What does my hCG test report indicate?
High possibility of a twin pregnancy.
Thanks for the query to hcm,
The levels are hcg are definitely high for a singleton pregnancy at 5 weeks gestation but yes, there is a possibility of a twin pregnancy. The fact that you are in an early stage of pregnancy at 5 weeks, the second sac make take a week or two to be seen in the uterus, likely dichorionic diamniotic twins.
So best would be to get a repeat transvaginal ultrasound after 2 weeks to find the second sac and also get a repeat hcg done.
In the meantime , continue your pre-natals. Also keep note that you may have more chances of continuous nausea and frequent vomiting episodes or emesis considering hcg levels are higher for gestation.
likely twins ...rest the scan shall confirm.
I think that would be wise to repeat scan after a week. The final confirmation of twins can only be attained after spotting the second gestational sac on ultrasound.
However , if your nausea has decreased , thats good. No need to increase folic acid tabs just continue 1 /day. Also tab meclizine 50mg ONCE A DAY CAN BE TAKEN if vomiting is more than 3 times in a day.
HCG can be seen to be increased in ectopic pregnancy, molar pregnancy and gestational trophoblastic disease, but since there was a single gestational sac sighted inside uterus, these differential diagnoses hold no good.
Also, discuss progesterone support till 14 weeks with your treating doctor in case of twins and even otherwise besides continuing prenatals.
You should relax and take care of yourself. Review with your hcg and scan reports.
Wish you best,
likely uteroosacral ligament stretch.
If it was light creamy discharge alone without any blood tinge, then its fine. The pain can be due to uterosacral loosening . Considering that we are waitig for the next scan repot. presently you may apply hot fomentation twice or thrice a day locally for 15 min each to soothe the pain or if relief is not attained, then a single 500mg paracetamol tab can be taken SOS.
sorry for the delayed reply.
Please keep yourself well hydrated and avoid electrolyte loss by taking WHO approved ORS satches. -one satchet in one litre of water. Atleast 500ml to be taken after each diarrhoeal episode. Stick to soft diet especially soups till diarrhoea stops. If it doesn't stop in next 6 hrs then you may need a stool culture if the cause is bacterial.
It would not cause miscarriage unless it's a severe diarrhoea, best is to keep up the hydration and resting.
If the scan shows just one foetus and heart rate is seen and the foetus is viable then the twin shall not appear now. I believe your vomiting would have reduced by now and the delayed appearance of the sac could be the cause of increased hcg levels.
So do not worry and relax,
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