PREGNANCY-BIRTH Messages for April, 2000: Re: I just need some answers!

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Re: I just need some answers!

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 29 Apr 2000 14:04:32 -0500 (CDT)

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In reply to: Josie: "I just need some answers!"

At Fri, 28 Apr 2000, Josie wrote: >
>I know I'm at risk of driving these really helpful doctors and nurses
>crazy but I'm just so confused! I thank you all for your previous help -
>it means so much to me.
>
>I had an etopic last year that was treated with metheltraxate which
>casue the etopic to bleed into my uterus and I had to get an emergency
>lap. I have a history of Clamydia and have scarred tubes as a result.
>Today I am 5 weeks and 1 day pregnant from LMP. My doctor told me after
>two blood readings that although my HCG levels are rising normally that
>my progestrone has gone down from 5.9 to 5.3 which is indicative of a
>bad pregnancy. I have had for the last couple of days intermittent
>throbbing/discomfort(not severe) in my left tube area. At his
>suggestion I went to the E.R. tonight. My HGC levels went from 500 to
>1500 (within two days) and they didn't bother to perform a progestrone
>test. So in their eyes all is normal. I did a transvaginal and
>abdominal scan that both showed nothing excecpt a cyst on my right tube.
>So in essence everything is okay. But I told them that my doctor said
>the progestrone was low and this meant this was not a good sign but the
>attending ER doctor didn't seem to think that mattered any. I'm jsut so
>confused. Is there any chance at all that I could have a healthy
>pregnancy? Anything at all?? Could I be having this discomfort because
>of all the scarring?? Could my progestrone miracously go up? I guess I
>really have to wait until my Monday ultrasound but I'm just looking for
>hope... Is there anything I can do? I really appreciate any response.
>Also, no one seemed to be able to tell me if I was "at risk" of
>rupturing or something. THe ER doctor said that this usually doesn't
>happen untill the 8th or 9th week of pregnany yet last year I had pain
>and bleeding almost from my first missed period.
>
>I'll stop babbling and thanks again for reading...
>
>--
>Josie
>

Josie It is a good sign that your hcg went from 500 to 1500. I, too am worried about the low progesterone. The rule is that 'something must be seen in the uterus when the hcg level reaches 1600, so you need to sit tight for now. Yes, you are at risk of rupture of an ectopic, even this early in your pregnancy, so if you get increasing pain, call you MD and report it. Good Luck

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

Next message: William F. von Almen, II, MD, FACOG: "Re: Fw: Breathing trouble"
Previous message: Kim: "contractions/previa/premature labor?"
In reply to: Josie: "I just need some answers!"

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