AboutMohamed Kandeel Expertise I can answer questions about antenatal care, medical problems associated with pregnancy, labor and delivery and postpartum care.
Experience Currently I am working as a Professor of Obstetrics gynecology, Menofyia University, Egypt. Since 1987, I worked in many university and private hospitals with a high load of pregnant population averaging 7-9,000 deliveries/year. This exposed me to all problems associated with pregnancy, labor and delivery. I had my doctorate degree in Obstetrics and Gynecology in 1996 in the use of Doppler ultrasound in high risk pregnancies.
Organizations Menofyia University, Egypt
Publications -British Journal of Obstetrics and Gynecology (Kandil M)
-Egyptian Journal of Obstetrics and Gynecology (Kandil M)
-Ain Shams Journal of Medicine (Kandil M)
Education/Credentials -Master's degree in obstetrics and Gynecology 1989
-Doctorate degree in Obstetrics and Gynecology 1996
Awards and Honors Editorial advisor: Fetal monitoring section of the international website www.obgyn.net
Expert: Mohamed Kandeel Date: 6/28/2008 Subject: HCG and Progesterone Levels
Question I had extremely light brown spotting around 4 weeks, and it went away after about 2 days. (It wasn't even enough to cover half a panty liner, far less actually) Anyway...I had my HCG and Progesterone Levels tested and here is what they read:
4 weeks -154 HCG and 28 Progesterone
4 weeks and 4 days-1323 and 19 Progesterone!!!!!
6 weeks and 4 days-52,000 HCG
Are my levels okay? They seem a bit low for being 6 weeks and 4 days. Also, why would my progesterone DROP? The doctor says its probably a lab fluctuation, but I'm worried.
I've had a little morning sickness this week, on and off. But this morning I wake up and its gone. My breasts are not tender, but fuller. I have aversions to food, but no vomiting. I also have had no cramping or spotting since 4 weeks.
I don't have an ultrasound till next week and I am so nervous that something could be wrong with me. PLEASE PLEASE PLEASE help! Does this sound normal? DO you think my baby is okay from what I have said?
Please help!
Thank you!
-First time mommy!
Answer Dear Stacey
Variations in hVG level is a normal finding and your values are reassuring as they show a rising trend. On the other hand, progesterone levels should not drop but if measurements were taken in 2 different labs, then variations are likely as your doctor said. Variations are unlikely with the same lab.
If I am in the place of your doctor, I would go for a transvaginal ultrasound to make a proper diagnosis and /or prescribe natural progesterone tablet especially because your levels are dropping and may, at a time, be insufficient to support the growing embryo in your endometrium and continue till the time he/she plans to scan you.
