What Does My hCG Level Mean? (2024)

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What Does My hCG Level Mean? (1)What Does My hCG Level Mean? (2)What Does My hCG Level Mean? (3)What Does My hCG Level Mean? (4)

What Does My hCG Level Mean? (6)

What Does My hCG Level Mean? (7)So you're in the IVF process, and now you’ve waited the long 10-16 days for your first pregnancy test. Your hCG level comes back positive. Congratulations!

Then the panic sets in. Is my number too low? Is it too high? Does this mean I'm having twins? Triplets? At InVia Fertility, we often have patients ask us to interpret their hCG level from that first positive test—and the truth is, most of the time that's not possible.

What does an hCG level measure?

hCG (Human Chorionic Gonadotropin) is the “pregnancy hormone." It is detected soon after implantation and typically doubles every 72 hours. It reaches its peak by 8-11 weeks of pregnancy and levels off. An hCG level under 5 is considered negative. Between 5 and 25 is considered a low positive and can alert the provider to an abnormal pregnancy (i.e., chemical or ectopic). Over 25 is considered a positive hCG level for pregnancy.

This being said, a single hCG level does not provide much information. It's necessary to take repeat serum (blood) levels to see if the level is decreasing or rising appropriately. Once the hCG level has reached approximately 1,000, a transvagin*l ultrasound should be able to detect a gestational sac in the uterus. After that point, serial ultrasounds will provide the most important information for your fertility specialist.

Range of hCG levels and what they can mean

The chart below provides median hCG levels, but also a range. As you can see, the range varies significantly:

What Does My hCG Level Mean? (8)

The range for singletons is 5 – 397 and for twins it is 48 – 683. As you can see, there is a big overlap between the first hCG level in singleton and twins. What this means is that even if you have a first hCG level of 397, it could be a singleton pregnancy. Also, if the first hCG level is 48; it could still be a twin pregnancy. Thus, a single hCG level cannot distinguish between a singleton and a twin pregnancy. Of course, if the first hCG level is say, 1200 mIU/mL; it is most like a multiple pregnancy — but you cannot be sure till the ultrasound a couple of weeks later.

A similar observation can be made when it comes to miscarriage. Here, the first hCG level range is from 5 – 268. Thus, even patients with (an excellent) first hCG level of 268 mIU/mL can miscarry.

Finally, your hCG level can be affected by whether you had a day 5 or day 3 embryo transfer.

The bottom line

So, to summarize: when the first hCG test is positive, it's great news—you've overcome a huge hurdle, and it's okay to enjoy the moment! You are indeed pregnant! However, it may be prudent to remember that the follow up hCG levels have to show appropriate increase, and subsequent ultrasounds have to show appropriate growth, before it's possible to confirm that it is an ongoing pregnancy.

The hCG levels above are only guidelines. There are always exceptions to the rule. This is why, even if the hCG levels are low, it is important to continue the medications and keep follow up monitoring appointments.

To work with a qualified, board-certified fertility specialist, make an appointment at one of InVia’s four Chicago area fertility clinics.

What Does My hCG Level Mean? (9)

Infertility treatment IVF Early pregnancy

What Does My hCG Level Mean? (2024)

FAQs

What Does My hCG Level Mean? ›

hCG is a hormone that plays an important role in pregnancy, and levels can vary widely at this time and between individuals. Outside pregnancy, a high hCG level may be a sign of a health condition, such as cancer or liver disease. The full name of this hormone is human chorionic gonadotropin (hCG).

How do you know if you have enough hCG levels? ›

Urine pregnancy tests can detect hCG levels when they reach 20 to 50 milli-international units/mL, while blood tests are positive at 5 milli-international units/mL, Lamppa says. That typically translates to getting a positive urine pregnancy test around the time your period is due.

How do I read my hCG results? ›

hCG under 5 mIU/ml: Not pregnant. hCG between 5-25 mIU/ml: “Inconclusive”. Repeat test in a couple of days. hCG over 25 mIU/ml: pregnant.

What should your hCG be if you are pregnant? ›

hCG blood levels by week
Length of pregnancyAverage hCG levels in blood during pregnancy
4 weeks0 - 750 µ/L
5 weeks200 - 7,000 µ/L
6 weeks200 - 32,000 µ/L
7 weeks3,000 - 160,000 µ/L
4 more rows

What should be the hCG level to get pregnant? ›

An hCG level of less than 5 mIU/mL is considered negative for pregnancy, and anything above 25 mIU/mL is considered positive for pregnancy. An hCG level between 6 and 24 mIU/mL is considered a grey area, and you'll likely need to be retested to see if your levels rise to confirm a pregnancy.

Can you be pregnant and not have enough hCG? ›

Low levels of hCG can indicate whether a pregnancy is in a stage where low hCG levels are normal, such as in very early pregnancy, or in a pregnancy that is post-11 weeks. Sometimes, in cases of miscalculated gestational age, the level of hCG may be lower than expected but not abnormal for the pregnancy.

Can a pregnancy be successful with low hCG? ›

Lower-than-average hCG levels are not always a cause for concern. However, your doctor will likely want to conduct further testing to assess the health of your pregnancy. This may involve additional hCG testing and an ultrasound.

How high should hCG be at 5 weeks? ›

hCG Levels Chart by Week
Pregnancy weekRange of hCG levels in milli-international units per milliliter (mIU/mL)
3 weeks5–72 mIU/mL
4 weeks10–708 mIU/mL
5 weeks217–8,245 mIU/mL
6 weeks152–32,177 mIU/mL
10 more rows

How much hCG do you need to show positive? ›

Urine hCG testing is qualitative, reporting a positive or negative result. The assays detect hCG levels typically starting at 20 to 50 (reportedly as low as 6.3 to 12.5)[19] mIU/mL, corresponding to levels at approximately 4 weeks post-conception. Serum assays can measure beta-hCG as low as 1 to 2 mIU/mL.

At what hCG level can you see an embryo? ›

This is common and has everything to do with your human chorionic gonadotropin (hCG) levels. HCG is the same hormone that confirms pregnancy from urine on a pregnancy test. Your hCG levels should be around 1,500 to 2,000 at 5 weeks pregnant, but it may be difficult to see anything until hCG exceeds 2,000.

What is a good first hCG level? ›

With detailed statistical analysis (ROC curve) they concluded that an hCG level of 76 mIU/mL was a suitable cut-off point for predicting viable pregnancy with 80% sensitivity and 82% specificity.

What hCG level is considered a viable pregnancy? ›

HCG levels higher than 5 million international units per milliliter (mIU/mL) typically indicate pregnancy. Your first test result is considered a baseline level. This level can range from very small amounts of hCG (such as 20 mIU/mL or even lower) to larger amounts (such as 2,500 mIU/mL).

Why is my hCG low at 6 weeks? ›

If hCG levels fall or plateau early in the first trimester, doctors may suspect a potential pregnancy loss. That's because miscarriage, ectopic pregnancy, and blighted ovum are associated with low or slow-rising hCG levels.

What is the hCG level for a single baby? ›

Understanding hCG
Weeks from last menstrual periodNormal hCG levels (mIU/mL)
13–169,000–210,000
16–291,400–53,000
29–41940–60,000
Note: Normal hCG levels for nonpregnant women are less than 10.0 mIU/mL.
5 more rows
Feb 29, 2020

How to read an hCG report? ›

In general, a baseline beta hCG of <5 mIU/mL taken approximately 12-14 days from expected conception is considered negative for pregnancy. Baseline beta hCG >25 mIU/mL taken approximately 12-14 days from expected conception is considered positive for pregnancy.

What hCG levels indicate twins? ›

Range of hCG levels and what they can mean

The range for singletons is 5 – 397 and for twins it is 48 – 683. As you can see, there is a big overlap between the first hCG level in singleton and twins. What this means is that even if you have a first hCG level of 397, it could be a singleton pregnancy.

How can you check your hCG levels at home? ›

An at-home test uses your pee to look for HCG. They contain special strips that detect HCG. Most at-home pregnancy tests are about 99% effective when used correctly. That's about the same accuracy rate as pregnancy tests done in your healthcare provider's office.

How do I make sure my hCG levels rise? ›

It can be tempting to try remedies or foods that purportedly help raise your hCG levels. Unfortunately, there's no way to change your hCG levels or make them go up. What's more, hCG levels reflect information about your pregnancy, but changing them wouldn't address the cause of any potential problems.

What are the symptoms of rising hCG levels? ›

About 11-14 days after implantation, a woman's hCG levels are high enough to start causing early pregnancy symptoms. Some of these might include fatigue, food cravings, darkening in the color of the nipples, or gastrointestinal changes. When a woman experiences these symptoms, a pregnancy test may show up positive.

How do you check hCG levels are increasing? ›

The test is performed by taking a sample of blood and measuring the level of hCG in it. It may be repeated several times over a period of days/weeks to monitor whether the hormone level rises or falls with time, helping us to give you a clearer picture of what is happening in your pregnancy.

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