Your physician should order additional hCG tests and monitoring. There are several possibilities for your particular situation that could cause fluctuating hCG levels. With a lack of visualization of the pregnancy on an ultrasound, I would consult your physician immediately with any questions regarding the potential for a chemical pregnancy or ectopic implantation.
I think I'm four weeks and three days pregnant, but my doctor says five weeks. My first hCG was 17; 48 hrs later it was 74; 96 hrs later it was 477. The doctor thinks ectopic; it’s doubling. I had an ultrasound and a visit yesterday. If it’s not at 1000 or higher he wants to give me the injection tomorrow, even without seeing if the baby is in the tube or not. My tubes were clear. I have a history of miscarriages, but I’ve never had an ectopic pregnancy. I’m 41 years old. What do you think?
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