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Dina N. Greene, David G. To provide clarity on the use of qualitative and quantitative human chorionic gonadotropin hCG tests for the assessment of pregnancy. A case scenario and a brief review of the relevant literature describing clinical and analytical considerations regarding hCG testing are presented. In pregnancy, hCG is nearly always detectable in serum and urine within 16 days after ovulation.
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Pregnancy testing - Better Health Channel

If you think you may be pregnant, a blood test for hCG may be positive as early as one week after conception, while a urine test, such as the tests you can do at home, may be positive at around the time of the first missed menstrual period. The doctor may also check hCG levels if he or she thinks your symptoms suggest trophoblastic disease or a germ cell tumour. A urine sample collected first thing in the morning or a blood sample drawn from a vein in the arm. None needed, however do not drink large amounts of fluid before collecting a urine sample for pregnancy testing as very dilute urine may result in a false negative test result. A pregnancy test is a specific blood or urine test that can detect hCG and confirm pregnancy. This hormone can be detected by a blood test as early as one week after conception or by a urine test at around the time of the first missed menstrual period. It is important to note that there is a wide range of hCG levels between individuals, but this trend appears to be relatively constant.
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Reference ranges and determinants of total hCG levels during pregnancy: the Generation R Study

Ectopic pregnancy occurs at a rate of Greater awareness of risk factors and improved technology biochemical markers and ultrasonography allow ectopic pregnancy to be identified before the development of life-threatening events. The evaluation may include a combination of determination of urine and serum human chorionic gonadotropin hCG levels, serum progesterone levels, ultrasonography, culdocentesis and laparoscopy. Although past treatment consisted of an open laparotomy and salpingectomy, current laparoscopic techniques for unruptured ectopic pregnancy emphasize tubal preservation.
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When your physician talks about hGC, she is referring to the hormone human chorionic gonadotropin , which you produce during pregnancy. That's why it's called "the pregnancy hormone. The numbers are just a guideline and the change in the level may be more important than the actual number. The placenta makes hGC and a blood test can first detect the hormone about 11 days after you conceive. In a typical pregnancy, your hGC levels double every 72 hours.
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