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Its been 11 days from my frozen embryo transfer. In a non-pregnant woman, they are less than 10 mIU/ml. The two cases of hydatidiform mole are not depicted. Disclaimer: Every Patient is different, so beta hCG of IVF given are approximate. During 1994-1999, we studied 774 embryo transfer cycles resulting in pregnancy defined as a serum HCG concentration of > or =5 IU/l on day 12 following embryo transfer. In only two studies (Gold et al., 2000; Homan et al., 2000) have different treatments or causes of infertility been compared in relation to early HCG concentration and pregnancy outcome. To view profiles and participate in discussions please. So what is a good hCG level to look out for? Since my transfer was at 12:30pm they said that 1DPT was not until Monday 2/8, not sure if this. Male factor infertility and ICSI are associated with relatively low HCG values in viable pregnancies. This hCG calculator can do for you. I am really hoping this is the case for me too. Association between 7-day serum -hCG levels after frozen-thawed embryo You've seen a fertility specialist, started IVF, and gotten through the first embryo transfer. The important thing is that your number goes up Wednesday. That is a nice jump in 2 days. The examples are using median hCG levels. PMID: 7580002. Serum HCG has been found to be predictive of pregnancy outcome. You are considered pregnant with any detectable level of hCG. Typically, a fertility specialist will test your blood for pregnancy 14 days after transfer. A second test is scheduled when the first test is positive. A day 3 embryo is still in the process of. Try not to obsess too much with the hCG numbers. Serum HCG 12 days after embryo transfer in predicting pregnancy outcome But you should not have to worry about determining the stage of the embryos at transfer. For my case, I should have more 8000 after two days? It's a little low, so I hope that the level today is what you are looking for. Zhang Q, Yan J, Tang R, Gao X, Zhang B, Chen ZJ. For the speediest answer, check out our FAQ section. If your home pregnancy test is positive, your healthcare provider may offer a blood test to check your hCG levels. Data from a study of 123 IVF participants. Although the EP in our series were clearly associated with low HCG values, they could not be distinguished from the much larger group of other pregnancies with similar levels of HCG. A study of 177 IVF cycles showed that pregnancies with a beta hCG concentration<85 mIU/mL at Day 13 had an 89% risk of having a first trimester miscarriage, and pregnancies with -hCG >386mU/mL had a 91% chance of a live birth. In this study, lower serum -HCG levels were related to higher rates of early pregnancy loss and ectopic pregnancy for women with singleton pregnancies (just one baby). Thank you, my levels had indeed increased to 629 today so perfect doubling rate! A single HCG reading on day 12 after embryo transfer helps to plan the subsequent follow-up. P. Poikkeus, V. Hiilesmaa, A. Tiitinen, Serum HCG 12 days after embryo transfer in predicting pregnancy outcome, Human Reproduction, Volume 17, Issue 7, July 2002, Pages 19011905, https://doi.org/10.1093/humrep/17.7.1901. I need someone to knock some sense into me because I am spiraling. I wouldn't worry about it too much. The last transfers of three embryos were carried out in 1994. I appreciate the encouragement. Therefore, they may not be able to detect your pregnancy depending on when you check the test. A live birth with unexpectedly low serum human - ScienceDirect In most labs, a value greater than 5mlU/ml is considered positive. Cells from the placenta grow deep into the lining of the uterus, establishing a rich blood supply. Optimal time interval between hysteroscopic polypectomy and frozen-thawed blastocyst transfer: A retrospective study. HCG Levels in Pregnancy and hCG Chart - What's - What to Expect Early pregnancy Yes, it is possible that you're carrying twins, but you should wait until your first ultrasound scant to confirm if it's a singleton or a multiple pregnancy. My beta showed I was pregnant and then the 2nd blood work, my numbers had dropped. FET after miscarriage - looking for some hope and positivity. I would be very optimistic. The mean number of embryos transferred in the studied cycles was 1.8. Maternal Beta Hcg Levels Day 12 After Embryo Transfer to Predict Thanks for sharing that and so happy to hear that you are 18 wks pregnant with twins! Every woman is different, so the beta hCG of IVF given is approximate. What Happens After Embryo Transfer Day By Day - elite-ivf.com HCG Levels in Pregnancy & hCG Levels Chart by Week | Pampers This site needs JavaScript to work properly. I know it differs so much by pregnancy. A clinical pregnancy is when the embryo implants in the uterus and is identified by ultrasound at 5-6 weeks of gestation. The intra-assay variation was 2.7-5.1% and inter-assay variation 1.6-3.9% at the studied HCG levels. Consult with your fertility doctor before using any of these information or treatments. After an embryo transfer procedure, it takes around 10-14 days to see the IVF results. An HCG value of 76 IU/l emerged as the most suitable cut-off point to predict viable pregnancy. This is because fluid build-up from OHSS could dilute the blood levels. A human chorionic gonadotrophin (-hCG) test was performed 12 days after embryo transfer. . Bookshelf National Library of Medicine Elevated estradiol levels in frozen embryo transfer have - Nature A Group Leader is a What to Expect community member who has been selected by our staff to help maintain a positive, supportive tone within a group. Some or all of the eggs will be fertilized. Depending on the day of your transfer, it can take ~10-14 days for the pregnancy hormone b-hCG to be detectable in your body. An abdominal ectopic pregnancy following a frozen-thawed ART cycle: a case report and review of the literature. 8600 Rockville Pike It is called the pregnancy hormone because it is only present during pregnancy and can be detected by early pregnancy tests or a blood test. The measured HCG values were non-normally distributed. Please whitelist our site to get all the best deals and offers from our partners. and transmitted securely. Next, enter the results from the beta hCG test into the IVF hCG calculator. The rate of viable pregnancies was 71, 61, 53 and 48% in women aged up to 29, 3034, 3539 and 40 years respectively (P = 0.002). Conclusions: Here are some things to avoid after an embryo transfer. I was worried it was rising too quickly and was online googling all the things that could go wrong. I feel so heartbroken and empty. Progesterone levels are usually higher when you are pregnant, but even in a non-pregnant patient, they can reach 20 ng/ml. Get your query answered 24*7 only on | Practo Consult . Analyses involving non-viable pregnancies were therefore carried out by the non-parametric MannWhitney U-test or Kruskal-Wallis analysis of variance. Initially, hCG levels are quite high. HCG levels 8 days after FET? - Fertility Treatments - What to Expect Serum HCG has been found to be predictive of pregnancy outcome. hCG levels: Ranges, what they mean, and when to seek help I am Sumer nervous as my digital is not reading pregnant so it means my HCG is lower Praying it doubles tomorrow, Need hope! What It's Like to Find Out You're Pregnant Through IVF. It is used to diagnose pregnancy and a result greater than 5 mIU/mL is generally considered positive. Beta hCG levels were taken 12 days after an embryo transfer. What does a high beta hCG mean? With a day 3 embryo transfer, it is best to wait at least 12-14 days before getting a pregnancy blood test. An online IVF hCG calculator can help you determine if the rate that your hCG level is increasing is normal or not. I'm just too scared to be excited about the positive beta/pregnancy. An ultrasound will confirm the location of pregnancy (normal or abnormal) and heartbeat of the baby can also be detected at this time. A Group Owner is a member that has initiated the creation of a group to connect with other members to share their journey through the same pregnancy & baby stages. Beta HCG levels vary according to the gestational age. hCG levels also play a significant role after IVF. Congratulations! yay! Serum concentrations of intact HCG (with both and subunits) were measured by solid phase, two-site fluoroimmunometric assay (AutoDELFIA; Wallac, Turku, Finland). An official website of the United States government. I am so glad to see that individuals get low numbers and still have successful pregnancies, Day 5 4AA (transfer was at 1:45pm, betas were all drawn around 8am). Supplements to Take During Fertility Treatments and IVF, The IVF Funnel: Understanding Your Chances of Success, 10% off your first month when you subscribe with code LUCKY23, Ovulation support program with a licensed healthcare provider. E-mail: aila.tiitinen@hus.fi, Bergh, T., Ericson, A., Hillensj, T., Nygren, K-G. and Wennerholm, U-B. Some women normally have a certain amount of hCG in the body naturally. 1995 Jan;12(1):13-4. doi: 10.1007/BF02214122. Copyright 2023 European Society of Human Reproduction and Embryology. When calculating the results for the 290 fresh versus the 72 frozen embryo cycles resulting in a viable singleton pregnancy, no difference in the median HCG values was observed [114 versus 115 IU/l respectively; not significant (NS)]. Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them. They analyzed a total of 774 embryo transfers from 1994 1999. A Group Owner is a member that has initiated the creation of a group to connect with other members to share their journey through the same pregnancy & baby stages. A level of P < 0.05 was regarded as statistically significant. When an embryo implants every day the HCG level doubles in the early days. There are many variables that can affect hCG values, including the assay that is being used. So 13dp5dt my beta was 4747 and 17dp5dt it was 14,675. The https:// ensures that you are connecting to the Your bloods on Monday will hopefully give you the assurances you need, but I can imagine the wait until then is very daunting. Group Leaders arent expected to spend any additional time in the community, and are not held to a set schedule. What is a Good First hCG Level after Embryo Transfer? The detection limit of many at-home pregnancy tests is approximately 25mlU/ml. My clinic has me on HCG boosters so I know this will show a slight positive so they asked me to repeat my levels in 2 days to be sure. Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked. It tells you if the rate of doubling is normal or not, and it may also indicate the likelihood of twins. Below 1,200 mIU/ml, hCG usually doubles every 48-72 hours, but 35%+ is still normal. Unable to load your collection due to an error, Unable to load your delegates due to an error. Don't obsess. Enter the date of your first hCG test. His embryo transfer date is March 1, 2017 and input 01/03/2017. We strive to provide you with a high quality community experience. It's produced by your placenta after conception. My HCG 13 days after my 5 day embryo transfer was over 1,300 and my 16 day post-transfer test showed over 3,500. Transvaginal follicle aspiration was performed 36 hr after hCG administration and embryo transfers performed on the third post retrieval day. It is important NOT to take these numbers literally. (blastocyst) I am having period type pains, pelvic pain f . :). Try and relax enjoy being pregnant! J Assist Reprod Genet. I'm going in for a second beta on Wednesday but was wondering if anyone else had their first betas tested this early and what the HCG level was. Since my transfer was at 12:30pm they said that 1DPT was not until Monday 2/8, not sure if this is right or not? Yanaihara A, Ohgi S, Motomura K, Hagiwara Y, Mogami T, Saito K, Yanaihara T. BMC Pregnancy Childbirth. Several studies have confirmed that serum -hCG is a reliable index for predicting early pregnancies at 12-18 days post-transplantation (dpt). What to Expect supports Group Black and its mission to increase greater diversity in media voices and media ownership. When ICSI was present the median HCG concentration was also low (93 IU/l, P = 0.004). Note that once you confirm, this action cannot be undone. 11 days after embryo transfer, what should the hcg lvl be? I think it's a good sign that your tests are getting darker. Need something else? Common Concerns About the Post-IVF 2 Week Wait - Verywell Family I think all IVF patients are cautiously optimistic until that baby is in our arms! Early Fetal Development | American Pregnancy Association Enter the second hCG test date and beta hCG level, Step 4: Calculate and examine the results, Example Results from an IVF hCG Calculator, IVF Comparison Tool: Compare Fertility Clinics Success Rates, Fertility Clinic Rankings in the United States, IVF Cost Calculator: Costs of Own eggs, Donor, Surrogate, FET, ICSI and PGD, IVF due date calculator with one baby,twins or triplets, including 3 day and 5 day, IVF Success Rate Calculator Predict the Likelihood of Live Birth After IVF, Own eggs, Fresh donor eggs, Fresh donor embryos, consider the egg retrieval date as 0 day of DPO date, 14 days later after the egg retrieval date, consider embryo transfer date as 3 days of DPO date, 11 days later after the embryo transfer date, consider embryo transfer date as 5 days of DPO date, 9 days later after the embryo transfer date, Tell you the difference in levels from the first and second test, as a percentage (i.e., +525/+700% or -25/-67%), Give you a 2-day increase rate, regardless of how many days passed between your tests. But a blood test can detect it earlier. Probabilities of each type of outcome related to the HCG level are given. Beta human chorionic gonadotropin (b-hCG), the hormone that indicates that the fertilized egg has implanted into the uterine wall, rises at around 7 8 days after implantation. An IVF hCG calculator is useful for determining normal rates of increase. HCG is short for human chorionic gonadotropin. In an IVF procedure, a pregnancy test is done after two weeks to check the results. 2005-2023Everyday Health, Inc., a Ziff Davis company. 2/8 would be 1dp, correct. Affiliates + Influencersteam@natalist.com. At-home urine tests require higher levels of hCG to detect a pregnancy, typically at least 20 mIU/mL. You have no idea how much you just put me at ease. Your post will be hidden and deleted by moderators. If the level was less than 300, the ongoing multiple pregnancy rate was 9% (5/57). An increase of at least 35% in 48 hours in early pregnancy is still considered normal. If you find an IVF hCG calculator online, you may notice the word beta, as in the beta hCG level. Most people do not understand what this means. Low progesterone around the time of . do you remember how your tests looked like on 9-10dp5dt? Figure 2 shows the probabilities (%) of the different outcomes within each of the 10 deciles of the 774 day 12 post-embryo transfer HCG measurements. What is a Good First hCG Level after Embryo Transfer? - InVia Fertility Almost before you can celebrate, however, you start wondering, Is my hCG level good? Is the pregnancy going to progress normally? Predictive value of serum progesterone level on -hCG check day in An HCG value of 76 IU/l emerged as the most suitable cut-off point to predict viable pregnancy. I had 2 frozen embryo transfer @Jul 8, 11 days after ET HCG=114, 15d HCG=462, 18d HCG=643, may I start to miscarry? I am on 1ml progesterone oil intramuscular every day, three times per day 200mg progesterone suppositories, baby aspirin once a . Human chorionic gonadotropin was examined to evaluate pregnancy on days 12-14 after embryo transfer. HCG Levels After Implantation (When to Test?) - Wholesome Children I can't even bear this anxiety. Data on the outcomes were retrospectively retrieved from the records. J Assist Reprod Genet. My labs would be either 9DPT or 8DPT. It is important to remember that a blood pregnancy test is the earliest indicator of success for an in vitro fertilization cycle. A single determination of serum HCG concentration has been found to be predictive of pregnancy outcome (Schmidt et al., 1994; Glatstein et al., 1995; Sugantha et al., 2000), even as early as 1112 days after embryo transfer (Qasim et al., 1996; Bjercke et al., 1999). You will then receive an email that contains a secure link for resetting your password, If the address matches a valid account an email will be sent to __email__ with instructions for resetting your password, DOI: https://doi.org/10.1016/S0015-0282(03)01359-1, Reproductive Science Ctr, Boston, MA, USA. Serum hCG on day 11 after embryo transfer was at 11.6 IU/L. . You have to use exact numbers, so you cant use basic hCG strips that you buy in a drugstore or pharmacy. The half-life of the HCG used was 33 h. Transvaginal follicle aspiration was performed 36 h after HCG administration, and embryo transfer took place 48 h later. On the flip side, there are some hCG tests that just tell you whether or not there is any hCG in the blood. To use an IVF hCG calculator for post-IVF treatment, you need to know: On the date of transfer, what stage will the embryos be in? hCG levels are higher in multifetal pregnancies than in singleton pregnancies. thank you! The HCG hormone level in the blood doubles every 48-72 h. The rest is up to the embryo. 191: Tubal Ectopic Pregnancy, Obstetrics & Gynecology: February 2018 Volume 131 Issue 2 p e65-e77doi: 10.1097/AOG.0000000000002464. The approximately doubled HCG level in twin pregnancies is in accordance with the results of previous studies (Schimdt et al., 1994; Glatstein et al., 1995; Bjercke et al., 1999). These results remained essentially the same when multiple pregnancies were included. Neither odds of implantation nor clinical pregnancy were influenced by maternal age, BMI or blastocyst expansion grade. Unfortunately yes. Methods: I've read of a lot of people who then do a Clear Blue digital test which has shown a different number of weeks pregnant to what they were expecting which has caused them concern, but I think these tests can only really give a rough indication of how far along you are. During IVF, however, final egg maturation is triggered by an hCG injection (generally 10,000 units) given approximately 36 hours prior to egg retrieval, increasing hCG levels in the patient's body. Accessibility Clinics recommend a two-week wait after your embryo transfer because taking a pregnancy test too soon after the frozen egg transfer often produces false results. IVF Process Basics Success Rates IVF Costs IVF Safety and Risks Step 1: Before Treatment Step 2: Treatment Cycle Begins Step 3: Ovarian Stimulation Step 4: Oocyte Maturation Step 5: Egg Retrieval Step 6: Fertilization Step 7: Embryo Transfer Step 7: Embryo Transfer Step 9: Pregnancy Test 3 4 PMID: 30848135. For women with ovarian hyperstimulation syndrome (OHSS), hCG levelsmay fluctuateabnormally. hCG levels are different for day 3 vs. day 5 transfers. I had 1 AA/5 day embryo transferred 12 days ago and got a positive blood test but with a hCG level of 12.2. 2010 Apr;20(4):504-9. doi: 10.1016/j.rbmo.2010.01.005. The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. Results: The median hCG concentration was 161.00 IU/l for viable autologous singleton pregnancies. September 2011. Make an appointment with Dr. Robles to discuss your fertility options today! A high beta hCG could indicate multiples (twins or triplets), which would be confirmed through an ultrasound. Is this good or bad? My transfer was on 2/7 and I have my beta tomorrow. 2. Frozen?) Of these, 774 embryo transfer cycles fulfilled our inclusion criteria, which were (i) serum HCG had been assayed on day 12 post embryo transfer and its concentration was 5 IU/l, (ii) the data on the outcome was available, and (iii) there were no known chromosomal anomalies or signs of `vanishing twin' syndrome in subsequent ultrasonography. I had a beta done 8dp5dt, and it was a 183. There are other medical reasons that could be behind an unusually high beta hCG. When I got pregnant with my daughter back in February 2014 I tested 9dp5dt and my first beta was 36. official website and that any information you provide is encrypted If you have a negative pregnancy test at least 9-10 days after a blast transfer, the transfer was unsuccessful. Those are positive/negative tests and while they can be useful to some extent, theyre not incredibly useful for post-IVF treatment patients. Background: Hoping it continues! Patients identified as having a biochemical pregnancy were found to have median hCG levels of 36.15 IU/l. Do you have a repeat draw scheduled? Is this too low?? Why? MeSH Beta Hcg levels 41015 Views . Hoping to go for another draw tomorrow at 19dpt! Therefore, its more important to focus on whether or not the hCG level is rising and how much its rising than the actual value. Unauthorized use of these marks is strictly prohibited. @Praying4Baby86, oops, edited. The median hCG concentration in viable multiple pregnancies was 200% higher than in singleton pregnancies with a median value of 321.42 IU/l. Male factor infertility and ICSI are associated with relatively low HCG values in viable pregnancies. You need information from both of your hCG blood tests. Yesterday at 15dp5dt I went for a blood test and my HCG is only 150. Even though the data of outcomes from low beta hCG levels looks scary, remember that there are many normal, healthy pregnancies that start out with a low beta hCG. I tested positive on 5DPT. How Effective is Letrozole for Ovulation Induction? Non-viable pregnancies constituted biochemical pregnancies (a temporary rise of serum HCG without signs of intrauterine pregnancy in TVS), ectopic pregnancies (EPs; diagnosed in TVS or laparoscopy), miscarriages (cessation of development of intrauterine pregnancy seen in TVS), and pregnancies with hydatiform mole (a pathologic-anatomic diagnosis). The normal hCG levels for twins is 30% to 50% higher than in single pregnancy- somewhere around 200 to 1750 mIU/ml. pregnant. Non-pregnant females: <5.0 mIU/ml. You are right, need to just enjoy this! Predictive value of hCG level 14 days after embryo transfer. Gold RS, Azem F, Yovel I, Wagman I, Amit A, Lessing JB. The increase in the concentration of hCG in the blood is controlled with the help of special laboratory tests, which must be carried out almost daily. A live birth with unexpectedly low serum human chorionic gonadotropin level on day 11 after blastocyst embryo transfer: a case report. 5 Day Embryo What was your HCG Levels? - What to Expect Generally, hCG maintains progesterone levels during the beginning of pregnancy, which supports healthy uterine and fetal growth. Days after implantation relative to hCG values are estimated and not part of the study.) You should generally wait at least 9-10 days after a day 5 blast transfer and 12-14 after a day 3 transfer to check the test. Our aim was to assess the clinical value of a single early HCG assay in ART pregnancies taking into account the aetiology and treatment of infertility. The median HCG concentration was 115 IU/l in singleton pregnancies and 201 IU/l in multiple pregnancies (P < 0.0001). 7 10 weeks DPO: 25,700 288,000 mIU/ml, 11 14 weeks DPO: 13,300 254,000 mIU/ml, 15 22 weeks DPO: 4,060 165,400 mIU/ml, 23 38 weeks DPO: 3,640 117,000 mIU/ml, First test: Number of days since the transfer, and the beta hCG level on that day, Second test: Number of days since the transfer, and the beta hCG level on that day, Own eggs IVF (This option includes ICSI or no), Fresh donor egg IVF(This option includes ICSI or no), 3 Days frozen embryo transfer(This option calculate hCG levels after IVF 3 day transfer), 5 Days frozen embryo transfer(This option calculate hCG levels after IVF 5 day transfer). Was just wondering if anyone else had such an early beta done? The above hCG levelsare only a guide. The median HCG concentration was 126 IU/l in viable pregnancies and 31 IU/l in non-viable pregnancies (P < 0.0001) (Table I). Sometimes, patients tend to do a pregnancy test 5-6 days after the embryo transfer, and they claim that the test was positive, and then on the due date for a real pregnancy test, the result is negative. Conclusions: A single HCG reading on day 12 after embryo transfer helps to plan the subsequent follow-up. I've had two miscarriages (tho not thru IVF) and had two prior transfers that both failed. Male factor infertility was present in 45 of 72 (63%) ICSI cycles; the other aetiological factors were anovulation in one, combined in 13, endometriosis in three, tubal factor in two and unexplained in eight ICSI cycles. For example, a woman starts her IVF pregnancy journey with 5 days FET. think twice before sharing personal details, foster a friendly and supportive environment, remove fake accounts, spam and misinformation, delete posts that violate our community guidelines, reviewed by our medical review board and team of experts. Always consult your physician in the area for your particular needs and circumstances prior to making any decisions whatsoever. (, Simberg, N., Tulppala, M., Husa, L.-M. and Tiitinen, A. Doctor likes to see 80 at this point but it does mean a positive test. Thus, a history of tubal infertility together with a low HCG calls for a second HCG and early localization of the pregnancy by transvaginal ultrasonography. Your post will be hidden and deleted by moderators. Instead, it would be best if you have your doctor perform a blood pregnancy test. There is no single hCG level or cut-off that defines a normal pregnancy. The predictive value of the first serum HCG level following transfer of Day 3: Implantation begins as the blastocyst moves deeper into the uterine lining. We are cautiously optimistic if there is a level under 50 on the first test. It does not constitute medical advice and does not establish any kind of doctor-client relationship by your use of this website. The data on this IVF hCG calculator is not intended to be a substitute for professional medical diagnosis or advice. The treatment included IVF in 518, ICSI in 119, and frozen embryo transfer in 137 cycles. A positive test doesnt always mean that the pregnancy is healthy, and a negative test doesnt always mean that you arent pregnant. Hoping hoping hoping everything is okay! True true. 2022 Jan 17;26(1):62-67. doi: 10.5935/1518-0557.20210054. A previous study (Gold et al., 2000), reported lower HCG concentrations 16 days after embryo transfer in ICSI compared with IVF in the subgroup of unexplained infertility. Interpret HCG levels after embryo transfer | HCG level to reveal pregnancy There is no way to predict who will and wont be able to achieve a healthy pregnancy. Xx, Hi AmyK. Most HPTs will pick up an HCG reading 11 or 12 days after the embryo enters the uterus. No differences have been found in the early HCG in fresh embryo transfer pregnancies related to ovarian stimulation (Hsu et al., 1998; Ertzeid et al., 2000). It is usually scheduled 1 month after the embryo transfer or 15 days after a positive hCG result. Understanding Test Results. The beta hCG will vary based on the type of embryo you transferred (was it fresh? Date of embryo transfer: Jan 1, 2017 First Test: Jan 14, 2017hCG level = 126 Second Test: Jan 17, 2017 hCG level = 210, Date of embryo transfer: Jan 2, 2017 First Test: Jan 12, 2017 hCG level = 627 Second Test: Jan 16, 2017 hCG level = 2672, About Us---- Advertise ---- Contact Us ---- Privacy Policy ---- Terms of Use. J Reprod Med. The main cause of infertility was anovulation in 47 (6%) cycles, endometriosis in 105 (14%), male factor in 128 (17%), tubal factor in 235 (30%), unexplained in 203 (26%), and combined in 56 (7%). 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