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ectopic after tubal reversal

From: Kathy (anonymous@obgyn.net)
Sun, 31 Aug 1997 18:39:30 -0500 (CDT)


I had my tubes tied in 1992, and had the procedure reversed in 1996. A year later I found out I was pregnant. Almost immediately after I started spotting and had some sharp pains in the lower right abdomen. I immediately let my Dr. know and we started doing HCG blood counts every couple of days. The first week, they went up fine, the second week was more questionable. The third doubled again. Then the heavy bleeding started and I felt as if I passed 2 rather large clots. At this point I was 71/2wks pregnant. My doctor felt that it was a probable miscarriage and two days later I came in for more blood tests and a vaginal ultrasound. No sac or fetus was seen in the uterus, so miscarriage was determined. A few hours later my test results came back, my HCG went up from 2340 to 3100. He decided to treat me with drugs instead of surgery. My questions are when is is truly safe to try to get pregnant again, and how much does this elevate my risk factor for another ectopic? The anti-cancer injection was explained to me, but I was wondering if it damages the tubes in anyways or does it just kill the forming egg? Is it ever possible for a fetal sac not to be seen on ultrasound when the HCG is up to 3100? Everything I read says it varies. Is it ever possible for a tubal pregnancy to abort itself? Could that be all the bleeding I may have been experiencing. I would appreciated any advice or answers... THANKS IN ADVANCE

--
Kathy Terry



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