Hi Ms. XXXXXXX

Thanks for writing to us.

The values of the hCG have to be deciphered based on the number of weeks of pregnancy. In other words, the significance of the value in diagnosing pregnancy status depends on the number of days passed after the missed period.

Any hCG level above 25mIU/ml is considered positive for pregnancy. So, this means you are pregnant. You need to correlate your hCG value with the period of pregnancy and the sonogram findings. Please consult a gynecologist for a proper appraisal of the situation.

Hope I have answered your query. Please feel free to contact if you need further clarifications. I will be ready to help.

regards,
Shanti.V.

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Hi Ms. XXXXXXX

Thanks for writing back.

Since you already had your hCG levels measured, there is no need to take a pregnancy test at home. You can see a gynecologist and ask for a trans-vaginal sonogram a couple of days later to have a better confirmation of the status of your pregnancy. Your pregnancy would be 5 weeks in a couple of days if you have had regular 28-30 day cycles prior to this. The sonologist should be able to visualize a gestation sac with a yolk sac, fetal pole and fetal heart at the end of 5 weeks.

Hope I have clarified your doubt. If you have any further queries, please feel free and get back. I will be happy to answer.

regards,
Shanti.V.

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Hi,

Thanks for writing again.

You can have your sonogram at around 40 days after your missed period, i.e., in another week. This would give you a better idea of the state of affairs. Meanwhile, see your consultant for an evaluation.

Slight cramping is common in early pregnancy, but backache should be viewed with caution. You should take bed rest, avoid all strenuous activity and avoid intercourse. Watch for any abnormal vaginal discharge like spotting. Most often, the symptoms are relieved with rest. Eat healthy and take plenty of fluids.

Hope I have answered all your queries. If you need no further clarifications, you may close this discussion and rate this answer. Please feel free to get back any time you want to. I will be ready to help.

regards,
Shanti.V.

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Hi Ms. XXXXXXX

Thanks for writing back.

With a trans-vaginal sonogram, a gestation sac would be seen after the 4th week of pregnancy. Yolk sac would be seen at 5 weeks. Sometimes, due to poor resolution, these findings may not appear. A repeat sonogram usually sorts out things. The correlation of the sonogram findings with blood work in such a scenario is always advisable as it provides a better vision of the state of the pregnancy. This is what your doctor is aiming at. Sometimes, when in doubt, serial serum beta-hCG titres are performed; a doubling level on alternate days at this stage usually indicates good prognosis.

Please do not get anxious as you know, anxiety can harm your pregnancy. Wait for the blood test results and the repeat sonogram and you can get the proper assessment. Meanwhile take as much rest as possible and eat healthy.

Hope I have answered your query. Please get back if you need further clarifications. I will be happy to help.

best wishes,
Shanti.V.

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Hi,

Thanks for writing back.

Your hCG status is good. Duphaston contains dydrogesterone which is a progestogen active at very much lower concentrations than natural progesterone. It is devoid of anabolic, androgenic, oestrogenic, corticosteroid and abnormal hormone influences as observed in other drugs and is the preferred preparation to treat all types of endogenous progesterone deficiency.

In your case, the doctor might have prescribed the drug to supplement natural progesterone so that the pregnancy progresses well. This will help to prevent abortion and maintain the pregnancy. Folic acid is a good prenatal vitamin to help prevent neural tube defects. You may continue with the treatment and take a healthy diet.

Hope I have clarified your doubt. Please get back if you have further queries. I will be ready to help.

regards,
Shanti.V.

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