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1343031 tn?1288200522

Hidden twin?

My HCG levels are through the roof I have two corpus luteum cysts but I only saw 1 baby at 8 weeks. Could it be identical twins and one laid atop the other? The U/S machine was from the 90's, and the office equipment was outdated. Since then i have found another Ob/Gyn and they won't be doing a U/S until 20 weeks....I am 13 right now...
Best Answer
202436 tn?1326474333
The presence of cysts doesn't necessarily mean that both eggs were released of fertilized. I agree with the scenarios that JoyRenee presented.  At this point there really is no way to tell.  

HCG levels, while they typically ARE higher in multiple pregnancies, the presence of high HCG levels is NOT a good indicator of twins.  

If I were you I wuold discuss this information with your new ob and request a scan sooner.  
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Avatar universal
madea - the person could have hit the wrong gender when signing up for the site and not even realized it. if it is a woman and they are seeking advice...it was a mistake. if it is a man...well who knows why he's posing as a woman. it's not a "troll" question. it's a legitimate concern and it could possibly help out someone who has the same question.
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Avatar universal
I for example am pregnant with just 1 baby. I too had a GIGANTIC Corpus Luteum Cyst...the size of a baseball. I had many ultrasounds between 4-7 weeks to monitor the cyst and make sure it was not an ectopic pregnancy ontop of a normal uterine pregnancy, which is extremely rare.

My HCG level ALWAYS and with every pregnancy run very high. At 4 weeks my levels were topping 8-10,000 which is sufficient for a multiple pregnancy, however I have never had a multiple pregnancy. As of now I am sure my levels are extremely high, as I have reached the 3 month mark. And thankfully my Corpus Luteum has shrank or fully gone away, I know because when it was at it's largest you could see it on the outside of my left side, and my left kidney function has returned dramatically.

The reasons behind a Corpus Luteum Cyst that was explained to me by my doctor, is that the ovary that produced the egg is now producing the hormones to support the pregnancy, and when your hormones are raging at beyond normal levels it can produce a corpus luteum cyst. I ovulated out of my left ovary, and my cyst is on my left ovary, and I have extremely high HCG levels, but definitely not a multiple pregnancy.

I hope this makes sense....I sometimes tend to confuse myself when I post replies lol. And  75% of pregnancies are multiple pregnancies, however your body usually absorbs the twin before you even know your pregnant., I was told this by my doctor as well. Almost all twins are seen on U/S, especially in the early stages. Twins do not usually hide amongst the other until later in pregnancy when they become squished and have lack of room to move around in.
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Avatar universal
Like the other ladies said you can't go based on HcG numbers. I had twins and my were completely normal...for a singleton. We knew they were twins at the u/s. there were two sacs, two babies, two heartbeats. if you're convinced it's two, request another u/s and let them know your concerns.
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1343031 tn?1288200522
I know for 100% I did not have a cyst prior to pregnancy. my RE wanted to watch an unmedicated cycle and checked me thoughly at cd 3-
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Avatar universal
HCG can be varied so much. But it is interesting they saw two corpus luteum cysts. Since many woman may have cysts on their ovaries to begin with, though, it is hard to know if that cyst was caused by an ovum or not.

Here are a few scenarios:

-You had two eggs at ovulation but one was fertilized
-You had two eggs at ovulation and both were fertilized however one was absorbed back into your body (called Vanishing Twin; often you can see a second, empty and small gestational sac)
-You had two eggs at ovulation and the second baby is hiding
-You had one egg at ovulation and are pregnant with one. The other cyst is just a cyst.

It'll be interesting to see if you really are pregnant with 2!
Helpful - 0
Avatar universal
Most US machines, even the older ones, are very capable of detecting twins.  HCG levels are typically within a certain range for a particular gestation but many women have levels significantly different from the range and are carrying a healthy singleton.

Did your doctor think you might be carrying twins and comment on your levels?  Its pretty common for non medical professionals to think their levels are abnormal when they arent.
Helpful - 0
187316 tn?1386356682
You cant really determine anything based on HCG levels. I had a ridiculously high number my first pregnancy and only had one. Its very rare in this day and age for them to not notice a twin pregnancy considering you would be showing sooner. Best thing to do is request another ultrasound from your doctor or wait until the 20th week ultrasound.
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