Re: Abnormal Pregnancies (HCGs/Progesterones)

From: ATFSOCCER@aol.com
Sun Oct 12 06:03:46 1997


In a message dated 97-10-11 16:53:32 EDT, you write:

<< My diagnosis was an abnormal pregnancy, and I gave her methotrexate 50 mg. per meter squared. She had normal liver tests and a normal CBC beforehand, and her HCG on initiation was 380 or so, and 5 days later it is 220 or so. I'm going to follow it weekly down to zero hopefully.

I realize that I did not prove an ectopic by ultrasound or by endometrial curettage; however, clearly she has an abnormal pregnancy, and, IMHO, this has saved her an OR trip hopefully.

What do ya'll think?

-- Garry E. Siegel, M.D., FACOG >>

Garry

I am in complete agreement. I might have thrown in an endometrial biopsy to look for the chorionic villi.

Andrew Folley MD FACOG Toledo OH





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