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Re: Abnormal Pregnancies (HCGs/Progesterones) From: Bernard Cristalli (bcrist@club-internet.fr) Sun Oct 12 16:43:53 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: Face presentation & Forceps" Previous message: Bernard Cristalli: "Re: Another Multiple Prior Ectopic Patient" Maybe in reply to: Garry E. Siegel, M.D.: "Abnormal Pregnancies (HCGs/Progesterones)" Next in thread: Myer S. Bornstein: "Re: Abnormal Pregnancies (HCGs/Progesterones)" > >> > >> 30 YO Para 0010 ( a "chemical pregnancy" per the patient) on clomid 150 > >> mg. her HCG is initially 144, then 2 days late is 150 or so, > >> > >> Over the weekend, she is spotting a bit, clinically normal, with normal > >> exam. The next HCG a couple of days later was around 250. > >> > >> I did not do an ultrasound, > >> > >> My diagnosis was an abnormal pregnancy, and I gave her methotrexate > >> and her HCG on initiation was 380 or so, and 5 days later it > >> is 220 or so. . > >> > >> 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. > >> > >>Garry E. Siegel > >-- > >Ok for the abnormal pregnancy. > >I would have tried to prove an ectopic at least with an US. For future > >pregnancies prognosis. > >B. Cristalli > In this case an ultrasound would be a waste of time and money. If you > are convinced it is an abnormal preg., MTX is the way to go. If not see > my last post. > R.Daniel Braun -- Why MTX then. Why not just wait and see what's going on, after informed consent? -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Bernard Cristalli: "Re: Face presentation & Forceps" Previous message: Bernard Cristalli: "Re: Another Multiple Prior Ectopic Patient" Maybe in reply to: Garry E. Siegel, M.D.: "Abnormal Pregnancies (HCGs/Progesterones)" Next in thread: Myer S. Bornstein: "Re: Abnormal Pregnancies (HCGs/Progesterones)"

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