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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pregnancy Confirmed. Prescribed Blood Test. Had Quantitative Tests Again. To Test For Twins?

Hi DR! i believe I am 4 weeks 3 days pregnant. Before getting an appointment at a gynae , they sent me for a bloodtest to confirm pregnancy. Now they send me again, in 2 days, for a quantitative test. I understand that this is to see if my hcg doubles. Wouldnt the dr also do a progesterone test is she was worried for a miscarriage , ectopic, or molar? Or could this be to test for twins? I believe i ovulated 5 Feb, and started having cramps form the 10th of feb for 8 days, did a home urine test on 9dpo, (what i believe) it was positive, on 14th Feb. Could this be twins? Or should i worry? I havent even gone for first appointment
Wed, 27 Feb 2013
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OBGYN 's  Response
Hello
thank you for your query.
Sometimes, an early pregnancy is associated with equivocal BHCG blood results, so a repeat test is required to confirm viability.
A serum progesterone would not give as much information as the doubling of BHCG would.
If the doctor suspects an ectopic pregnancy ( pregnancy outside the uterus ) also, this would provide the needed information.
Also, for twins, a transvaginal ultrasound would be more reliable rather than B HCG levels.
Take care, and please go for the appointments as advised.
take care.
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Pregnancy Confirmed. Prescribed Blood Test. Had Quantitative Tests Again. To Test For Twins?

Hello thank you for your query. Sometimes, an early pregnancy is associated with equivocal BHCG blood results, so a repeat test is required to confirm viability. A serum progesterone would not give as much information as the doubling of BHCG would. If the doctor suspects an ectopic pregnancy ( pregnancy outside the uterus ) also, this would provide the needed information. Also, for twins, a transvaginal ultrasound would be more reliable rather than B HCG levels. Take care, and please go for the appointments as advised. take care.