### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Over 40 with mult spont abortions (one healthy 5yo) with new pregnancy (~5wks now). Initial ChatDoctor 138. 48hrs 244. 8 days later 1260. Rise seems too slow unless possibly doubling every 72hrs. Not many symptoms except perhaps intermittent fatigue (though had minimal symptoms with one successful pregnancy). Your thoughts re: rate of rise and absolute ChatDoctor values? Depending on your reply, any role for progesterone measurement (never did previously)? Other miscarriages occurred 6-12 weeks.

### output:

Hello dear, I understand your concern. In my opinion the Chat Doctor value is increasing but at a slower rate. But Chat Doctor values cannot be taken as standard, and they are highly variable in two different people and for the same women in two pregnancies. So don't worry about TGE Chat Doctor levels. And coming to symptoms of pregnancy like nausea, vomitings, sore breasts, increased urination they might be not be seen in a few people. So the status of pregnancy cannot be said just by basing on symptoms and Chat Doctor levels. But due to past history of miscarriages and slow rising Chat Doctor care should be taken. The causes of abortion during the first trimester are genetic anomalies, hormonal insufficiency like progesterone insufficiency, thyroid abnormalities, diabetes, uterine anomalies etc. should be ruled out. Yes the progesterone level might be helpful. Ultrasound confirms the well-being of pregnancy. Avoid stress and physical strain and intercourse. I would like you to get an ultrasound done to know the pregnancy status. Nothing to worry. Hope this helps. Best regards...