HCG after IVF

Human chorionic gonadotropin is a hormone synthesized by the outer membrane of the embryo after its implantation in the uterine wall. Its serum concentration begins to increase beginning on days 6-8 of gestation. hCG levels are a key indicator of the normal course of gestation and the absence of pathological processes in the intrauterine development of the embryo.

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HCG after IVF pregnancy

Immediately after gestation, regardless of the method of fertilization, the expectant mother's body begins producing human chorionic gonadotropin. It is secreted by the embryo's membrane, called the chorion. The hCG level after IVF is used to assess the success of artificial insemination and the progress of gestation.

HCG Levels After IVF

Two weeks after blastocyst transfer into the uterine cavity, a human chorionic gonadotropin test is performed. Its concentration is continuously monitored after in vitro fertilization.

To independently determine the outcome of IVF, you can use a home test. A positive result indicates successful conception, but does not provide insight into the progress of gestation itself. To monitor fetal development, an hCG test is performed daily after IVF.

Systematic blood testing is performed to:

  • Confirm successful conception and the onset of gestation
  • Timely identification of risks to fetal development
  • Diagnosis of genetic abnormalities in fetal development in the second trimester of gestation
  • Identify possible risks to the woman (low gonadotropin levels may indicate placental abnormalities or an ectopic pregnancy)

It should be understood that normal plasma gonadotropin levels do not always confirm a problem-free gestation. In isolated cases, even with high gonadotropin levels, it turns out that the embryo is absent from the fertilized egg. To confirm conception, an ultrasound is performed. This helps determine the fetal position and heartbeat.

HCG after IVF pregnancy

HCG levels after IVF by day

Up until the 11th week of gestation, gonadotropin levels in the expectant mother's body increase. Beginning in the 12th week, their levels begin to gradually decrease. If hormone levels are low, patients are prescribed hCG injections to support normal embryo development. Therapy is prescribed when hormone levels are approximately 20% below normal.

Important! Injections are only advisable if hCG levels are within the normal range. If the hormone concentration does not increase at all, this indicates the absence of gestation.

hCG after IVF: daily norm table

Days after successful conception

hCG value in mIU/ml

7

3-10

8

4-18

9

6-21

10

9-26

11

12-45

12

18-65

13

23-105

14

29-169

15

39-269

16

67-401

17

120-580

18

220-840

19

373-1304

20

521-2005

21

752-3104

The above values ​​are only relevant for women carrying a single fetus. In multiple pregnancies, hormone levels will be much higher.

Interpretation of results

The hCG level in the blood and the dynamics of its increase after in vitro fertilization allow the reproductive specialist to come to the following conclusions:

  1. Hormone levels significantly below normal – gestation has not occurred.
  2. Borderline hormone levels – placental insufficiency or other fetal abnormalities.
  3. Elevated hormone levels – multiple pregnancies or endocrine disorders.

Excessive increases in hormone levels in the second trimester indicate genetic abnormalities and abnormal embryo development. Additional laboratory or imaging tests are performed to confirm the diagnosis.

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Causes of hCG Deviations

During IVF, several blastocysts are often implanted into the expectant mother. This increases the chances of at least one embryo implanting in the uterine wall. In some cases, implantation of all transferred blastocysts occurs, leading to multiple pregnancies. In such cases, a blood test shows high levels of the hormone in the plasma.

Low hCG

If hCG levels rise slowly after IVF, this may indicate the following conditions:

  • Fetal death
  • Threatened spontaneous abortion
  • Ectopic pregnancy

Tests are taken at least 2-3 times to determine the dynamics of the increase or decrease in plasma hormone levels. If the level is borderline, the expectant mother is prescribed hormone injections. Maintaining hCG levels at normal levels reduces the risk of miscarriage.

A sharp decrease in hCG

After IVF, the risk of miscarriage is high, so gonadotropin levels in the blood are monitored until the second trimester. A critical drop in hCG levels is a compelling reason to seek help from a fertility specialist.

Important! To eliminate the possibility of significant error in hCG test results, it is recommended that all tests be performed in the same laboratory.

Hormonal imbalances increase the risk of miscarriage or abnormal fetal development. If such a problem is detected, the woman is hospitalized for observation. Artificially maintaining hormonal balance can prevent miscarriage and normalize the course of pregnancy.

Conclusion

HCG testing is one of the most informative laboratory tests, used to determine the success of conception and possible developmental abnormalities in the embryo. Low serum hCG levels may indicate an ectopic pregnancy, threatened miscarriage, or placental insufficiency. Timely testing and artificial hormonal stabilization prevent miscarriage and fetal developmental abnormalities.

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Tabolova Victoria Kimovna
Experience 22 years
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Tabolova
Victoria Kimovna
Head of the IVF department, reproductologist
Algulyan Armen Sergeevich
Experience 21 year
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Algulyan
Armen Sergeevich
Head of the laboratory of in vitro fertilization
Rabaev Savely Gavrilovich
Experience 34 years
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Rabaev
Savely Gavrilovich
Reproductologist
Sanakoeva Anna Vyacheslavovna
Experience 10 years
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Sanakoeva
Anna Vyacheslavovna
Gynecologist-reproductologist
Volkova Ekaterina Yurievna
Experience 18 years
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Volkova
Ekaterina Yurievna
Obstetrician-gynecologist, reproductive specialist
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A huge thank you to Victoria Kimovna Tabolova! Thanks to her, my granddaughter was born. Initially, my daughter and her husband tried IVF under the compulsory health insurance program at another clinic; they tried three times, but were unsuccessful. The second time, they gave us a quote at the K-31 Pokrovskie Vorota clinic. My daughter chose Victoria Kimovna Tabolova and was right. She is a highly competent specialist, an excellent doctor, and a true professional. Thank you so much for making people happy. May God grant you good health, happiness, and professional success.
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I would like to express my deepest gratitude to reproductive gynecologist Saveliy Gavrilovich Rabaev for his professionalism, attentiveness, and compassionate care. I turned to him after five years of unsuccessful attempts to conceive with my husband. After a thorough diagnosis and personalized approach, the doctor was able to identify the cause of our infertility and offer the optimal treatment. Thanks to his expert treatment and support, our dreams came true, and we now have a wonderful baby boy who is already seven months old. We are eternally grateful to Saveliy Gavrilovich for bringing true happiness to our family! I highly recommend this specialist to women facing reproductive health issues. Saveliy Gavrilovich Rabaev is a true professional who truly helps his patients find the joy of motherhood.
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