After
the long two week wait ( 2ww), when patients do their HCG level in order to
find out whether the IVF cycle has succeeded or not , they go to pieces when
the HCG level is negative. One of the commonest questions patients ask is – Is there
anything I can do to increase my HCG level ? They don’t want to accept the
truth that a negative HCG means their cycle has failed, because this means all their hopes and money
and energy has gone down the drain .
They
feel that if the doctor can do something to improve their HCG level , their pregnancy
would be fine .
It
breaks my heart when patients ask these questions ,because it clearly shows
that they don't understand anything about IVF treatment , or how to interpret the
HCG level .
This
upsets me , because not only does this mean their doctor has not bothered to
explain anything to them , it also means that they've been very passive and not
done any homework for themselves .
The
HCG level is a diagnostic marker for the health of the pregnancy . It is
produced by the trophectoderm ( the future placental cells ) of the embryo , which
means that there is nothing anyone can do to increase the HCG level . It’s
because the pregnancy is not viable that the HCG level is low ! The low HCG
level is not the problem – it is the result of an embryo which has failed to
implant.
Yes,
we can increase your HCG level by giving you an HCG injection , but obviously that
is not going to serve any useful purpose .
A negative
HCG is a reliable diagnostic marker of the fact that the IVF cycle has failed, and
there’s nothing much we can do about it at this stage.
Every
embryo has its own biological destiny , and the trouble is that we can only
learn what this is two weeks after the embryo transfer , by checking the HCG
level .
Before
this result, just like the patient is completely clueless , so are we, because
the uterus is still a black box area , and we cannot monitor embryo
implantation as yet
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