There are a number of reasons for considering the association of human chor
ionic gonadotropin (hCG) with hyperemesis gravidarum. The temporal relation
ship between peak hCG levels and the most common time of nausea and vomitin
g has long been noted. More recently, the relationship of hCG to transient
hyperthyroidism of hyperemesis gravidarum (THHG) has been described. Severa
l experiments of nature have suggested that hCG plays a role. Let us consid
er these interrelated lines of evidence, beginning with the latter.