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.

Our doctors

Tabolova Victoria Kimovna
Experience 21 year
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Tabolova
Victoria Kimovna
Head of the IVF department, reproductologist
Algulyan Armen Sergeevich
Experience 20 years
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Algulyan
Armen Sergeevich
Head of the laboratory of in vitro fertilization
Rabaev Savely Gavrilovich
Experience 33 years
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Rabaev
Savely Gavrilovich
Reproductologist
Sanakoeva Anna Vyacheslavovna
Experience 9 years
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Sanakoeva
Anna Vyacheslavovna
Gynecologist-reproductologist
Volkova Ekaterina Yurievna
Experience 17 years
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Volkova
Ekaterina Yurievna
Obstetrician-gynecologist, reproductive specialist
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Reviews 45

I want to thank Anna Vyacheslavovna Sanakoeva! She's a professional, knowledgeable, attentive doctor who truly loves her craft. I'm incredibly grateful to Anna Vyacheslavovna for the long-awaited two lines on my pregnancy test. If you choose her, you definitely won't regret it!
19.11.2025
B. Victoria Eduardovna
Thank you so much, Anna Vyacheslavovna, for your professional treatment, attention, and care! I am eternally grateful!
11.11.2025
T. Ekaterina Vladimirovna
A wonderful doctor who was recommended to me. She explains everything in great detail and is inspiring and gives me confidence for a great outcome!
10.11.2025
S. Olesya Olegovna
Many thanks for your sensitive attitude towards patients!
03.10.2025
B. Irina Vasilievna
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.
30.09.2025
P. Elizaveta Andreevna
I really liked the doctor. I recommend him.
29.09.2025
T. Aida Araikovna
We thank Ekaterina Yuryevna for our wonderful baby. We searched for the problem for a long time and only Ekaterina Yuryevna could help us. We selected the therapy and everything worked out. A strict doctor, but at the same time very caring.
05.09.2025
Alexandra
I would like to thank Anna Vyacheslavovna Sanakoeva! I was referred to Anna Vyacheslavovna for IVF from the antenatal clinic. A little bit of my story, in case someone has already given up... It all started in 2021. I was diagnosed with severe cervical dysplasia cin 3, stage 3 squamous cell intraepithelial neoplasm of the cervix. 2021 high knife amputation of the cervix. Attempts to get pregnant were zero. 2023 both fallopian tubes were removed... It seemed like the end... but it turned out to be the beginning! In 2024, the beginning of summer, I get to Anna Vyacheslavovna, examinations, ultrasound, checking all the tests... and here it is, the day X... On September 1, they took an egg from me, on September 4, the embryo was implanted. In 2 weeks I had to take the hCG test, but I couldn't wait that long, in 8 days I took the test... and it had two stripes. I was over the moon, then I took a blood test and sent the results to the doctor. We got it right the first time! Thank you, dear Anna Vyacheslavovna! You are the best! Please note, this is all under the compulsory medical insurance! I recommend the K+31 Petrovsky Gate clinic! And the best, most sensitive, attentive and kind Anna Vyacheslavovna! Thank you
22.08.2025
E. Valentina Alexandrovna
Huge gratitude, wishes of warm words to Sanakoeva Anna Vyacheslavovna. Thank you very much for everything.
02.07.2025
A. Fatima Kazbekovna
I would like to express my deepest gratitude to the doctor Anna Vyacheslavovna! Thanks to her experience and professionalism, my husband and I are expecting a long-awaited baby. Without Anna Vyacheslavovna, none of this would have happened. The doctor is very attentive to details, always answers questions, and tells you everything in detail about the upcoming treatment plan or procedures. She is always sincerely happy for every success with her patients.
19.06.2025
C. Kristina Andreevna
I express my deep gratitude to Anna Vyacheslavovna for her high professionalism, kind and sensitive heart. For 10 years my husband and I have been dreaming of becoming parents, we have gone through many doctors and examinations, it sounds dry, but in reality it is a sea of expended resources, continuous disappointments, and only from this doctor I saw that attention, that exceptional desire to help us, which instills hope in the heart. Anna Vyacheslavovna did everything and even more that a doctor can do. While we are waiting with hope for the result, but regardless of this, I am immensely grateful to the doctor for what a professional and person she is.
28.11.2024
Buchkina Anna
Sanakoeva Anna Vyacheslavovna ❤️Doctor with a capital letter
19.09.2024
Diana
I would like to express my gratitude to my wonderful doctor, Anna Vyacheslavovna Sanakoeva, who did not allow me to hang my head in the protocols and go to the victorious! Yesterday I had my first screening, the little person inside already seems so big, and most importantly, all our indicators are normal. Our reproductive specialist helped us feel such indescribable happiness, thanks to the well-chosen treatment and preparation for pregnancy! Thank you very much!
11.09.2024
Semenova Ekaterina
Good day! I would like to express my deep gratitude to Ekaterina Yuryevna for her help in making us happy parents!! We did it at "Mother and Child", but unfortunately it was unsuccessful... We came to you on the recommendation of the doctor Irina Viktorovna Kireeva, and everything worked out the first time!! Ekaterina Yuryevna, may God grant you great health and well-being!!! I will always thank you for such happiness!!
20.08.2024
Tolstova Lyudmila Alexandrovna
Anna Vyacheslavovna, I express my deep gratitude to you, you gave us a new life. A very good, kind, competent doctor!!! My husband and I could not get pregnant for 8 years and came to Anna Vyacheslavovna for help in August 2023 and in August 2024 we became happy parents
17.08.2024
Sorokina Kristina Nikolaevna
I would like to express my gratitude to Saveliy Gavrilovich Rabaev for his professionalism and attentive approach to patients. My first appointment took place in a calm atmosphere, without the use of incomprehensible medical terms. The results of the tests that I took with me were studied, an ultrasound was performed and an action plan was built, which I strictly adhered to. Frankly, after 10 years of trying to get pregnant on my own, the hope of becoming a mother was almost fading away in me, but Savely Gavrilovich did not give up, set me up for a positive result, and said that I would definitely succeed! At any time of the day, Saveliy Gavrilovich was in touch by phone, answered questions of interest, gave recommendations on adjusting medication intake, and inquired about the state of health. Thanks to him for his support, it helped me a lot. On May 17th I had an IVF procedure...and HURRAY!!! We did it all! My husband and I’s joy knows no bounds! Savely Gavrilovich, you are our guardian angel! Thank you from the bottom of my heart! You are a professional from God!
24.06.2024
Julia
Thank you Anna Vyacheslavovna! I recommend it to anyone who can’t do it, she is a very professional doctor, she clearly knows how and what to do.
06.05.2024
Karabekova Mingul
Anna Vyacheslavovna, thank you very much for the miracle, we are already almost 14 weeks old. My husband and I were diagnosed with infertility for 5 years, and now we are pregnant)))))) in just half a year you helped us). We are incredibly grateful to you
07.03.2024
Shabasheva Oksana Nikolaevna
Anna Vyacheslavovna is a sorceress! I came in November 2023 for cryopreservation under compulsory medical insurance. Everything was calm, without excitement, there was confidence in success. For the first time I saw the treasured three-digit hCG. The doctor was in touch before registration, even after writing to find out about my well-being. Thank you very much, look forward to the second one!
02.03.2024
Grechishkina Maria Dmitrievna
Thank you Anna Vyacheslavovna for the miracle❤
13.01.2024
Velichko Galina Sergeevna
The best doctor, thanks to him we have a daughter, after 12 years of infertility. Eco in a natural cycle without stimulation and unnecessary drugs. We came to him on June 6, and on July 9 we already saw 2 long-awaited stripes. Thank you very much for the miracle
04.01.2024
Fofanova Maria
I express my deep gratitude to Saveliy Gavrilovich, the best doctor, a professional in his work, a competent specialist! A real wizard who brings two cherished stripes to life!)
13.12.2023
Christina
I sincerely thank Anna Vyacheslavovna for her work! In August, I came to the K+31 clinic with infertility and ended up with Anna Vyacheslavovna. A few weeks later I was already pregnant
21.11.2023
Voitova Maria Grigorievna
Anna Vyacheslavovna, thank you very much for the miracle created
18.11.2023
Elena
Good afternoon, I want to express my deep gratitude to Victoria Kimovna, they thank her for our sweet daughter, we have been waiting for this for 10 years and finally a miracle happened thanks to Victoria Kimovna thank you very much !!! You give people hope and happiness, you know your business ,thank you very much.
04.08.2023
Zotova V.V.
I began to write a review and tears began to well up ... For many years my husband and I could not create our happiness, but thanks to Victoria Kimovna, my daughter will be born in a month. I'm just happy, thank you for simple human happiness
11.07.2023
Oksana
Many thanks to Victoria Kimovna for the opportunity to become a mother. Victoria Kimovna's professionalism, tact, support and wisdom made the process as comfortable as possible and instilled confidence in a positive result. And everything happened. Thank you!
10.05.2023
Olga
Many human thanks to Victoria Kimovna for our success, pregnancy after IVF came on the first attempt (OMS), before that there were 3 years of infertility and complete disappointment. Girls, dear, do not despair and believe that everything will work out! With Viktoria Kimovna you will be in safe hands, she is a sensitive and caring guide who will help in the realization of the most cherished dream
17.12.2022
F.
My luck is almost 2 years old! Thanks to Victoria Kimovna, I became the mother of a wonderful baby! 9 years of infertility and here it is the way to happiness. Thank you for your invaluable work!
27.09.2022
Tatiana
I turned to Savely for an IUI. At the first consultation, I received full information on the preparation and process. No extra "water" throughout the entire treatment. The result was 100%!
20.03.2022
Olesya
I want to express my deep gratitude to Victoria Kimovna Tabolova and all the team of doctors, nurses and nurses for the long-awaited opportunity to become a mother.
23.08.2021
Tatianina Anastasia
Reproductologist Tabolova is just a miracle. No matter how hard we tried before, which doctors did not go to, the resulting embryos were not viable. There were already thoughts to take a ready-made embryo. But then this plan was abandoned. All the same, the child would not be ours. Then adoption is better. But then we were advised by a wonderful doctor Victoria. They carried out a bunch of examinations and found the cause, which, perhaps, interfered. But no one, of course, will say that. As a result, 2 embryos survived! With one they made an infusion, and the second was left there in the clinic for storage.
05.04.2021
Anonymously
Everything worked out! The main criterion for choosing Victoria Kimovna was that it was easy for me and my husband to communicate with her and the good reviews of those who were her patients. Indeed, the doctor is not thoughtless, does not act according to a template, delves into the problem. Before entering the protocol, I still needed to undergo gynecological treatment, but everything turned out successfully. I'm in my fifth month, expecting a baby! I recommend a doctor with all my heart.
05.03.2021
Anonymously
Victoria Kimovna is a professional in her field. We couldn't get pregnant for 4 years. We visited different clinics, doctors, but all to no avail. Only V.K. Tabolova managed to change everything! There were no direct indicators for IVF, so we decided to try AI with stimulation. From the first time we had hCG was positive. For some 4 weeks we managed to do what we could not do for a long time. I liked that the doctor was available 24/7. Easy-to-understand explanations and tremendous support. Let's decide for the second, only with her.
09.07.2020
+7-980-38XXXXX
I really liked the fertility doctor Viktoria Kimovna Tabolova. She has a good reception, speaks politely, was attentive to me. She consulted in detail, gave the information for which I turned to her, as well as useful recommendations. I will advise this doctor to my friends. I also really liked the medical center with its pleasant staff and beautiful interior design.
04.03.2020
Irina
Even in my youth, I was diagnosed with polycystic ovary disease. Nobody said that this was a sentence and that I would never get pregnant, but they offered to have an operation. I made. Later she got married, decided to have a child, but not a year later, not two years later, not three or even four years later, nothing happened. Again she turned to the gynecologist in her area, she just threw up her hands, they say, everything is fine, why pregnancy does not occur - it is not clear. Ovulation is, menstruation is regular. For another year I was treated by this doctor, then moved on to another and another year - to no avail. My grandmother confidently asserted that a partner was not suitable for me, but even so, I love my husband. The situation seemed hopeless ... After a while, I stumbled across the net on information about the clinic "Eco on Petrovka" and signed up for a consultation. They came with my husband, explained the situation, and they undertook to help us. Our doctor Victoria Kimovna turned out to be an incredibly pleasant person and just a sorceress. I will not describe here how grateful we are to her, everything has already been said in words. I will only note that our beautiful daughter is growing up, and this is the merit of the doctor and the entire team of the clinic. Girls, if you are diagnosed with infertility, do not despair. Come here for a consultation, they will give you hope, support and, most importantly, help - not in words, but in deeds.
10.01.2020
Elena
I want to say a huge thank you to the wonderful doctor Tabolova Victoria Kimovna! Thanks to her, her professionalism, sensitivity, attentiveness, my husband and I had twins, boys on the first try. My gratitude cannot be expressed in words. Thank you for making your dream come true, for our double happiness and more positive tests!
12.08.2019
Julia
Yes, we could, we got pregnant! Thank you, Victoria Kimovna, Angela has already stopped believing in miracles and there is such great news! Two stripes on the test turns out to be the best picture you can imagine. The spouse's happiness knows no bounds. And when she is happy, so am I. Good luck and prosperity!
04.04.2019
Roman and Angela
I express my deep gratitude to Victoria Kimovna Tabolova, embrinologists and the entire clinic for becoming a mother, our daughter was born! After 16 years of sterility, this miracle happened. Victoria Kimovna believed and gave us this confidence that everything will work out and with this wonderful doctor everything worked out for us on the first try. Thank you very much for the happiness that you give to people!
30.06.2018
Evgeniya
Last year we had an IVF OMS program, and we were referred to the clinic K + 31 to Viktoria Kimovna. From the first visit, the doctor won over, instilled confidence in the success of the program. Victoria Kimovna was always attentive and polite. As a result of the well-coordinated work of the reproductologist and embryologist, such an anticipated pregnancy has come! Thanks to your doctors, they are doctors from God!
24.05.2018
Valentine
An excellent specialist, sensitive, polite and attentive doctor, I can recommend only the best side. It works for the result, which is rarely seen in paid clinics (and this is not the first reproductive specialist in various private clinics with which we have so far unsuccessfully worked). We applied to the Petrovskie Vorota for the first time under compulsory medical insurance, the second infusion in the cryoprotocol was done at our own expense. Before the implantation, Viktoria Kimovna discovered a problem with the endometrium (one of the causes of infertility), which was overlooked in other clinics, and treated her. He always personally supports patients: for example, when, after a transplant, an allergy to a drug arose, the doctor, without a phone call outside of working hours, helped to change the drug. Today our embryo is over 8 weeks old, the heart is beating, and this is the personal merit of our doctor. If you dream of a baby, this is your doctor, follow her advice and do not be afraid to waste time doing additional procedures, even if the age is significant like mine. But the result will be guaranteed, tested on yourself.
14.01.2018
Catherine
Victoria Kimovna is a very good and helpful doctor! THANKS HER BIG FOR THE SENSITIVE PERCEPTION OF ALL THE PROBLEM!
22.11.2017
Zarina
Victoria Kimovna had only the second appointment, but the impression was already positive. Judging by the appointments, a good specialist, before getting a consultation with her, was treated by another doctor, but without waiting for the result she decided to change the clinic. Victoria Kimovna discusses all appointments, explains in detail what and how we will do next. Everything is transparent and honest. Satisfied, I liked the doctor.
29.07.2016
Antonina
Victoria Kimovna - I liked it very much as a specialist. I identified the root cause of my illness, selected an individual treatment, and today, I already feel better. Good, sensitive doctor.
18.07.2016
Anonymously
I decided to leave a review to a wonderful doctor, a good specialist, attentive, caring, pleasant woman to talk to - Tabolova Victoria Klimovna. This is a doctor who will not only help you solve your health problems, but also support you with a kind word, give you good advice! In honey. center Petrovskie Vorota addressed for the first time, therefore, treated with distrust, but assessing the result was satisfied. Thanks to all the staff, and in particular to Victoria Klimovna for their care and attention!
10.06.2016
Anna Romanova
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K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

74999993131

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