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Doctor insights on: Hcg Numbers With Twins

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High beta levels pregnant with one IVF vanishing twin?

High beta levels pregnant with one IVF vanishing twin?

Reduction: From twins to singles is common, naturally and with ivf. I'd like to help more but you didn't ask a question: what would you like help with? ...Read more

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Do hCG levels rise with a blighted ovum?

Do hCG levels rise with a blighted ovum?

Sometimes: Usually they do rise up to a certain point. Sometimes they rise even after the abnormality of found. And other times the hormones plateau or start to decrease a bit. Can vary. ...Read more

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13weeks pregnant. Nuchal measuremnt 1.7mm, free bhcg 0.38MoM, PAPP-A 0.55MoM.Im low risk for all trisomies but worried about low bHCG & PAPP-A levels?

13weeks pregnant. Nuchal measuremnt 1.7mm, free bhcg 0.38MoM, PAPP-A 0.55MoM.Im low risk for all trisomies but worried about low bHCG & PAPP-A levels?

Normal: The results are normal and you should be reassured. The overall result - not increased for trisomies - is what to focus on given it's the result of an algorithm designed for this purpose. Great news. ...Read more

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Will my hCG levels continue to double with a blighted ovum? Mine are more than doubling ges sac measuring 5w5d however i'm 5w2d. Hcg 4967 no yolk sac

Will my hCG levels continue to double with a blighted ovum? Mine are more than doubling ges sac measuring 5w5d however i'm 5w2d. Hcg 4967 no yolk sac

Generally not: If your HCG is doubling and the sac is approx. Consistent with your dates, chances are that you do not have a blighted ovum - could be a normal pregnancy. Keep checking sonos and hcg's - may need intervention if signs of fetal activity / growth are not evident. Good luck. ...Read more

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Hcg levels continue to double mine are more than doubling ges sac measuring 5w5d however i'm 5w2d. Hcg 4967 no yolk sac. Ovulated 18aug?

Hcg levels continue to double  mine are more than doubling ges sac measuring 5w5d however i'm 5w2d. Hcg 4967 no yolk sac. Ovulated 18aug?

Perfect: Your #'s are perfect. For an ovulation of 8/18, and therefore a conception date shortly thereafter, you're measurements are right on, and your HCG is correlating perfectly with these numbers. A yolk sac will likely form in next few days. You should heart a heart beat in about 7 more days. No worries at all! ...Read more

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Pregnancy questions. High hCG no fetal pole?

Pregnancy questions. High hCG no fetal pole?

Concerning: This is concerning for a molar pregnancy. At the very least a repeat ultrasound should be done since it could be an early multiple gestation or develop the classic appearance of a molar pregnancy. ...Read more

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Hcg is 856 at 4weeks pregnant is this a singleton are twins numbers thanks?

Hcg is 856 at 4weeks pregnant is this a singleton are twins  numbers thanks?

Can't tell: Hcg levels of 800 or so is still relatively low. At this point it's too early to tell if it's a twin or singleton gestation. The best way to diagnose twins is by ultrasound. ...Read more

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Hcg level not doubling saw a heartbeat rate 115 at 6 weeks. High chance of miscarriage?

Hcg level not doubling saw a heartbeat rate 115 at 6 weeks.  High chance of miscarriage?

Advanced maternal ag: Unfortunately it is a watch and wait scenario. After the age of 35 the risk of miscarriage is much higher. The pregnancy hormone does not exactly have to double but it does need to rise and we hope for the heart rate to stay 120-180. ...Read more

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Are hCG numbers good indicators?

Are hCG numbers good indicators?

HCG: When there is concern on how the pregnancy is doing or if its an ectopic pregnancy in its early phase we can use it. It depends what information you want to obtain from it. ...Read more

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Ivf pregnant week8 dr confirm triplet blighted hCG 8k. However saw a yolk sac in 1sac@week9 when consulted another dr. Chances of remain preg? Week7 hcg7k

Ivf pregnant week8 dr confirm triplet blighted hCG 8k. However saw a yolk sac in 1sac@week9 when consulted another dr. Chances of remain preg? Week7 hcg7k

Miscarriage?: There should be more than a yolk sac by now. There should be a fetus with a heart beat. It would appear that you have a missed abortion or what is normally called a miscarriage. This is unfortunate. Your infertility specialist that performed the ivf would be the best one to determine this. ...Read more

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My hCG levels dropped from 2852 to 2662 I'm not bleeding at all. Ultrasound shows gestational sac and yolk but no fetal pole.

My hCG levels dropped from 2852 to 2662 I'm not bleeding at all.  Ultrasound shows gestational sac and yolk but no fetal pole.

Not good: The HCG level should be going up at this time. It approximately doubles every 48 hours. Combined with the ultrasound fi duping, it does not appear to be a viable pregnancy.you need to follow up with your GYN. Sorry! ...Read more

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Ivf pregnancy week 6. Triplets measure at week 4+ no yolk and heartbeat seen. Is this normal? Or blighted ovum?

Ivf pregnancy week 6. Triplets measure at week 4+ no yolk and heartbeat seen. Is this normal? Or blighted ovum?

Depends on size: If they are measuring only 4 weeks it's possible they are normal, but this is unlikely given ivf. What are the sizes of the gestational sacs? ...Read more

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If chances of conception increase in 2 embryo transfer IVF Why doc recomend single embryo?what are risks of 2 embryo apart from twins?

If chances of conception increase in 2 embryo transfer IVF Why doc recomend  single  embryo?what are risks of 2 embryo apart from twins?

It's all about twins: Twins are a little bit trickier pregnancy. Twinning with 2 embryos is as high as 20-30%. In the US the ASRM allows 1 or 2 embryos in a 29 year old woman, but recommends only one. Personally I believe this is patient's choice and do NOT recommend 1 vs. 2, but that's me. Your info says you are 29 and in the UK? I do not know the UK standard of care but the science is the same. Best wishes! ...Read more

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My HCG levels are at 22,517 mIU/ml. I'm 4 weeks pregnant. Are these numbers normal?

My HCG levels are at 22,517 mIU/ml. I'm 4 weeks pregnant. Are these numbers normal?

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, the level seems higher than usual and you should discuss it with your doctor to check of twin pregnancy or other explanation. Wish you good health and a healthy baby! ...Read more

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Lmp 2/24/13. +serum pregnant 4/1/13.Spotting started 4/10/13 with hCG 215. Us showed no fetus, small sac. 4/12 hCG 310. Could this be a viable pregnancy?

Early pregnancy: The timing is right for a 5 week pregnancy but the HCG is much lower than may be normal. If you are not having any spotting, pain or bleeding, then repeating the ultrasound in 1 - 2 weeks will let you know definitively what is going on. Still, if any of the other symptoms occur, you should see your doctor. ...Read more

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Beta HCG 3700, doubling normally, w5d5 pregnant by LMP, and no gestational SAC seen on Vaginal US. This means Ectopic ?

Beta HCG 3700, doubling normally, w5d5 pregnant by LMP, and no gestational SAC seen on Vaginal US. This means Ectopic ?

Maybe: It might be an ectopic, intra uterine or molar pregnancy. If no gestational sac is seen by the 8th week of pregnancy by ultrasound and the hCG is still rising then a search for the pregnancy site is definitely warranted. ...Read more

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We had IVF with PGS and 5d blastocyst. When our embryo was 6w4d, we saw 13mm empty GS w/o yolk sac and fetal pole. hCG doubling. How likely is it BO?

We had IVF with PGS and 5d blastocyst. When our embryo was 6w4d, we saw 13mm empty GS w/o yolk sac and fetal pole. hCG doubling. How likely is it BO?

May be too early...: .... to tell how well your early pregnancy is going. Generally, with a singleton non-IVF intrauterine pregnancy, the embryonic developmental milestones are known and there are sonographic criteria to diagnose a failed or failing pregnancy that may not apply to all IVF pregnancies. Usually, diagnosis of a failed pregnancy will be made if the mean gestational sac diam.is >25 mm and no embryo is seen ...Read more

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I have di-amniotic monochorionic twin live intrauterine fetuses with avg ga 25w2d and 24w6d. What will be their sexes?

I have di-amniotic monochorionic twin live intrauterine fetuses with avg ga 25w2d and 24w6d. What will be their sexes?

Unanswerable: I am sorry, but there is absolutely no way to guess the gender of your babies. That would be impossible here on the internet. ...Read more

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U/s at 6 wks 2 days showed yolk sac but no embryo and measurements of only 5.5 weeks. Used hcg trigger so exact dates- what are chances of viable baby?

U/s at 6 wks 2 days showed yolk sac but no embryo and measurements of only 5.5 weeks. Used hcg trigger so exact dates- what are chances of viable baby?

Expect heart beat: With accurate dating, the ultrasound technology available and a skilled monographer a crown lump length should be measurable and a fetal heart beat demonstrable. If a transvaginal ultrasound in a week still does not show an embryo with a heart beat, I would be concerned that this is a non viable pregnancy. ...Read more

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