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Doctor insights on: Transvaginal Ultrasound H Cg Levels

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Dr. Ivan Ip Dr. Ip
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My hCG levels is 4518 ..But nothing on transvaginal ultrasound ?

Dr. Ivan Ip Dr. Ip
1 doctor agreed:
My hCG levels is 4518 ..But nothing on transvaginal ultrasound ?

You def need f/u: You should definitely follow that HCG level within 48-72 hours and be followed by an ob/gyn. Usually by 1500-2000 hcg, if the pregnancy is in the uterus, we should be able to see it. One possible explanation may be a pregnancy outside of the uterus, something called ectopic pregnancy. It is super important that you follow up with your doctor. ...Read more

Dr. Michael Gabor
2,239 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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My hcg level is 2417, when transvaginal ultrasound done there was no gestational sac or yolk sac. Is this common or should I be worried?

My hcg level is 2417, when transvaginal ultrasound done there was no gestational sac or yolk sac. Is this common or should I be worried?

Very early : The HCG level is very low. That suggests a very early pregnancy. Wait 1-2 weeks and repeat the HCG measure and the ultrasound and then you will have a better idea of how things are going. ...Read more

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Hcg level on 4/14 was 1299 & on 4/16 is 1288. Transvaginal ultrasound on 4/14 showed an irregularly shaped fluid collection in my uterus. Miscarriage?

Hcg level on 4/14 was 1299 & on 4/16 is 1288. Transvaginal ultrasound on 4/14 showed an irregularly shaped fluid collection in my uterus. Miscarriage?

Missed pregnancy: Hcg should have at least doubled in the 48 hour window. Decreasing HCG signifies a failed, or 'missed' pregnancy. Be sure to follow up with the doctor who ordered your blood test. ...Read more

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Went for an 8 week vaginal ultrasound after spotting doctor found no baby in sac my hCG levels were 21000 i will be going back in three days to re tes?

Went for an 8 week vaginal ultrasound after spotting doctor found no baby in sac my hCG levels were 21000 i will be going back in three days to re tes?

Follow up imperative: You have either had a complete miscarriage, or more seriously an ectopic pregnancy. You need to follow-up with your doctor without fail. He/she will re-check b-hcg level, and probably order another ultrasound. With your b-hcg levels that high, a fetus should be seen in the uterus. Consultation with your ob/gyn is mandatory. Go to er for any abdominal pain, or significant vaginal bleeding. ...Read more

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At 8weeks the doctor did an abdominal ultrasound and couldn't find the baby. He send me to do a vaginal one in 2 days I am scared hCG level 41, 000?

At 8weeks the doctor did an abdominal ultrasound and couldn't find the baby. He send me to do a vaginal one in 2 days I am scared hCG level 41, 000?

Calm Down!: The HCG level you give could be seen in a 6 wk pregnancy. Would be hard to see with abdominal sono. Molar pregnancies tend to have higher HCG values. Get the vaginal sono and find out for sure. If there was a problem then it is best to get it over with earlier than later. Hope things work out for you! ...Read more

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6 weeks 2days per transvaginal ultrasound today. Progestrone week and half ago was 14.6. Hcg today 16k.Gest. Sac, yolk sac, cr embro flicker? No hb.?

6 weeks 2days per transvaginal ultrasound today. Progestrone week and half ago was 14.6. Hcg today 16k.Gest. Sac, yolk sac, cr embro flicker? No hb.?

Concerning: you should see a heartbeat at an HCG of 16k. Repeat the HCG and ultrasound in 36-48 hours for appropriate rise and re-attempt at seeing cardiac activity. If the HCG is not rising appropriately, then unfortunately it's a miscarriage. ...Read more

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I found out I was pregnant last week measuring 5-6 weeks in a transvaginal ultrasound. We saw a sac and a yolk but no baby. Is this normal? Hcg levels

I found out I was pregnant last week measuring 5-6 weeks in a transvaginal ultrasound. We saw a sac and a yolk but no baby. Is this normal? Hcg levels

Not uncommon: It's not uncommon to not be able to identify the fetal pole on a 5-6 week US. This is why we usually wait a little longer before doing any ultrasounds. Good thing is you know your pregnancy is in the right place, and it may just take a few weeks to see it well on. Try to relax and just be. There's nothing to be done for the fetus at this point either way, so just take good care of yourself :-) ...Read more

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I'm supposed to be 7 weeks pregnant ..My hCG levels is 1500..But nothing in my transvaginal ultrasound ?

I'm supposed to be 7 weeks pregnant ..My hCG levels is 1500..But nothing in my transvaginal ultrasound ?

See below: Your dates might be off. It is most common to start seeing things on ultrasound after your HCG gets to 1800-2000. If you truly are 7 weeks that number would be low. Hopefully it is being repeated soon! ...Read more

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Ultrasound said I was 6 weeks with a yolk sac however my blood work showed hcg levels at only 894 and that put me at 5 weeks difference why is that?

Ultrasound said I was 6 weeks with a yolk sac however my blood work showed hcg levels at only 894 and that put me at 5 weeks difference why is that?

Too early to tell: Additional information on the accurate measurements of your mean gestational sac diameter and the size of your yolk sac performed by a skilled certified sonographer and the dates is needed. HCG levels reflect trophoblastic growth; they can vary greatly and may unfortunately be inaccurate /unreliable.A repeat repeat blood betaHCG test and a repeat sonogram may offer you an answer to your question. ...Read more

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Ultrasound tech couldnt confirm a yolk sac just said possibly yolk sac, my hcg levels are at 8700. I don't feel bad, but I don't feel preg anymore ?

Ultrasound tech couldnt confirm a yolk sac just said possibly yolk sac, my hcg levels are at 8700. I don't feel bad,  but I don't feel preg anymore ?

Get repeat U/S: U/S is the test in medicine that is most operator-dependent. The fact that the HCG is elevated says that there are cells that are still viable in a placental structure. I would get a repeat U/S by the most experienced person in your area. Good luck! ...Read more

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Hcg levels at 2600. Ultrasound Shows nothing. Why?!

Hcg levels: Sometimes nothing is present until 3000plus. When a pregnancy shows up on Ultrasound varies. I tend to repeat levels to see if rising appropriately (at least 15-20%) in 3 days is ok and most of my early pregnancies I do a progesterone level. Most ectopic or non viable pregnancies will quickly drop progesterone below 2. See if your doc will order another hcg and progesterone or repeat US 1 wk. ...Read more

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An ultrasound showed a small gas sac but my HCG levels were only 348. Is it possible to see a sac already at 4+5?

An ultrasound showed a small gas sac but my HCG levels were only 348. Is it possible to see a sac already at 4+5?

Early pregnancy: It is possible to see a gestational sac at 4 weeks and 5 days. That HCG level does not match the ultrasound findings, and your doctor should be following both closely. Good luck. ...Read more

Dr. Michael Gabor
222 doctors shared insights

Transvaginal Ultrasound (Definition)

An ultrasound is an imaging study in which a probe emits and receives sound waves which rebound off of internal organs in order to visualize them. For a transvaginal ultrasound a specially designed probe is lubricated and placed into the vagina in order to better ...Read more


Dr. Tonya Kozminski
438 doctors shared insights

Hcg Level (Definition)

Beta-HCG is a pregnancy hormone. It is expected to double every 2 days in a normal pregnancy. If the level rises too slowly, it may indicate an ectopic pregnancy. If it drops, it usually means ...Read more