test.

Typically, the hCG levels will double every 72 hours. The level will reach its peak in the first 8-11 weeks of pregnancy and then will decline and level off for the remainder of the pregnancy.

Raiyyan Tahsan Date:-05-11-24 time 09.52am.

Raiyyan Tahsan.

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