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Early pregnancy HCG (human chorionic gonadotropin) and the relationship between progesterone!

  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.

Early pregnancy HCG (human chorionic gonadotropin) and the relationship between progesterone!

  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.