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Re: Gyn: Abnormal pregnancy From: Garry E. Siegel, M.D. (garrys@mindspring.com) Fri Nov 19 11:37:30 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: Gyn: Abnormal pregnancy" Previous message: Efrain Ramirez: "Re: Gyn: Abnormal pregnancy" In reply to: art fougner, md: "Re: Gyn: Abnormal pregnancy" Next in thread: Richard Chudacoff, MD: "Re: Gyn: Abnormal pregnancy" Reply: Richard Chudacoff, MD: "Re: Gyn: Abnormal pregnancy" Yes, I said it--meaning a thin endometrial stripe. I have seen a study that said around 30 or 40% (can't remember) of "empty" uteri on ultrasound actually have villi, and to use caution prior to considering methotrexate. Garry At Fri, 19 Nov 2004, art fougner, md wrote: > >Garry > >by your own description, the uterus is already empty ... > >art > >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 >> >-- >art fougner, md >ich bin ein New Yorker > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Richard Chudacoff, MD: "Re: Gyn: Abnormal pregnancy" Previous message: Efrain Ramirez: "Re: Gyn: Abnormal pregnancy" In reply to: art fougner, md: "Re: Gyn: Abnormal pregnancy" Next in thread: Richard Chudacoff, MD: "Re: Gyn: Abnormal pregnancy" Reply: Richard Chudacoff, MD: "Re: Gyn: Abnormal pregnancy"

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