I agree with BG - with all of that going on your level is not that outrageous. Of course your chances of a multiple are higher given your method of conception and that 3 follies were mature. Mine was around that with clomid, trigger and no pessaries and I only had one little bubba in there. Relax - it's a good sign. The level of 50 would not be such a great result and I think that you may be looking at US measurements...