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

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Re: ultrasound results and ectopic

From: anonymous@obgyn.net
Fri, 25 Feb 2000 08:29:39 -0600 (CST)

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In reply to: Michele: "Re: ultrasound results and ectopic"

At Wed, 23 Feb 2000, Michele wrote: >
>Thanks Dr.McIntosh,
>I just spoke with a doctor (my doctor's away until tomorrow). He said
>pretty much the same thing as you. I have to wait a couple of days and
>have another ultrasound. He's 90% sure that it's ectopic. He just
>wants to be 100% sure before anything is done. It's so heartbreaking
>especially after a miscarriage in Sept.
>Can you tell me what I can expect from surgery or the medication(I
>forget what it's called)...
>How fast do you recover from the surgery? Is it complex? What is better,
>the meds or surgery? How long do the meds take to work? Are there any
>side effects? Will I need to get another shot (I'm RHnegative and my
>husband is RHpositive) What are my chances for other ectopics? Is this
>one in any way linked to the miscarriage I had in September?
>Thanks so much for all your time.
>

The surgery, if performed, is usually performed laparoscopically, and will require 1-2 weeks for recovery depending on blood loss, but if it were my wife, and she were in this position, I would want her to have the Methotrexate. If the ectopic is early, small, and unruptured, the Methotrexate is very safe and effective, and avoids the need for surgery (and the risks inherent therein). You will need Rhogam if you have not had it in this pregnancy so far. If you are bleeding now, you need it now. This is not likely to be related to your miscarriage, but once a woman has had an ectopic, she remains at high risk for the remainder of her reproductive life. The exact risk depends on the cause of the ectopic, which we may never know.

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

This is for educational purposes only, and is not intended to be replacement
or substitute for consultation and examination by an appropriate medical
professional.  Due to time constraints, private e-mails cannot be answered.

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