High hCG levels? Any Sonographers or someone who might know?

Question

I should be 5w3d or 5w4d today. According to my LMP it's 5w3d but according to when I ovulated, I'm 5w4d. My levels have been very high. At 5w1d, they were 16,399 when the max normal for 5w is usually 7,000. My levels have been more than doubling every 48 hours, except my levels slowed down a little between the last two. I've had 5 BETAs done and went as follows:

13 DPO (days past ovulation), 185
15 DPO, 446
17 DPO, 1430
19 DPO, 3280
21 DPO, 8720
23 DPO, 16,399

I had an ultrasound on Dec 11th (levels were 8720)  and there was a gestational sac seen, but no yolk sac or fetal pole seen (I was 4w6d or 5w0d). They never measured the gestational sac to tell me how far along I measured. I know I'm not farther along because I'm 100% positive I ovulated on Nov 20th (and LMP was Nov 8th). 

With how high my levels are, I fear a Molar Pregnancy but the nurse said my levels would probably be higher (although according to Google, Molars have higher levels but not all have extremely high levels so I could still fall into that category). 

My question is, has anyone had high levels like mine and everything was okay? And with my levels being over 8,000 at my ultrasound, why wasn't more visible? I would think with my levels being as high as they were, a yolk sac would have at least been visible. Maybe it wasn't visible because regardless of my levels, I still wasn't far enough along. I don't know. I have another ultrasound on Wed but I'm freaking myself out and need some feedback in the meantime.

Anonymous · Answer

My dear, calm down, turn off your internet and don't look at it again until your child is 18 years old. By the HCG chart that we use at work this is all perfectly normal. In reality there is no one level that matches a pregnancy. That is why there is a huge range for the hormone levels. In the 5-6 wks mark your top HCG range can be 100,000. I have personally seen 11 ectopics this year, 4 torisons, and plenty of other random female problem, but not a molar pregnancy. They are super rare not to mention the HCG levels are almost always like 250,000 and cause hyper stimulation of your ovaries like 10 huge cysts versus one corpus luteum. Your HCG levels sound great. They are doubling beatifully, the ultrasound showed exactly what I would want to see at your dates and hormone levels. You chould see a yolk sac and possible a tiny tiny little heart beat this coming ultrasound. Remember a yolk sac will form when the time has occured but your HCG will rise based on how well your body is accepting the pregnancy. The stress you seem to be in can cause the hormones to slow the increase. I usually don't see a yolk sac until around 5w3-4 days and that is if I have a good uterus to look through, at 6 wks 2-5 days is when I really want to see a heart beat. So everything you have posted here sounds like a perfectly normal developing pregnancy.

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High hCG levels? Any Sonographers or someone who might know?

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