HCG 50,000+ without fetal heartbeat or buds may be normal. HCG is chorionic gonadotropin, which is normally secreted by trophoblast cells after 7 days of fertilization and can be detected in maternal blood after 10 days. Normally, HCG is then 1000-50000IU/L at 4-5 weeks of pregnancy, about 10000-100000IU/L at 5-6 weeks, and about 15000-200000IU/L at 6-8 weeks. HCG 50,000 or more may be more than 4 weeks pregnant, or more than 5 weeks pregnant or more than 6 weeks pregnant, theoretically, 5 weeks pregnant can be ultrasound to see the gestational sac, 6 weeks pregnant can see the bud length and fetal heart, so HCG 50,000 or more did not see the heart of the fetus and fetal buds is likely to be normal. If you don’t see the fetal heart and buds at this time, it is recommended to wait for 1-2 weeks and review the ultrasound, if you still don’t see it, you need to consider the possibility of fetal arrest. During pregnancy, blood HCG test, progesterone test, ultrasound is very important, if you have been pregnant for a period of time you can go to the hospital for obstetrics, to understand the development of the fetus, to determine whether there is developmental abnormality. In early pregnancy, you need to rest more and take good care of your body to avoid miscarriage.