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Less research has been done on twin pregnancies than on singleton pregnancies (those with just one embryo), partly because twin pregnancies are less common. But there are other possible explanations for unexpected hCG numbers. However, it is not the sole determinant to indicate that you will be having twins, as an increased hCG level can be the result of several other conditions as well. A progesterone level >20 usually indicates a normal pregnancy, while <5, a pregnancy destined to fail. What Does Miscarriage Bleeding Look Like? It is still possible to have twins even if your hCG levels are within the normal range for a single pregnancy. 2005 Apr;14(3):248-52. doi: 10.1089/jwh.2005.14.248, Ning F, Hou H, Morse AN, et al. 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 higher your levels of hCG are initially, the higher they will be throughout your entire pregnancy. These include fetal loss, preeclampsia, preterm delivery, and chromosomal abnormalities. Fluctuation HCG Levels - Ectopic or Vanishing Twin? - MedHelp Higher levels can sometimes point to an underlying health problem, such as: A 2011 study found that males with reduced sperm count and other issues related to semen had significantly lower levels of hCG. Each developing baby secretes some amount of hCG, which doubles in the case of twins. Make sure to take the test at least 7-14 days after your missed period for more accurate results. The hCG Levels That Could Mean You're Having Twins A woman who is not pregnant will likely have a baseline hCG level of less than 5 MIU/ml. HCG is produced in the placenta right after implantation. Hum Reprod. When health care providers order hCG serial levels, the rate of increase is generally more important than the actual hCG levels. Note: Caution must be exercised if hCG levels are low as it can be a sign of a miscarriage, a blighted ovum or an ectopic pregnancy. Like low hCG levels, high hCG levels in pregnancy can sometimes indicate that theres something different about that pregnancy. It helps promote the healthy progression of the pregnancy. Known as the pregnancy hormone, hCG is often in women to increase their chances of conceiving. Read more:hCG Levels by WeekNormal hCG Levels In Early PregnancyhCG Levels Chart And Calculator, Dr. Amos Grunebaum, MD, FACOG is a Professor of Obstetrics and Gynecology, and among the world's leading authorities on fertility and pregnancy. Some can be cancerous, though most are benign. Twin hCG Levels . 2014;121(5):556-565. doi:10.1111/1471-0528.12478. How do twins and multiples affect hCG levels? Read the instructions of your test kit thoroughly to understand how it works. See a chart of average hCG levels by week of pregnancy. Therefore, in order to make a determination of whether or not youre pregnant with multiples, your doctor will need to perform an ultrasound. A decline in hCG levels that is slower than 21% to 35% in 48 hours is abnormal and is associated with ectopic pregnancies or the presence of trophoblastic tissue . While there is some research that suggests hCG levels can be higher in twin pregnancies, this is not necessarily always the case. Higher than average hCG levels may be an indicator that you are having twins. Our website services, content, and products are for informational purposes only. This could indicate that the baby may have Down syndrome. In addition to his current work, Dr. Amos is using his vast experience to launch Obie, a science-based app that offers personalized fertility advice. To decompress, she enjoys trail running and baking. I had excessively high levels (almost 6 weeks 60,000). Due to medical and social biases, Black mothers are more likely to experience postpartum depression than any other group. It can also indicate an ectopic pregnancy. My husband is my ObGyn so he did my labs as soon as we found out we were preggo, so we have it checked out and we definitely had the ultrasound to confirm if we were having more than one baby . Symptoms of Being 4 Weeks Pregnant With Twins Here, a test sensitive to hCG levels is exposed to the womans urine either directly or through a cup containing urine. I just got back from an appointment and my doc said that my progesterone level is so high that I may have more than one!