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

### input:
My last menstural period was 9/2/10 I had a positive pregnancy test at my OBGYN s office. On Sunday 10/10/10 I was having some spotting. On Monday 10/11/10 I noticed a few small clots so I called my doctor. She referred me to the ER . At the ER I had an ultrasound done which showed a fertilized egg inmplanted in the uterus which was estimated to be approximately 4 weeks old. I was told it was too soon to see a heart beat. My ChatDoctor level on 10/8/10 was 192.61 On 10/11/10 it was 322.28 and on 10/13/10 it was 356.75. I m afraid I m having a miscarriage. Is it ever ok for the ChatDoctor levels to rise so slowly?

### output:

Hello, and I hope I can help you today. In a normal pregnancy, the Chat Doctor value is supposed to double every 48-72 hours.  Furthermore, in a normal pregnancy, a Chat Doctor level for a 4-5 week pregnancy is in the thousands, not Hun Chat Doctor. So I am very sorry to inform you that is really is not likely you have a normal pregnancy that will ever develop a heartbeat.  If you had an ultrasound that confirms this pregnancy is in your uterus (an ectopic or tubal pregnancy can also cause bleeding and inappropriately rising Chat Doctor) you already likely already miscarried, meaning that the part of the pregnancy that develops into a fetus has stopped developing or died.  The tissue that supports the pregnancy can continue to secrete Chat Doctor, so your levels may continue to rise until you pass the pregnancy completely or have treatment by your doctor (medical or surgical) to remove the remainder of the pregnancy. Unfortunately, one in ten pregnancies will end in miscarriage (this increases to one in seven if you are over 35 years old and one in five if you're over 40).  There is nothing that can be done to prevent a miscarriage if the pregnancy is not developing normally, so be