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Re: Gyn: Abnormal pregnancy From: Efrain Ramirez (eramirezt@coqui.net) Fri Nov 19 11:33:48 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Gyn: Abnormal pregnancy" Previous message: art fougner, md: "Re: Gyn: Abnormal pregnancy" In reply to: Garry E. Siegel, M.D.: "Gyn: Abnormal pregnancy" Next in thread: RModugno@aol.com: "Re: Gyn: Abnormal pregnancy" Office EMB - methrotexate anyway...it could be an ectopic...good luck. >At Fri, 19 Nov 2004, Garry E. Siegel, M.D. wrote: > >Opinions welcome. > >40 YO P1021 with an abnormal pregnancy. > >1st delivery by C/S 11 years ago, different husband > >Feb 04 came in with infertility, pain, etc. Lapscope planned but >conceived and had a chemical pregnancy with the peak HCG of 700. This >resolved without any treatment. > >June 04 Lapscope showed stage 2 endo with adhesiolysis done. > >September 04 conceived again, HCG rose abnormally to around 3000, uterus >empty, some mild pain. D and C--no villi, lapscope--no tubal preg, >adhesions much better. HCG fell after that without therapy. > >Now: > >HCG rising slowly, latest values: >11/12--800, 11/15--1100, 11/18--1500. Uterus empty, no free fluid, no >symptoms. > >I am quite certain this is not a viable pregnancy. > >I am aware of studies saying you should empty the uterus before giving >methotrexate, but I don't have an easy way to do this without an OR >trip. > >What would you do? > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > -- "The opposite of a correct statement is a false statement. But the opposite of a profound truth may well be another profound truth." Niels Bohr (1885 - 1962) Next message: Garry E. Siegel, M.D.: "Re: Gyn: Abnormal pregnancy" Previous message: art fougner, md: "Re: Gyn: Abnormal pregnancy" In reply to: Garry E. Siegel, M.D.: "Gyn: Abnormal pregnancy" Next in thread: RModugno@aol.com: "Re: Gyn: Abnormal pregnancy"

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