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.

Related Questions

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?

Blighted Ovum. Unfortunately, this is one of the most common causes of miscarriage. During the very early stages of pregnancy, some cells become the fetus and others the placenta and membranes. When this differentiation doesn't occur, the sac is empty, as no fetus ever developed. More than likely, you will need a d & c. So sorry. Read more...
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...

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...

Will a transvaginal ultrasound only work if hcg is present? I had a transvaginal at 12 but nothing not sure if it was because I had no hcg

Sure. HCG is a hormone (a tiny chemical floating around in the body). An transvaginal ultrasound scan produces a picture by using a type of sound wave, and such a picture is not altered by the level of any particular hormone in the body. Read more...