PREGNANCY-BIRTH Messages for February, 2000: Re: ultrasound results and ectopic

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Re: ultrasound results and ectopic

From: anonymous@obgyn.net
Wed, 23 Feb 2000 11:49:36 -0600 (CST)

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At Wed, 23 Feb 2000, Michele wrote: >
>I went see a doctor this morning for the spotting and pinching at my
>right side. She sent me for an ultrasound. The abdominal US showed a
>possible sac with fetal pole. Too early to see a heartbeat. The
>technician seemed to think that I wasn't 6 weeks pregnant but earlier.
>She also wasn't sure if it was a blood clot rather than a sac. She then
>did a vaginal US which determined a large cyst(sp?) on my right ovary. I
>know that a cyst can be normal. The technician, however, seemed to
>think that it might be abnormal. Possibly indicating an ectopic... What
>do you think? I'm really scared and concerned.

This is one of those troublesome times in gynecology. You are correct in thinking that an ovarian cyst is normal in early pregnancy, but when you can't see a definite fetus, the question of an ectopic has to be entertained. The biggest problem for the patient is that there is little that can be done except to wait, under close supervision, for a while and rescan. Serial quantitative HCGs can also help. If the pregancy is less than 6 weeks or so, there is not going to be a fetal heart beat yet, and before 5 weeks or so, there is not even a fetal pole. You are in a tough spot, wanting answers that are just not available yet, but hang in there, it sounds as though your doctor is doing all the right things.

--
William D. McIntosh, MD, FACOG
Clarksville, TN

This is for educational purposes only, and is not intended to be replacement
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professional.  Due to time constraints, private e-mails cannot be answered.

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