What is the reference value of hcg for ectopic pregnancy?

Regarding the detection of ectopic pregnancy, some friends think that hCG can be detected. In fact, the hCG detected during ectopic pregnancy is actually the same as the hCG tested for normal pregnancy, because hCG is only used to determine whether the pregnancy is present. If you want to check whether an ectopic pregnancy occurs, the best way is to go to a regular hospital for examination, so that the warning you get will be more accurate.

How much hcg is an ectopic pregnancy?

The hCG value of ectopic pregnancy is the same as that of intrauterine pregnancy, because only the location of the fertilized egg implantation is different, and the early development of the fertilized egg is the same, so the HCG value in the blood and urine is the same.

The hcg value of ectopic pregnancy can be used to judge that it is a pregnancy reaction, that is, early pregnancy, but the hcg value cannot be used as a basis for the diagnosis of ectopic pregnancy. The diagnosis of ectopic pregnancy depends on the results of further examinations.

What is the range of hCG value for ectopic pregnancy? Diagnostic method: First, use B-ultrasound examination to determine the position of the gestational sac and check whether it is an ectopic pregnancy; second, test the hCG value again after two days. Under normal pregnancy conditions, the hCG value will double every two days, that is, after two days, your hCG value should be in the range of 500-1000, indicating that your embryo is developing normally and it is not an ectopic pregnancy; if the hCG value rises or falls slowly, the chance of ectopic pregnancy is relatively high and you should pay attention to it.

Treatment of ectopic pregnancy:

(1) Expectant treatment: no clinical symptoms or mild clinical symptoms; the diameter of the ectopic pregnancy mass is less than 3 cm, there is no fetal heart beat, there is no intra-abdominal bleeding or the estimated intra-abdominal bleeding is less than 100 ml; blood β-hCG is less than 1000 mIU/ml and continues to decrease. Patients can be advised to rest at home and come to the hospital for weekly blood β-hCG check. If abdominal pain worsens during this period, they can seek medical attention at any time.

(2) Chemotherapy: Patients who wish to have children, especially those whose contralateral fallopian tube has been removed or has obvious lesions. It is suitable for patients with no obvious abdominal pain, maximum diameter of the mass 3.5~5.0cm, β-hCG <2000~3000mIU/ml, stable vital signs, no signs of active intra-abdominal bleeding, and normal liver function and blood count. The commonly used drug is methotrexate 50 mg/m2, injected intramuscularly. If the blood β-hCG drops by less than 15% 4 to 7 days after administration, the drug can be repeated. It takes an average of 35 days for blood β-hCG to drop to normal. Pay attention to monitor blood routine and B-ultrasound. In recent years, some scholars have used mifepristone for the conservative treatment of ectopic pregnancy, but there is no conclusion yet.

(3) Traditional Chinese medicine treatment: It is one of the current methods for treating tubal pregnancy in China. It avoids surgical trauma, preserves the affected fallopian tube and restores its function. The main formula is salvia miltiorrhiza, red peony root and peach kernel, which can be added or subtracted according to the symptoms.

(4) Interventional therapy: After angiography, 50-100 mg of methotrexate is slowly injected into the uterine artery. If the gestational sac is large, 500 mg of 5-Fu is added. After the infusion is completed, the uterine artery is embolized with absorbable gelatin sponge particles. After embolization, the patient's vital signs should be closely observed, and blood β-hCG and ultrasound should be checked weekly. Due to its high cost, it is currently only used in the clinical treatment of some special types of ectopic pregnancy.