Description
Human chorionic gonadotropin (hCG) is a sialylated glycoprotein hormone with a molecular weight of approximately 46,000 daltons. It is secreted by placental trophoblast cells shortly after embryo implantation and serves as a key biomarker for early pregnancy detection. hCG consists of two non-covalently bound subunits: alpha (α) and beta (β). While the α-subunit is shared with other glycoprotein hormones (LH, FSH, TSH), the β-subunit provides hCG its biological and immunological specificity. Quantitative measurement of serum β-hCG enables sensitive and specific detection of pregnancy. hCG levels peak between 60–80 days of gestation, decline gradually by 160–180 days, and remain elevated until delivery. In twin pregnancies, hCG levels are typically more than double those of singleton pregnancies. In contrast, ectopic pregnancies show lower hCG levels compared to normal pregnancies at the same gestational age.
Due to these dynamics, hCG measurement is widely used to: confirm pregnancy, monitor early gestational development, assist in the diagnosis of ectopic pregnancies, predict spontaneous abortion, or detect multiple gestations.
Normal reference values:
Concentration (mIU/mL) | Clinical Interpretation | ≤ 5.0 | Not Pregnant | > 5.0 | Pregnant
Due to these dynamics, hCG measurement is widely used to: confirm pregnancy, monitor early gestational development, assist in the diagnosis of ectopic pregnancies, predict spontaneous abortion, or detect multiple gestations.
Normal reference values:
Concentration (mIU/mL) | Clinical Interpretation | ≤ 5.0 | Not Pregnant | > 5.0 | Pregnant
