Multiple Pregnancy Blood Test

What is Multiple Pregnancy?

Multiple pregnancy occurs when a woman carries two or more babies simultaneously, such as twins, triplets, or higher-order multiples. It is caused by either the fertilization of multiple eggs (fraternal) or the splitting of a single fertilized egg (identical). The Pregnancy Test (Very Early) - Human Chorionic Gonadotropin (hCG), Total, Quantitative is the most important blood test for early detection because significantly elevated hCG levels can indicate the presence of multiple fetuses.

RECOMMENDED TEST Pregnancy test (very early) - Human Chorionic Gonadotropin (hCG), Total, Quantitative
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What causes multiple pregnancy?

Multiple pregnancy is caused by either hyperovulation (releasing multiple eggs during one cycle) or the spontaneous splitting of a single fertilized embryo. Fraternal twins or triplets occur when two or more eggs are fertilized by separate sperm, while identical multiples result from one fertilized egg dividing into two or more embryos. Factors that increase the likelihood include fertility treatments, family history of twins, maternal age over 30, and having previous pregnancies.

What is the best test for multiple pregnancy?

The Pregnancy Test (Very Early) - Human Chorionic Gonadotropin (hCG), Total, Quantitative is the most important blood test for early detection of multiple pregnancy because it measures precise hCG hormone levels in your blood. Women carrying twins, triplets, or more typically have hCG levels that are significantly higher than the expected range for single pregnancies, often 30-50% higher or more. This occurs because each placenta produces hCG, so more babies means more placental tissue and dramatically elevated hormone levels. While this blood test provides crucial early indicators, your healthcare provider will confirm multiple pregnancy with ultrasound imaging, which can visualize the number of fetuses and placentas.

When should I get tested for multiple pregnancy?

You should get tested if you used fertility treatments like IVF or ovulation-inducing medications, have a family history of twins, experience unusually severe morning sickness, or notice your belly growing faster than expected for your gestational age. Early testing is especially important if you have extreme fatigue, very tender breasts, or if an at-home pregnancy test shows an unusually dark positive line very early. Women over 35 or those who have had multiple previous pregnancies should also consider early testing, as these factors increase the likelihood of releasing multiple eggs.

What are the symptoms of multiple pregnancy?
Women carrying multiples often experience more intense pregnancy symptoms than those with single pregnancies. You might notice severe morning sickness and nausea, extreme fatigue that feels overwhelming, rapid weight gain in early pregnancy, and a uterus that measures larger than expected for your gestational age. Other signs include severe breast tenderness, detecting multiple heartbeats with a doppler device, and increased appetite or food cravings. Many women also report intuition or a strong feeling that they are carrying more than one baby.
Who is at risk for multiple pregnancy?
Women undergoing fertility treatments are at highest risk, as IVF often involves transferring multiple embryos and medications like Clomid stimulate the release of multiple eggs. Your risk increases significantly if you are over 30 years old, as older women naturally release multiple eggs more frequently. Having a family history of fraternal twins, especially on the maternal side, increases your likelihood, as does being of African descent, which has the highest natural twin rate. Women who are taller, heavier, or have had multiple previous pregnancies also face elevated risk.
What happens if multiple pregnancy is left unmonitored?
Unmonitored multiple pregnancies carry significantly higher risks for both mother and babies. Without proper prenatal care, you face increased chances of preterm labor, preeclampsia, gestational diabetes, and severe anemia. The babies are at higher risk for low birth weight, twin-to-twin transfusion syndrome (in identical twins sharing a placenta), and developmental complications. Early detection and specialized monitoring throughout pregnancy are essential to manage these risks, adjust nutrition needs, and plan for potential complications or early delivery.
Can multiple pregnancy be diagnosed with a blood test?
Blood tests can suggest the possibility of multiple pregnancy but cannot definitively diagnose it. The quantitative hCG blood test measures hormone levels that are typically 30-50% higher or more in women carrying multiples compared to single pregnancies. However, elevated hCG can also result from incorrect pregnancy dating or other factors, so blood test results serve as an early indicator rather than confirmation. Ultrasound imaging remains the only definitive method to confirm multiple pregnancy and determine the exact number of babies and their placental arrangements.
How is multiple pregnancy treated?
Multiple pregnancy requires specialized prenatal care with more frequent monitoring appointments than single pregnancies. Your healthcare provider will schedule regular ultrasounds to track fetal growth, monitor for complications, and assess cervical length. You will need enhanced nutrition with additional calories, protein, and prenatal vitamins, often including extra folic acid and iron supplementation. Your doctor may recommend modified activity levels, earlier maternity leave, or bed rest if complications arise, and will discuss delivery planning, as multiples are often delivered earlier than single babies.
How can I prevent complications in multiple pregnancy?
While you cannot prevent multiple pregnancy itself, you can reduce complications through early prenatal care, proper nutrition, and following medical guidance. Attend all scheduled appointments, take prescribed prenatal vitamins with extra folic acid, and consume adequate calories and protein to support multiple babies. Stay well-hydrated, get sufficient rest, and avoid smoking, alcohol, and unnecessary medications. Monitor for warning signs like severe swelling, persistent headaches, or decreased fetal movement, and report these immediately. Working closely with a maternal-fetal medicine specialist ensures the best outcomes for you and your babies.
What can I do at home for multiple pregnancy?
Focus on consuming 300-500 extra calories per day beyond a single pregnancy, emphasizing protein-rich foods, leafy greens, dairy products, and whole grains. Rest frequently throughout the day, elevate your legs to reduce swelling, and sleep on your left side to optimize blood flow to the babies. Stay hydrated by drinking at least 10 glasses of water daily and practice gentle prenatal exercises approved by your doctor, like swimming or walking. Join a multiples support group to connect with other parents, prepare your home early for multiple babies, and consider meal prepping or arranging help for after delivery when caring for newborn multiples becomes demanding.
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  8. If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com and we'll gladly help you.
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In the test options, find the test you want. If you’re not sure which test to get, we can lend a hand in finding the right option.

Just text or call us at 754-799-7833, email us at support@privatemdlabs.com, and we'll gladly help you. We've got your back and reply quickly.
Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?
Absolutely! We totally understand that errors can happen. No worries, we're here to help you.

Just reach out to us via text at 754-799-7833 or shoot us an email at support@privatemdlabs.com. Remember to include your order number and let us know the correct information you’d like to update. Our awesome team will jump right in and make sure everything is sorted out and accurate for you.

There are no changes necessary if your address is wrong on the requisition though. We don’t mail anything out.

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If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com.
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We get it – sometimes your needs change.

As long as your samples haven’t been collected yet, we’re happy to help you cancel your order.

If you have any further questions, please text us at 754-799-7833 or email support@privatemdlabs.com.

You can read more about our cancellation policy here.
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During the ordering process, you’ll be able to select a specific lab near you, with no strings attached! You can switch it up later easily and visit any of our authorized locations as long as it’s the same lab company you selected your test for (Quest Diagnostics or Labcorp).

Before you proceed with your order, feel free to browse through all our lab locations here. This will give you the peace of mind of knowing that there's a lab nearby your home, office or your favorite gym.

If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com and we'll gladly help you.
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Testosterone 375 ng/dL
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375 ng/dL

What this means

Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.

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* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.

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Pregnancy test (very early) - Human Chorionic Gonadotropin (hCG), Total, Quantitative
What's included
Fast & easy, results by email & SMS
No need to visit a doctor
Private & confidential
No insurance needed
Results explained
No extra fees paid at the lab

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