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Re: Abnormal Pregnancies (HCGs/Progesterones)From: Embryo@aol.comSun Oct 12 11:20:17 1997
I would have done a scan; an ectopic with a low beta can still hemorrhage. If negative, I would have followed her over another week until either the beta dropped (even with an ectopic spontaneous resolution occurs up to 30% of the time) or it reached the discriminatory zone for visualization of a sac. I would have supplemented her with progesterone until it was clear that this was not viable: (For an extreme example of viable pregnancy with completely off-the-wall beta/prog levels, see the most recent F&S. ) You also have to think about a twin pregnancy with one good and one bad gestation, which throws the beta progression off. Obviously if the patient gets symptomatic, act quickly. Ed Marut MD Highland Park IVF
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