WOMENS-HEALTH Messages for November, 2008: Re: PREGNANCY: Progesterone/ultrasound question in regards to brown spotting in early pregnancy

Re: PREGNANCY: Progesterone/ultrasound question in regards to brown spotting in early pregnancy

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Wed, 19 Nov 2008 15:07:14 -0600 (CST)

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In reply to: Carol: "PREGNANCY: Progesterone/ultrasound question in regards to brown spotting in early pregnancy"

Carol

I check progesterones and give prometrium, so I have no idea why it is not checked. The bleeding could be coming from decidual bleeding-bleeding from the endometrial tissue around the sa- and may last most of the first trimester. A sono at 5 weeks does little more that tell you your pregnancy is intrauterine...Dr. von Almen

At Fri, 14 Nov 2008, Carol wrote: >
>I am 5w pregnant and have been spotting for 8 days since 13 days past
>ovulation to now. The spotting is only visible after I use the bathroom
>and mostly in the morning. I have had betas drawn:
>
>HCG
>127 at 13dpo
>1247 at 1247
>4430 at 4430
>
>Why won't my Dr. check my progesterone levels or give me Prometrium
>suppositories? I was told that unless the took a baseline value of my
>progesterone at 7dpo we have nothing to compare this to with my
>pregnancy and they say that prometrium is useless unless I started it
>right after I ovulated. I know many women from other forums that get
>theirs checked and start prometrium without being monitored before their
>positive pregnancy test. Could you explain this to me? At 5w would an
>ultrasound or examination help determine the cause of the spotting?
>
>I have had a previous m/c with brown spotting starting at 5.5w and a
>lessening of pregnancy symptoms before losing the twins at 9w. No one
>was monitoring me at that time. This pregnancy I have increasing
>pregnancy symptoms and more than doubling betas since I started
>spotting. I know you can't say for sure but I was wondering whether you
>could shed some light on the possible causes for my light spotting and
>if you think based on these numbers if I might escape another m/c and
>whether I should be checked out now rather than having to wait until a
>7w ultrasound.
>
>Thanks

-- Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions. ** Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

William F. von Almen, II, MD, FACOG Private Practice New Orleans, La.

Next message: William F. von Almen, II, MD, FACOG: "Re: PREGNANCY: Phenadoz Paddock Suppository for nausea and vomiting"
Previous message: William F. von Almen, II, MD, FACOG: "Re: GYNECOLOGIC: Menopause and vagifem"
In reply to: Carol: "PREGNANCY: Progesterone/ultrasound question in regards to brown spotting in early pregnancy"

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