Hcg levels at 4 weeks pregnant with twins

In the first four weeks of a viable pregnancy, hCG levels will typically double about every two to three days. After six weeks, the levels will double about every 96 hours.

Hcg levels at 4 weeks pregnant with twins. Mar 18, 2016 ... What HCG Levels are Normal by Week + What do Abnormal HCG Levels Indicate? ... 5 weeks pregnant with twins signs and symptoms ... 4 weeks pregnant ...

4 week HCG Levels. a. aml2204. Mar 28, 2016 at 11:29 AM. Hi there! This month I took Gonal f injections and had 17, 15, 15, 14 and 13 follicles the day of trigger. I just received my first bets and it was 135 12 days past IUI. She said it would probably be around 270 on day 14 and that it was probably twins.

Dec 10, 2014 at 8:54 AM. m. muskokamum. Hi-I understand that in the beginning they can be similar, but it is my understanding that multiples drive the hcg up. We did an iui and there were 2 possibly 3 large follicles...I say possibly 3 b/c one day there were 3 similar size and the day we did the iui there were 2.... Congrats to all. s.The median hCG level in twin pregnancies was almost double that in singleton pregnancies (201 mIU/mL vs. 115 mIU/mL). With detailed statistical analysis (ROC curve) they concluded that an hCG level of 76 mIU/mL was a suitable cut-off point for predicting viable pregnancy with 80% sensitivity and 82% specificity. The positive …I tested positive on 10/29/23. My doctor called me Monday morning upon reading my email that I tested pregnant, and she said she believes I’m four weeks along as of this Tuesday, and to wait a few days for a blood test. I finally had blood work done earlier today, and my HCG level is 745. This seems high to me.According to Mayo Medical Laboratories, the level of human chorionic gonadotropin will fall to half of its pregnancy concentration in the body within 24 to 36 hours of birth, misca...2. ellieg222. • 3 yr. ago. Take a peak at the website betabase- it’s especially helpful if you know how many DPO you are :) I am now 36 weeks pregnant and these were my approximate DPO and HCG levels. 14dpo- 265 miu/ml - day period is due, very close to your 250 !! 21dpo- 4,917 miu/ml. 30 dpo - 33,350 miu/ml. 2.As measured at 16 days after conception, those with hCG levels in the 75th percentile or higher had a miscarriage rate of 8%, compared to a miscarriage rate of 16.7% among those whose hCG levels ...

By week six or seven, for example—about halfway through your first trimester—it may take about 3.5 days. After your hCG level passes 6,000 mIU/ml, it may take more than 4 days to double. You can usually expect your hCG level to stop rising between week eight and week 11 of pregnancy. That is the time period during which …If you are experiencing severe morning sickness and/or frequent vomiting, it is also possible that you have hyperemesis gravidarum (HG). Hyperemesis gravidarum (HG) is severe, extreme nausea and vomiting during pregnancy. HG can lead to dehydration, fatigue, electrolyte imbalance and malnourishment.Twin Vee Powercats News: This is the News-site for the company Twin Vee Powercats on Markets Insider Indices Commodities Currencies StocksFraternal – nonidentical – twins develop from two separate fertilized eggs. By 6 weeks, their hearts are beating, and at 8 weeks all of their major organs start developing.The twins' faces take shape, with closed eyelids, at 12 weeks, and at 16 weeks their sex organs are apparent.At 24 weeks they begin to store fat and are working on …Jul 12, 2020 ... My hcg came back at 70,000 at 5 weeks. At my first hospital admission for hyperemesis gravidarum at 6 weeks the ultrasound showed twins.p. pinkelephants. At 4 weeks and 2 days my number was 430, 4 weeks 4 days 860, 5 weeks 2180. As long as the number is doubling every 48 to 72 hours, its normal and pregnancy is progressing. Other than that the number doesn't mean anything. US is more accurate diagnosis.Tools. hCG calculator: How to track your hCG levels at home. Beta hCG doubling time calculator and charts. Our hCG calculator will help you make sense of …You may also like ; 30+ Ultimate Chart Template Bundle ; HCG Levels Twins Chart By Week ; Normal Range HCG Levels Chart ; Molar Pregnancy HCG Levels Chart ; IVF HCG ...

Barbarella76. Nov 22, 2010 at 9:21 PM. Can you tell me what your HCG levels were at 8-9 weeks with twins? I just got my results from last week, which would have been at 8 weeks 4 days, and my levels were over 288,000. The doctor said I am "heavily pregnant", meaning I am farther along then I thought or I might be carrying multiples.I had my blood test today to confirm what I already know, and to check my levels for the possibility of multiples (Twins runs in 3/4 sides of my family and at least 1/2 sides of my husband's family.). After my test, my doctor's office called me back saying that my levels were high (2000ish), and that I have to have the test repeated in a week.Molar Pregnancy. Less commonly, high hCG levels can indicate a significant complication with your pregnancy—namely a molar pregnancy. This rare abnormality occurs in one out of every 1,000 pregnancies. Molar pregnancies are believed to result from a genetic mistake in the fertilizing sperm or egg, which causes the cells that …Signs of Having Twins at 5 Weeks. Higher-than-normal levels of hCG may indicate that you’re pregnant with multiples, but you’ll need to wait until your ultrasound for 100% certainty. Common early pregnancy symptoms of fatigue, frequent urination, breast tenderness, and food cravings are extra EXTRA — your symptoms are WAY more severe than ...

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This hCG levels chart shows typical hCG levels by week throughout pregnancy Advertisement 3 weeks LMP 5-50 mIU/mL 4 week LMP 5-456 mIU/mL 5 weeks LMP 18-7,340 mIU/mL 6 weeks LMP 1,080-56,500 mIU/mL 9 to 12 weeks LMP 25,700-288,000 mIU/mL 13 to 16 weeks LMP 13,300 to 254,000 mIU/mL 17 to 24 …An increase of at least 35% in 48 hours in early pregnancy is still considered normal. Below 1,200 mIU/ml, hCG usually doubles every 48-72 hours, but 35%+ is still normal. Between 1,200 and 6,000 mIU/ml serum, the hCG usually takes 72-96 hours to double. Above 6,000 mIU/ml, the hCG often takes over four days to double.If you are experiencing severe morning sickness and/or frequent vomiting, it is also possible that you have hyperemesis gravidarum (HG). Hyperemesis gravidarum (HG) is severe, extreme nausea and vomiting during pregnancy. HG can lead to dehydration, fatigue, electrolyte imbalance and malnourishment.Pregnancy after loss— HELP- the anxiety!! May 13, 2024 | by mommaGB24. I am 4 weeks 2 days. I had a positive test at 3 weeks 3 days. I had HCG and progesterone tested last week & they were looking great. I’m also using progesterone cream regularly for the first trimester. 200 mg a day.Mar 18, 2016 ... What HCG Levels are Normal by Week + What do Abnormal HCG Levels Indicate? ... 5 weeks pregnant with twins signs and symptoms ... 4 weeks pregnant ...thats pretty good for 4 weeks.lol they say higher the number higher chances are with twins.lol. 3 weeks LMP: 5 - 50 mIU/ml ; 4 weeks LMP: 5 - 426 mIU/ml

Hi! I just found out I’m pregnant a few weeks ago. I got my first faint line positive test at 8dpo. I went to my doctors last week to get my hcg levels drawn and it …p. pinkelephants. At 4 weeks and 2 days my number was 430, 4 weeks 4 days 860, 5 weeks 2180. As long as the number is doubling every 48 to 72 hours, its normal and pregnancy is progressing. Other than that the number doesn't mean anything. US is more accurate diagnosis.5 Weeks Pregnant with hCG levels in the 5000 range. n. Nickabee24. Posted 09-11-09. After trying to get pregnant for 14 months, I took a hpt last week and it came back positive. I then went to my ...Taking advantage of your “good hours”, when you have the most energy, to focus on what you need to get done is great for your productivity. Expand this idea to your whole work week...If the levels are questionable, an ultrasound scan should be used to diagnose the pregnancy outcome. Ultrasound findings are much more accurate at diagnosing pregnancy viability after 5-6 weeks gestation …Read more articles from the Pregnancy Week By Week Category. Normal HCG average for babies, the third week will reflect at between 5 – 50 mlU/ml; while the sixth week will see that reading rise up to 1080 – 56500 mlU/ml and double up every 2 to 3 days.Labor and delivery nurse Katie Koss of InVia Fertility shares: “The range for singletons is 5-397 (mIU/mL), and for twins, it is 48-683. As you can see, there is a big overlap between the first hCG level in singletons and twins. What this means is that even if you had a first hCG level of 397 mIU/mL, it could be a singleton pregnancy.”.Aug 26, 2022 · The hCG can rise manyfold even without twins. How does hCG normally increase? In most normal pregnancies at hCG levels below 1,200 mIU/ml, the hCG level usually doubles every 48-72 hours, and it normally increases by at least 60% every two days. In early pregnancy, a 48-hour increase of hCG by 35% can still be considered normal. As your ... There is such a big range for HCG that it's hard to really say that it's a sure sign of twins. At 5 weeks your HCG can be between 18 to 7,340, huge range! ... Identical twins are random. My hcg levels were at 19,000 at 3 weeks past ovulation. I am also scared I'm having twins. ( maternal grandmother is a twin). ... At 5 weeks pregnant I had ...

13–16 weeks from LMP. 13,300–254,00 mIU/mL. 17–24 weeks from LMP. 4,060–165,400 mIU/mL. 25–40 weeks from LMP. 3,640–117,000 mIU/mL. Because every pregnancy is different, it's important ...

Last week a vandal, presumably a right-to-life activist, spray-painted “Baby Killer” across the front of a women’s health clinic. The catch? In a plot twist worthy of The Gift of ...This is our fifth pregnancy. We’ve had multiple losses, and typically my hcg has ran low to normal. I got early labs drawn yesterday and at right at 4 weeks and 1 day my hcg was 1495! Normal max is 750 for 4 weeks. This is good news in terms of not being a chemical pregnancy, but has me reeling.Studies have shown that pregnant people expecting twins or multiples may have higher hCG levels than those experiencing a singleton pregnancy. That said, hCG levels vary from person to person and pregnancy to pregnancy, so hCG levels are not definitive to determine a twin pregnancy. Some people have high hCG levels and only give birth to one ...It is thought that you might be able to tell that you’re having twins as early as 5 weeks if you have higher than normal human chorionic gonadotropin hormone (hCG) levels . Your body begins to make hCG as soon as the embryo implants in the uterus.Hi! I am four weeks two days pregnant with my second baby. Although, I have had three miscarriages. Last Sunday, prior to being four weeks, I hadn't even missed my period, and my HCG level was 455 and progesterone was 32. If it doubled at 48 hours, then it was 910 at exactly four weeks. or 28 days past my last period. I realize this is high.A miscarriage is a pregnancy loss that occurs before 20 weeks of gestation. Sometimes low hCG levels can indicate that you have had or will have a miscarriage. If the pregnancy fails to develop a ...Jun 1, 2022 · What is considered full-term for twins? A full-term pregnancy is 37 weeks. Twin pregnancies rarely last this long, with the typical twin pregnancy lasting 35 to 36 weeks. Many people go into labor sooner. Few treatments are available to prevent preterm labor, and they're not always successful. Dec 6, 2022 · As measured at 16 days after conception, those with hCG levels in the 75th percentile or higher had a miscarriage rate of 8%, compared to a miscarriage rate of 16.7% among those whose hCG levels ... Jan 5, 2011 at 5:46 AM. I had a normal HCG level with my twins after IVF. My RE repeated my HCG every other day and in week 1, it barely doubled (or failed to double) at all between draws - we were very worried it was not a viable pregnancy at all. Then week two of lab work was STILL normal until blood draw 4 or 5, when it suddenly got REALLY high.

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Get ratings and reviews for the top 7 home warranty companies in Twin Falls, ID. Helping you find the best home warranty companies for the job. Expert Advice On Improving Your Home...Human Chorionic Gonadotropin Levels. The presence of a hormone known as hCG or human chorionic gonadotropin is an early confirmatory sign of pregnancy, and its level changes depending on how far along is the pregnancy. ... If you are 4 weeks pregnant with twins, it is important for you to take the supplements to support your …My HCG level came back at over 1000. I managed to not hear the exact number because my brain freaked out (in a good way) and stopped listening after hearing "one thousand." They only wanted the number to be over 280. The nurse also said, "there could be two since you had 2 transferred, but we will wait and see!"An estrogen test measures the level of estrogens in blood or urine. Estrogen levels affect fertility, pregnancy, bone health, and more. Learn more. An estrogen test measures the le...MsladyRN21. My Hcg levels were slow rising as well. I had one episode of bleeding so they decided to check my levels. 9/2: 1695. 9/7: 4212. 9/9: 5776, initially they were concerned because it was rising but not doubling. My 1st ultrasound was scheduled for 9/14, and surprisingly we discovered Twins!2. Increased breast tenderness. Hormonal changes in a twin pregnancy can cause breasts to become more sensitive and tender than usual. 3. Intense morning sickness. While morning sickness is common in pregnancy, it can be more severe in women carrying twins. This is due to higher hormone levels. 4. Rapid weight gain.veronicalind. Hi! I know the only way to know if you are having twins is an ultrasound but I was hoping some of you could share your HCG level and progesterone levels. I feel like my progesterone is really high for a singleton. HCG 14 DPO: 358. HCG 17 DPO: 1162. Progesterone: 81! I’m not supplementing progesterone.The short answer is no; hCG levels alone cannot tell you if you're pregnant with twins. This is because so many factors influence hCG levels; no healthcare …Fraternal – nonidentical – twins develop from two separate fertilized eggs. By 6 weeks, their hearts are beating, and at 8 weeks all of their major organs start developing.The twins' faces take shape, with closed eyelids, at 12 weeks, and at 16 weeks their sex organs are apparent.At 24 weeks they begin to store fat and are working on … ….

Elevated hCG Levels. Women who are pregnant with twins may have increased levels of hCG, which is the hormone that is produced during pregnancy. However, increased levels of hCG do not automatically indicate multiples. Further investigation would be needed to verify the cause of a high hCG level. Abnormal AFP Test Results My numbers were pretty dang high, too. A 2nd set of lab work revealed 985 hCG and 25 progesterone at 4 weeks 3 days. The dr and nurse were shocked and thrilled to see such high numbers.My numbers were pretty dang high, too. A 2nd set of lab work revealed 985 hCG and 25 progesterone at 4 weeks 3 days. The dr and nurse were shocked and thrilled to see such high numbers.48 sounds perfectly normal for 4 weeks! It amazes me how many doctors and nurses stress out women for no reason at all. my last pregnancy my hcg was 16 at 4 weeks and he's now 7 months old. If you google hcg charts you will see that 'normal' has a huge variance. Hang in there until your next set of bloods. Hcg should double every 48 … 13 - 16 weeks. 9,000 - 210,000 µ/L. 16 - 29 weeks (second trimester) 1,400 - 53,000 µ/L. 29 - 41 weeks (third trimester) 940 - 60,000 µ/L. Higher than expected hCG levels may happen if you’re are pregnant with twins and triplets. It may also happen if you have an abnormal growth in your uterus (womb). Falling hCG levels may show a ... 2. ellieg222. • 3 yr. ago. Take a peak at the website betabase- it’s especially helpful if you know how many DPO you are :) I am now 36 weeks pregnant and these were my approximate DPO and HCG levels. 14dpo- 265 miu/ml - day period is due, very close to your 250 !! 21dpo- 4,917 miu/ml. 30 dpo - 33,350 miu/ml. 2.Human chorionic gonadotropin, or hCG, levels during pregnancy range from 5 to 50 milli-international units per milliliter at three weeks to 25,700 to 288,000 at nine to 12 weeks ge...Labor and delivery nurse Katie Koss of InVia Fertility shares: “The range for singletons is 5-397 (mIU/mL), and for twins, it is 48-683. As you can see, there is a big overlap between the first hCG level in singletons and twins. What this means is that even if you had a first hCG level of 397 mIU/mL, it could be a singleton pregnancy.”. Hcg levels at 4 weeks pregnant with twins, Options. rshamos member. May 2014. High hcg is not a guarantee of multiples, but it can be an indicator. At the fertility clinic, we all got nervous when the first beta was over ~300ish. It sometimes meant multiples. Especially if it tripled instead of doubled. But orhertimes it was just a strong singleton., An hCG level of less than 5 mIU/mL is considered negative for pregnancy, and anything above 25 mIU/mL is considered positive for pregnancy. An hCG level between 6 and 24 mIU/mL is considered a grey area, and you’ll likely need to be retested to see if your levels rise to confirm a pregnancy. The hCG hormone is measured in milli-international ... , Jun 11, 2022 ... What HCG Levels are Normal by Week + What do Abnormal HCG Levels Indicate? ... 5 weeks pregnant with twins signs and symptoms ... Pregnancy after 4 ..., Higher-than-normal levels of hCG may indicate that you’re pregnant with multiples, but you’ll need to wait until your ultrasound for 100% certainty. ... The earliest your doctor would likely order an ultrasound confirming twins would be 4 weeks pregnant. But unless you are going through fertility treatments, doing an ultrasound before 6 ..., What is a normal hCG level at 5 weeks? After implantation, pregnancy hormone levels should start to rapidly increase, doubling every couple days. hCG levels at 5 weeks should be about 19 to 7,340 mIU/mL. That’s a big increase from week 4! And it just keeps getting bigger. hCG levels at 6 weeks will increase to around 1,080 to 56,500 mIU/mL., The median hCG level in twin pregnancies was almost double that in singleton pregnancies (201 mIU/mL vs. 115 mIU/mL). With detailed statistical analysis (ROC curve) they concluded that an hCG level of 76 mIU/mL was a suitable cut-off point for predicting viable pregnancy with 80% sensitivity and 82% specificity. The positive …, Mar 11, 2024 · The typical hCG level around four weeks of pregnancy is around 140 mIU/ml 5, so a high hCG level can be generally considered to mean you are pregnant. However, there are some very rare medical conditions that can cause high hCG levels. If you get a positive result on a pregnancy test and you haven’t had unprotected sex since your last ... , Also, if the first hCG level is 48; it could still be a twin pregnancy. Thus, a single hCG level cannot distinguish between a singleton and a twin pregnancy. Of course, if the first hCG level is say, 1200 mIU/mL; it is most like a multiple pregnancy — but you cannot be sure till the ultrasound a couple of weeks later. A similar observation ..., If the levels are questionable, an ultrasound scan should be used to diagnose the pregnancy outcome. Ultrasound findings are much more accurate at diagnosing pregnancy viability after 5-6 weeks gestation …, Options. rshamos member. May 2014. High hcg is not a guarantee of multiples, but it can be an indicator. At the fertility clinic, we all got nervous when the first beta was over ~300ish. It sometimes meant multiples. Especially if it tripled instead of doubled. But orhertimes it was just a strong singleton., HCG slowly rising. Hi, on Monday ( 5weeks 2 days) my HCG levels were at 4,790 and 42hr later at 5 weeks 4 days they were at 7,090. My doctor said it supposed to double and be at 9,000-10,000 instead. They aren’t quite …, Human Chorionic Gonadotropin Levels. The presence of a hormone known as hCG or human chorionic gonadotropin is an early confirmatory sign of pregnancy, and its level changes depending on how far along is the pregnancy. ... If you are 4 weeks pregnant with twins, it is important for you to take the supplements to support your …, 2. ellieg222. • 3 yr. ago. Take a peak at the website betabase- it’s especially helpful if you know how many DPO you are :) I am now 36 weeks pregnant and these were my approximate DPO and HCG levels. 14dpo- 265 miu/ml - day period is due, very close to your 250 !! 21dpo- 4,917 miu/ml. 30 dpo - 33,350 miu/ml. 2., Aug 18, 2023 · Morning sickness is a side effect of elevated hCG levels and in many cases, leading up to the 14-week mark, your hCG levels are increasing. However, if you are having morning sickness that lasts beyond the 14th week of pregnancy, it can be a sign of twins or another pregnancy complication. , hCG levels in multiple pregnancies are 30-50 % higher than in pregnancies where there is only one foetus. However, a multiple pregnancy should be confirmed by ..., After 3 cylces on clomid we are pregnant!! At 3weeks 5days my progesterone level was at 32, and doc said normal was 15-20. They moved up my ultrasound by 2 weeks to check for multiples., Barbarella76. Nov 22, 2010 at 9:21 PM. Can you tell me what your HCG levels were at 8-9 weeks with twins? I just got my results from last week, which would have been at 8 weeks 4 days, and my levels were over 288,000. The doctor said I am "heavily pregnant", meaning I am farther along then I thought or I might be carrying multiples., hcg & progesterone levels May 07, 2024 | by jtayd I had a miscarriage in january due to low progesterone, and i’m now 4 weeks pregnant.I had my labs done at 3 weeks & 5 days, my hcg was 37.1 and my progesterone was 18.70., Oct 27, 2023 · When you take a home pregnancy test, it's looking for hCG levels of at least 20 milli-international units per milliliter (mUI/mL), which most women have in their urine around weeks 4 or 5 in a singleton pregnancy. (A non-pregnant woman's hCG levels are less than 5 mIU/mL, as a comparison.) , As measured at 16 days after conception, those with hCG levels in the 75th percentile or higher had a miscarriage rate of 8%, compared to a miscarriage rate of 16.7% among those whose hCG levels ..., 4 weeks pregnant, bleeding, hcg levels, ultrasound. Just wondering if anyone is experiencing or has ever experienced anything that I am going through. I found out I was pregnant may 10th 2017 with a first response digital and a couple other pregnancy test brands. My last period was 4/18/2017 so I found out really early., Essentially, a beta-hCG test is used to confirm and/or evaluate a pregnancy via a blood test in a doctor's office. Beta-hCG (β-hCG) is a test that measures the amount of human chorionic gonadotropin (hCG) in the blood. This hormone is produced as soon as 10 days after conception. In healthy pregnancies, levels of hCG increase rapidly in early ..., Amos Grünebaum. Updated on August 26, 2022. Q: I am 18 days post ovulation (DPO) and my serum hCG is 556. Could this mean I am having twins? A serum hCG of 556 mIU/mL at 18 days post ovulation (DPO) is normal both for one or two fetuses. You could have twins, but you can't really tell from the serum hCG value alone., The chart shows an average level range for each week dated from the first day of the last menstrual period (LMP). hCG Levels During Pregnancy. (from last menstrual period) Women who are not pregnant: <5.0 mIU/ml. hCG levels at 3 weeks: 5 – 50 mIU/ml. hCG levels at 4 weeks: 5 – 426 mIU/ml. hCG levels at 5 weeks: 18 – 7,340 mIU/ml., 4 weeks pregnant, bleeding, hcg levels, ultrasound. Just wondering if anyone is experiencing or has ever experienced anything that I am going through. I found out I was pregnant may 10th 2017 with a first response digital and a couple other pregnancy test brands. My last period was 4/18/2017 so I found out really early., Keep in mind that, if you want your hCG blood test results explained in more detail, your healthcare provider is the best person to ask. Pregnancy week. Range of hCG levels in milli-international units per milliliter (mIU/mL) 3 weeks. 5–72 mIU/mL. 4 weeks. 10–708 mIU/mL. 5 weeks. 217–8,245 mIU/mL., On a very serious note, another cause of high levels of hCG is a molar pregnancy. This pregnancy complication happens in about 1 in every 1,000 pregnancies. A molar pregnancy happens when the ..., On a very serious note, another cause of high levels of hCG is a molar pregnancy. This pregnancy complication happens in about 1 in every 1,000 pregnancies. A molar pregnancy happens when the ..., Feb 7, 2024 · The chart shows an average level range for each week dated from the first day of the last menstrual period (LMP). hCG Levels During Pregnancy. (from last menstrual period) Women who are not pregnant: <5.0 mIU/ml. hCG levels at 3 weeks: 5 – 50 mIU/ml. hCG levels at 4 weeks: 5 – 426 mIU/ml. hCG levels at 5 weeks: 18 – 7,340 mIU/ml. , Pregnancy & Birth. Understanding HCG Levels for Twins. By TwinStuff. 0. 20783. In This Section. Pregnancy & Birth. hCG is one of the things tested by most …, One small study (Jovanovic, 1977) found hCG levels in 15 singleton and 9 twin pregnancies were as follows: ... Im 5-6 weeks pregnant and my HCG level is 16714. First one 2 days before was 7897., 4 weeks pregnant with twins ultrasound. When you’re 4 weeks pregnant with twins, you won’t be able to detect the pregnancy by the use of ultrasound. When six full weeks have passed (after week 6+0) you should be able to detect all kinds of twins using ultrasound. The ultrasound picture above is of identical twins who share a placenta at 6+2 ..., Labor and delivery nurse Katie Koss of InVia Fertility shares: “The range for singletons is 5-397 (mIU/mL), and for twins, it is 48-683. As you can see, there is a big overlap between the first hCG level in singletons and twins. What this means is that even if you had a first hCG level of 397 mIU/mL, it could be a singleton pregnancy.”.