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How early can doctors detect if I am pregnant with twin?

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If they do a serum HCG level, they will have an idea if it is a singleton or possible multiples immediately. They can't tell for sure until the first ultrasound which can be done as early as 5 weeks gestation. At this point in time they can see how many sacs with yolks are present. I had an ultrasound at 5 1/2 weeks due to bleeding and it showed twins!

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