Hi, I have gone through your question and understand your concerns. hCG levels at this stage should be around 120 mIU. High hCG levels in your wife can be due to hCG injections as hCG takes at least 14 days to get cleared from the body. Other causes of high hCG levels can be multiple pregnancy or molar pregnancy.These conditions can be ruled out in ultrasound which you can get done after 2-2 weeks as now it is too early to detect anything. Yes, if there is triplet pregnancy, then the multifetal pregnancy reduction to twin pregnancy can be done under ultrasound guidance by a fetal medicine specialist. Hope you found the answer helpful. Wishing you good health.