Pregnant mothers often ask how to interpret HCG levels in early pregnancy
and whether they need so-called progesterone "progesterone" treatment, so let's
talk about it today.
First, HCG is a pregnancy hormone that helps pregnant mothers detect
pregnancy early. Blood HCG levels are usually elevated on the 11th day after
pregnancy. Urine levels of HCG are also elevated 12 to 14 days after conception,
the point at which a mother can test positive with a pregnancy stick.
In the first few weeks after conception, obstetricians usually use the
doubling of HCG to predict whether the embryo is developing well. In more than
85% of healthy embryos, HCG doubles within 48 to 72 hours. When the HCG level
reaches 1200-6000miu /ml, the HCG doubling time will increase to 72-96 hours.
When the HCG level was greater than 6000mIU/ml, it took more than 96 hours to
double. During the first trimester of pregnancy, HCG levels increase, usually
peaking around 8 to 11 weeks into pregnancy (which is why pregnancy reactions
are usually more severe in the first trimester). After that, HCG levels drop
slightly and remain at a lower level until delivery. In early pregnancy, the
doubling of HCG is not good or the level is too low, which may indicate the
quality of the embryo itself or ectopic pregnancy. The rapid doubling of HCG or
high HCG level may indicate multiple pregnancy or hydatidiform mole. Both
conditions need attention and timely follow-up.
After six weeks of gestation, blood HCG levels and doubling actually begin
to have less clinical significance. In contrast, from this point on, ultrasound
examination will be more accurate and effective. So, pregnant mothers should not
dwell on HCG levels.
After a series of blood tests and ultrasounds in the early stages of
pregnancy, it is a pity that some mothers are faced with the problem of
progesterone progesterone. It must be clearly pointed out that this is a
ideological misunderstanding. As early as 2009, the world health organization
issued a statement confirming that progesterone does not treat threatened
abortion and recommending that progesterone be discontinued for threatened
abortion.
In the early stages of pregnancy, most of the abortion (more than 60%) is
caused by the quality of the embryo itself (chromosomal abnormalities), which
cannot be remedied by any obstetric means. Other causes include uterine
abnormalities, loose cervix, immune abnormalities, diabetes and thyroid
problems, infections and unhealthy lifestyles (alcohol abuse, smoking,
environmental toxins, etc.). Therefore, if pregnant mothers unfortunately
encounter the risk of threatened abortion, please do not rush to the hospital to
use progesterone "foetus", as it has been proved that it does not help you to
save the fetus. In addition, the side effects of the drug on pregnant mothers
and fetuses are not known (although there is a small amount of evidence that
progesterone use in early pregnancy may increase the risk of teratogenesis or
neonatal death). So, if this is the first or second threatened abortion, wait
until 6 to 7 weeks before an ultrasound confirms the pregnancy is successful,
and then make a further decision. If you have suffered more than three
spontaneous abortions, then pregnant mothers need to communicate actively with
obstetricians or gynecologists to try to identify the causes of habitual
abortion, and then carry out effective treatment.
I hope this information is helpful to pregnant mothers. Welcome to discuss
with each other and make progress together.