Download FREE Practo app
Get ₹200 HealthCash
Pregnancy of unknown location
My wife is undergoing fertility treatment with follicular scans and received an HCG trigger injection after ovulation. Before this, an SSG showed both tubes were open.
Since around August 20, she has had persistent right-sided pelvic pain radiating to her hip, thigh, buttock and lower back. A UPT on August 27 was negative, but beta-hCG was 109 mIU/mL, with no pregnancy seen on ultrasound. It rose to 130 after 48 hours, then fell to 112 the next day when her pain worsened. TVS showed no intrauterine or ectopic pregnancy, but a 15 mm right corpus luteum cyst with some blood. The next beta-hCG rose to 233 mIU/mL.
We are worried about a possible ectopic pregnancy because her beta-hCG is rising again, nothing is visible on TVS, and she continues to have daily moderate right-sided pain. We understand that open tubes do not rule out ectopic pregnancy.
We will repeat beta-hCG tomorrow. Could this be an early intrauterine pregnancy, chemical pregnancy, ectopic pregnancy, or a corpus luteum
Answers (5)
Pls connect for online consultation and advice
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced gynaecologist online and get your health questions answered in just 5 minutes.
+151
Dr. Prateeksha B S
Obstetrician
7 yrs exp
Bangalore
Connect
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Neha Vashisth
Obstetrician
14 yrs exp
Jaipur
Connect
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Shweta Lodhi Umate
Gynecologist
8 yrs exp
Nagpur
Need to know in what trend is it rising to answer your questions
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
A rising beta-hCG with no pregnancy visible on ultrasound and ongoing one-sided pain is managed as a possible ectopic pregnancy until proven otherwise, regardless of how today's specific numbers look.
Next Steps
Please don't wait for tomorrow's repeat test alone, go in for an in-person review today so the trend can be followed closely and a scan repeated if needed.
Health Tips
Sudden worsening pain, dizziness, or shoulder-tip pain means emergency care immediately, not waiting for a scheduled visit.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.