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

### input:
I am a pregnant 39 year woman, 5 wks 5 days (LMP 05/05/10). I conceived via IUI on May 18th. My quantative ChatDoctor s have been as follows: 41 June 1st, 49 June 3rd, 66 June 5th, 122 June 7th, 242 June 9th, and 800 June 14th. Clearly, an abnormal rise, at least at the start. I understand there may be some concern that it s an ectopic pregnancy, but I am wondering if there is a chance that this is still a viable pregnancy? I will have an ultrasound next week, unless I develop concerning symptoms (I have had no bleeding, but have had some mild cramping). I am using Progesterone 200mg intra-vaginally at bedtime. This is my 5th pregnancy: 3 miscarriages, and 1 live birth. Thank you in advance for your kind insight into this matter.

### output:

Hello and welcome to Chat Doctor. Rule of thumb is that in viable intrauterine pregnancy the beta Chat Doctor level increases by 66% (COG guideline). In case of an ectopic pregnancy the beta Chat Doctor level DOESN OT RISE as per the above-mentioned level. So a falling beta Chat Doctor level is an indicator of ectopic pregnancy or missed abortion. In your case there has been a rise and not fall. Please wait for the USG report, and then we can decide on the future course of action. Mild cramping in first 12 weeks of pregnancy is normal. Do write back if you have any more doubts or queries.