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Week 5 pregnancy Is this normal without nausea?

Good Morning Doctor!

Iam Married for 4 years. I had been in the infertility treatment for one year. I got pregnant now after the IUI treatment. Iam extremely happy now.

My LMP is 13th July 2012. My IUI was done on 26th July and 27th July 2012. Now Iam almost into 5 week of pregnancy. But i dont have Nausea. I am feeling tired and iam hungry frequently. ieat a lot now. Is this normal without nausea. Pls help to explain.

I did a Trans vaginal scan and found that the sac is intrauterine and it was measuring 3.6mm. Am i in the right way of the baby growth. Pls help to clarify my questions.
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replied August 31st, 2012
Welcome to ehealthforum,
The symptoms that you describe (increased hunger, increased tiredness) could be indicative of pregnancy possibility. Do not depend on appearance of symptoms alone to suggest pregnancy possibility. Few women can experience all the symptoms, whereas few women do not experience any. Transvaginal scan is normal and does not result in any complications if done carefully. It helps to diagnose pregnancy and confirm gestational age early. The gestational sac at 4 weeks can vary from 3-6mm, appearing first at 4 weeks gestational age and then growing at about 1mm per day through 9th week of pregnancy. If you are worried, you should consider going ahead with getting serial HCG levels done. If the levels show doubling up of the hormone levels in 48-72 hours, it will confirm that pregnancy is going on smoothly. If levels are not adequate, then external hormonal supplements would be considered to be started to help you in preventing miscarriage. An ultrasound scan done will help to confirm the gestational age and viability. Visit your doctor/gynecologist for further evaluation and assistance. Be in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately. Take adequate rest. Drink plenty of water. Maintain healthy diet. Look out for danger signs like increase in intensity of abdominal cramps, increasing back pain, fresh bleeding etc. Avoid lifting any heavy weights and avoid heavy work. Avoid standing for long durations and avoid climbing stairs. Avoid use of caffeinated and carbonated beverages.
Take care.
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