No missed period, HCG of 250 - how pregnant am I?

Question

I'm wondering if anyone can help with this;last week I was vomiting. I had my period approximately 2 and a half weeks before hand. I did a test to rule out pregnancy, being sure it would be negative - however it was not and neither was the second test!
The doctor confirmed a pregnancy and I had a ultrasound and TVS to see how far along I was. The radiographer couldnt see anything and said that the pregnancy was probably under 4 weeks. A blood test again confirmed the pregnancy one day later with a value of 250. My doctor says this means it is very early with an estimate of 2-3 weeks?. I am still unsure how I have not missed a period and can be 2 or 3 weeks pregnant. The doctor also mentioned there is a chance it may be ectopic but as I have not had any pelvic pain it is difficult to know whats going on. Can anyone enlighten me?

Answer 1

You can ovulate s early as 8 days after your period and get pregnant. Might have been implantation bleeing that you had or just a period. it happens. as for it being etopic I am sure the doctor told you to come back for another HCG in a couple of days or next week. If your levels do not go up or double I think every other day then there is a chance that you have an etopic pregnancy. You are definately pregnant with HCG levels of 250 since the normal unpregnant woman has levels <5 - So that is under 5 - If Monday your levels are around 1000 you do not have an etopic pregnancy.

PREGNANCY STATUS SERUM hCG LEVELS
from conception from LMP (mIU/ML or IU/L)
7 days 3 weeks 0 to 5
14 days 28 days 3 to 426
21 days 35 days 18 to 7,340
28 days 42 days 1080 to 56,500
35 - 42 days 49 - 56 days 7,650 to 229,000
43 - 64 days 57 - 78 days 25,700 to 288,000
57 - 78 days 79 - 100 days 13,300 to 253,000
17 - 24 weeks 2nd trimester 4060 to 65,400
25 wks to term 3rd trimester 3640 to 117,000
After several days postpartum nonpregnant levels (<5)"

"Results in Twin Gestation"

"Quanitative serum hCG tests detect multiple pregnancy approximately 9 weeks earlier than ultrasound. One small study (Jovanovic, 1977) found hCG levels in 15 singleton and 9 twin pregnancies were as follows:

DAYS FROM LMP hCG in SINGLTON AVERAGE GESTATION RANGE hCG in AVERAGE TWIN GESTATION RANGE
28 64.7 9.4 to 120 64.7 9.5 to 120
33 450 300 - 600 1,500 200 to 1,800
36 1,500 1,200 - 1,800 19,200 2,400 to 36,000
40 3,600 2,400 - 4,800 58,344 8,700 to 108,000
45 36,000 12,000 - 60,000 126,000 72,000 to 180,000
70 120,000 96,000 - 144,000 414,000 348,000 to 480,000"

If its hard to read the chart go to this website which is where I got this chart from http://www.bobrow.net/kimberly/birth/hcglevels.html

Oh and Congrats!!


BTW not everyone ovulates on the 14th day - I was doing fertility treatments and you can ovulate as early as the 7th day. YOu can have long luteal phases which is the time between your ovulation and your period. SOme women have 18 day cycles and others have 60 day cycles and both are normal

Also the reason why the embryo is not being seen is because it is way too small. You will soon at about 5 or 6 weeks start to see something on an ultrasound. Right now its only an embryo go here to see what it looks like http://www.visembryo.com/baby/index.html

Answer 2

an hcg level of about 250 indicates a pregnancy of 2 weeks or less.
It may be ectopic as well seeing as how an ultrasound could not find a fetus and should be able to see a figure by now. The only day that you can become pregnant is 14 days after the first day of your last period. So say you started your period on the 1st. Your only day to get pregnant is the 14th. which if you do your math right, leaves only 14 more days in a 28 day cycle, and that is 2 weeks. So I would bet you are about 2 weeks give or take a day, and that your "supposed" upcoming period...will be missed.

Answer 3

I actually know someone who had her period the whole nine months and had a perfectly healthy baby. That just happends some times. If they said your probably 2-3 weeks then that could of been implantation bleeding (it resembles a regular period sometimes). Just try to relax and not stress yourself out. As things go along the Dr will be able to tell you more.

Answer 4

when the doctor says how many weeks you are, they count from the first day of your last period. So it makes sense to be 2-3 weeks pregnant if you had your period 2 and half weeks ago.

Answer 5

days past conception/ovulation (DPO) hCG in mIU/mL
in singleton pregnancy
7 days 0 - 5
14 days 3 - 426
21 days 18 - 7,340
28 days 1,080 - 56,500
35-42 days 7,650 - 229,000
43-64 days 25,700 - 288,000
57-78 days 13,300 - 253,000
17-24 weeks 4,060 - 65,400
25+ weeks 3,640 - 117,000


Levels of hCG in pregnancy


Human Chorionic Ganadotropin (hCG) is a hormone that can be detected in the urine and blood of humans. This hormone increases during pregnancy so it is common to measure the rise in level using Home Pregnancy Tests ( or HPTs, which measure hCG levels in the urine) or a hCG Beta test (which measures hCG levels in the blood serum). The hCG Beta is much more sensitive then the Home Pregnancy Test and you can usually get a positive result much earlier with a blood test than with the HPTs.
Usually the reference values for hCG Beta are as follows:

Men: less than 5.0 mIU/ml - Normal

Women: Non -pregnant - less than 5.0 mIU/ml - Negative/normal

*Borderline - Between 5.0 to 25.0 mIU/ml (you could be pregnant)

*Positive - Higher than 25.0 mIU/ml

(*) These are values within the first week and few days after conception.

When you are pregnant the level of hCG increases and usually doubles every two to three days. It then reaches a maximum level by the second or third month of pregnancy, followed by a decrease occurring in the third trimester.

Here are typical hCG Beta values in pregnant women up to 22 days post-retrieval (DPR) or days post-ovulation (DPO).

DPR or DPO Amount of hCG in mIU/ml

10 5 - 50

12 10 - 100

14 20 - 200

16 40 - 400

18 70 - 800

20 140 - 1600

22 180 - 3200

Here are the hCG Beta values given by the number of weeks after ovulation:

after the 1st week and 2 days 5.0 to 50.0 mUI/ml

Between 1st and 2nd week 5.0 to 500.0 mUI/ml

Between 2nd and 3rd week 100.0 to 5,000.0 mUI/ml

Between 3rd and 4th week 500.0 to 10,000.0 mUI/ml

Between 4th and 5th week 1,000.0 to 50,000.0 mUI/ml

Between 5th and 6th week 10,000.0 to 100,000.0 mUI/ml

Between 6th and 8th week 15,000.0 to 200,000.0 mUI/ml

Between 8th and 12th week 10,000.0 to 100,000.0 mUI/ml

Note: The levels of hCG for pregnant women with twins or more are usually higher than the values above, which represent the typical values for just one baby.

If it was a tubal pregnancy no matter how early they could detect it using an ultrasound and also if you had miscarried they would be able to tell that too by an ultrasound. I miscarried at 5 weeks.
Good luck

Answer 6

It's pretty impossible to tell when you became pregnant just by the date of your last period. Some women have regular periods through most or all of their entire pregnancy! I don't know ahat to tell you about ectopic pregnancy, but just keep yourself checked in with your doc.

Answer 7

I would say your right around where the dr said you was, I have known women that had a period the whole time they were preganant and thought it was just gas moving around in their belly....sounds crazy i know, thats what i thought too, but yep its possible but i really don't know how....good luck hope you have a happy and healthy baby.....

Answer 8

I would say you are probably around 2-3weeks. That was about the level of my HCG. But also, if you are still bleeding, make sure they keep an eye on your HCG level, and hope it is still going up.; you could be miscarrying....

Answer 9

if your period was lighter than normal, then this "period" was actually discharge that resulted when the fertilized egg burrowed itself in the uterine wall.

Answer 10

It is either pregnant or not, not "how pregnant."

You are pregnant. Sometimes you may have a light period. Good news is that you are smart and are seeing your doctor.