Dr. Boyd talks about HCG - Human Chronic Gonadotropin so that you can understand the hormones affecting your body and your pregnancy.

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HCG is Human Chronic Gonadotropin.

What is HCG and why is it relevant to you as a pregnant woman?

After fertilization occurs (the sperm and the egg have come together. The sperm has fertilized the egg), the egg takes approximately 7 days to travel down the fallopian tube and embed itself into the uterus. At that point, when it embeds itself into the uterus, HCG is released from your uterine lining in the form of a blood hormone called Human Chronic Gonadotropin.

HCG is the hormone that is positive when you do your pregnancy test. So as HCG goes up and you dip a pregnancy strip in your urine it will give you the (+) sign for pregnancy indicating that you are pregnant! The pregnancy test has indicated an increased level of HCG.

The soonest you can identify HCG in your urine is around day 35 of your cycle. That is assuming that you become pregnant on the fourteenth day of your cycle and you counted forward another two weeks… at this point, you would have had your period, but you missed you missed it.

Typically around the time that you miss your period, you are unable to identify a positive urine pregnancy test using an HCG urine pregnancy test, so you may need to wait another week to test for positive pregnancy.

If you were to get a serum blood test (go into your healthcare providers office where they would draw blood from your arm) increased levels of HCG can be identified. That means before a urine pregnancy test can identify HCG the blood serum test is able to identify HCG.

A blood serum test can identify HCG in your blood as soon as 7 days after you have conceived. So, typically around day 21 to day 25 of your cycle a serum blood test can identify elevated levels of HCG which would indicate that you are in fact pregnant.

HCG is a good marker to identify if your pregnancy is going to be successful. It also identifies whether your pregnancy is in your uterus or in your Fallopian tube. I mentioned earlier that HCG is typically released from your uterus. But there is also a small quantity that can be released from your Fallopian tube if the egg implanted in your Fallopian tube. HCG can be released from the Fallopian tube because you have what is called a pseudo gestational sac in your uterus. That means a false pregnancy site in your uterus, but in fact, the actual pregnancy is in your Fallopian tube.

The HCG does not increase as high as it should in that scenario and this can be an indicator of an extra-uterine pregnancy. The HCG is also used in a normal intrauterine pregnancy not appear to be developing in a normal fashion. In other words, the baby has died early in the gestational period. This is indicated by the HCG NOT increasing like it normally would during a successful healthy pregnancy.

What is a Normal HCG Elevation?
After the baby begins to grow in the uterus (typically) the HCG doubles approximately every 48 hours. So if you go into your healthcare provider’s 3 - 4 weeks after conception occurred we will measure your HCG levels.

This is a good indicator that you have an intrauterine pregnancy and that pregnancy is growing appropriately. As the HCG continues to elevate often times women will become nauseated, known as “Morning Sickness”. Through the years we, as healthcare providers, have identified HCG as the common marker for causing morning sickness.

Your HCG will continue to elevate until your sixteenth week of gestation and then it typically levels off at that point and stays at that level throughout your pregnancy.

HCG is a very important topic for many women especially early in their pregnancy as well as how it relates to nausea and vomiting.

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