Dr. Reetika
Obstetrics and Gynecology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am pregnant, and my hCG level at five weeks was 17,000 mIU/mL with only an empty sac, and no fetal pole was observed. My last menstrual cycle was two months ago. I was admitted to the emergency room for brown spotting and mild cramping. During the sixth week, I had nausea and vomiting. What is the reason for my increased hCG level? I have attached my blood test report. I am taking tablet Sertraline 50 mg.
Hi,
Welcome back to icliniq.com.
From the reports attached (attachment removed to protect the patient's identity), your hCG level is high. There is a chance of twins, a baby with Down syndrome, or molar pregnancy. The second sac should be visible after a few weeks in an ultrasound scan.
Patient's Query
Thank you doctor for the reply,
Can multiple pregnancy occur with only one sac shown at five weeks? Should I be concerned about Down syndrome?
Hello,
Welcome back to icliniq.com.
An ultrasound scan taken during the fifth week is too early to predict. So I suggest an ultrasound scan for confirmatory diagnosis in the sixth or seventh week. Do not worry because earlier management can prevent Down syndrome and molar pregnancy.
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Obstetrics and Gynecology
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