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Re: - jwang MD - Could I have actually miscarried within a week and not bled or known it?
From: dawn (anonymous@obgyn.net)
Mon, 19 Jun 2000 22:31:26 -0500 (CDT)
Thank you so much for confirming that!! I knew I wasn't that stupid like
the doctor was making feel like. My doctor swore up and down that I had
fully miscarried and expelled everything which he was basing on just a
pelvic exam with the fact that my uterus was smaller then it would be
for 9 weeks. He said I could have miscarried within a week from the ER
visit (between June 7th and June 16th) and not have bled. He didn't say
I had a missed miscarriage but a full complete miscarrige. He said I
could have just had a strange discharge. I believe that I would have
atleast saw spotting/bleeding etc.. He says I do not need a D&C and
says everything is out. And feels confident that I will have my period
in a week.. so by this Friday he says I should have started my period.
I'm STILL having pain and cramps every now and then and feel sick. When
asking him why I still had pain he said "I dont know why you would still
have pain". The doctor thinks the ER really didn't see anything and he
thinks I miscarried on May 20th when I bled (the one and ONLY time) but
I proved him wrong today that I didn't miscarry then by getting the
radiology records and pictures. They confirmed with 2 scans that I had
a sac in the uterus with fetal pole measuring 1.7 cm witha heartbeat of
160 beats/minute and an HCG of 45000. Please tell me I know what I'm
talking about when I say that something is wrong and that I couldnt have
miscarried fully in a week and not bled. And is it possible to miscarry
at 8 weeks or over with JUST a strange discharge and no bleeding as the
doctor is telling me. Thanks
dawn
At Mon, 19 Jun 2000, jwang, M.D. wrote:
>
>There are some problems with terminology, I think. It is possible to
>"miscarry" without bleeding, called a missed abortion. This means that
>the pregnancy fails, but is not expelled, hence no bleeding. But
>eventually, there has to be at least some bleeding because the tissue
>eventually must come out. It seems your doc is basing his diagnosis
>mostly on the urine pregnancy test. I do think that you need more
>definitive answers as to what happened to
>the pregnancy. A repeat quant HCG or US would give you an answer. I
>hope things turn out OK for you.
>
>At Mon, 19 Jun 2000, dawn wrote:
>>
>>I'm sorry to hear about what you went through also. I have a question.
>>When you say you miscarried and didn't bleed right away are you meaning
>>the baby died but stayed in the uterus and didn't expel right away?
>>Because my doctor said within a week I had a miscarriage AND expelled
>>everything WITHOUT bleeding. I guess it's possible but seems strange.
>>In my case, things just don't add up. Doctor did not do a sonogram. He
>>is basing all this info on just a pelvic exam. He said I should start
>>my period in a week and do not need a D&C but how can he tell that with
>>a pelvic exam? I am still cramping off and on and am getting pains that
>>seem to shoot up my cervix every now and then. I am seriously
>>questioning him on some things. I'm going tomorrow to talk to him to
>>review the ER reports etc.. plus my HCG on June 7th was 45000 with a
>>heart rate of 160.. I just dont see how I miscarried within a week
>>after that.
>>dawn
>>
>>At Mon, 19 Jun 2000, anonymous@obgyn.net wrote:
>>>
>>>I am sorry for all that you are experiencing right now. It is possible
>>>to miscarry without bleeding. Eventually you would bleed but it doesn't
>>>have to happen immediately. In my case I saw a wonderful heartbeat at 6
>>>weeks and again at 8 and 12 weeks. At 13 weeks I had another scan and
>>>baby shown to have miscarried and I never knew it. I did not even have
>>>spotting so it was a real shock. The reason for the scan at 13 weeks
>>>was because Dr could not locate heartbeat with the doppler and he wanted
>>>to take a peek. It was an awful ultrasound and I will never forget the
>>>shock I felt. I know back then I was in denial because I had no
>>>bleeding. 2 days later I had a D&C and just started to see faint
>>>spotting the day of the procedure. Dr estimated baby had died at end of
>>>week 12 and it wasn't until the following week we got the news. I did
>>>not have any cramping either to alert me.
>>>
>>>At Mon, 19 Jun 2000, dawn wrote:
>>>>
>>>>To recap my story, I bled on May 20th for 10 min (heavy period like)
>>>>with severe cramps and have NOT bled since.. not even spotting. Had
>>>>sonogram a little after 6 weeks and doctor saw nothing, had a sonogram a
>>>>week later and the doctor again saw nothing. Was told to go to ER
>>>>incase of ectopic and had ultrasound and transvaginal ultrasound and ER
>>>>said I was 7 weeks 4 days pregnant. This was June 7th. I originally
>>>>thought my HCG at the ER was 2090. I went to my doctor again Friday
>>>>(June 16th) and should have been 9 weeks pregnant LMP. Went for
>>>>sonogram but doctor said urine pregnancy test was real light and that he
>>>>was going to do a pelvic exam. Said my uterus was small and no where
>>>>near what it would be for 9 weeks. Said I had a miscarriage and that I
>>>>should start my period within a week. He also said he really didn't
>>>>think the ER saw anything.
>>>>
>>>>Here's my question:
>>>>I went to the hospital today and got my records and ultrasound pictures.
>>>>With the ultrasound pictures was a report. It read: "Transabdominal
>>>>scanning demonstrates probable intrauterine gestational sac with fetal
>>>>pole. No free fluid is seen." "Endovaginal scan: Endovaginal scanning
>>>>demonstrates intrauterine pregnancy with crown-runp length of 1.3 cm
>>>>suggesting a gestational age of 7 weeks 4 days. Fetal heart beat is
>>>>measured at 160 beats per minute."
>>>>
>>>>Now, this report from the ER was on June 7th. On June 16th.. a little
>>>>over a week later I was told by my doctor that I miscarried WITHOUT
>>>>bleeding. What's going on?? Did I really miscarry? The ER report from
>>>>June 7th shows my HCG level at almost 45,000 at 7 weeks 4 days. I now
>>>>should be over 9 weeks. I've been cramping off and on ever since I bled
>>>>on May 20th and still am but I havn't bled. They saw a baby and a
>>>>heartrate at the ER, yet my doctor says I miscarried and that my uterus
>>>>is small and not the size it would have been at 9 weeks. Can you really
>>>>miscarry within a week and not bleed??
>>>>dawn
>
>--
>J Wang, M.D
>Assitant Clinical Prof.
>Tufts University School of Medicine
>
>>**Note: Opinions expressed here are for educational purposes only
>>and, as such, do not constitute a physician-patient relationship.
>>This information is not intended to supplant the need for you to
>>consult with your physician prior to choosing therapeutic options
>>and/or interventions.>
>
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