|
Re: PREGNANCY: Uterine aspiration and pregnancy again...
From: Walter Futterweit, MD, FACE,FACP (anonymous@obgyn.net)
Tue, 28 Oct 2008 21:47:37 -0500 (CDT)
Dear Kika,
This does not mean that you wont ovulate again. You have PCOS and it
may have happened as to some, but also you have PCOS.
My thought is since we all know that PCOS usually is associated with
insulin resistance a trial of metformin up to 2000 mg, starting with
500mg and increasing weekly to 2000mg may help prepapre you better for
pregnancy.
With pregnancy in the generalk population the degree of IR triples in
normal women but rises 7 fold in women with PCOS. Your gyn and I also
may suggest maintaining the metformin during the first trimester.
Good luck.....worry less, it helps you better.
Dr.Futterweit
At Sun, 26 Oct 2008, star74 wrote:
>
>Hello,
>I've just had what I thought was my first pregnancy, and I found out I
>had a blighted ovum. Now, I'm not only very scared about the future but
>I have lots of questions in my head. Yes, I'll see a doctor but I feel
>I can't wait that long to hear answers.
>First, the facts:
>I'm 34 y/o
>I had, in the past, hypothyroidism (since 8 y/o but always checked and
>controlled with l-thyroxine. Blood exams all normal) and PCOS.
>I stopped contraceptive pills in April. In September, I got pregnant.
>Between April and September, all cycles normal, lasting either 26 or 32
>days apart from the last one, when it lasted 24 days and I had spotting.
>
>I had the uterine aspiration when I would be about 7weeks and 2 days.
>The sac was empty, measuring 2 weeks less.
>
>My questions, that are driving me crazy right now, are:
>
>(1) Since the aspiration - 5 days ago - I've had no cramps, no bleeding,
>no nothing... is this normal?
>(2) Any chances of this being an ectopic pregnancy? Nothing suggests
>that, since u/s didn't show anything abnormal in my tubes and ovary and
>I've never had any pain.. But I'm just scared this is not over...
>(3) How long until my HCG be back to normal? It was 5200 the day before
>the uterine aspiration (it was rising, but not doubling as it should)
>(4) Since I'm 34, since I had PCOS in the past, since all this, I'm
>totally scared that (a) I will not ovulate again after this (b) If I do,
>the same will happen. So, I'd like to know:
>(4a) What are the odds for me?
>(4b) When should I wait my period to come?
>(4c) When should I start to worry if it doesn't come?
>(5) Finally, could that different period I had - the last one before I
>got pregnant - have been a chemical pregnancy? Or can you have an
>abnormal period like that and this still be normal? Since mid-august
>(i.e. when I ovulated to that weird period) until late September (I got
>pregnant in mid-september) I was under severe stress due to some
>professional problems. Could this be a cause?
>
>I know these are long and probably dumb questions... But I hope a good
>soul out there would understand how scared I am right now and all that
>is going through my mind.
>
>Thank you very much for taking your time to answer.
>Kika
--
Walter Futterweit, MD, FACP, FACE
Clinical Professor of Medicine, Division of Endocrinology
Mount Sinai School of Medicine, New York, NY 10029
http://www.aacehost.com/pages/page.php?r=716
|
|
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)