PREGNANCY-BIRTH Messages for June, 2000: Re: bleeding and hcg after d&c

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Re: bleeding and hcg after d&c

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 29 Jun 2000 20:39:48 -0500 (CDT)

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At Thu, 29 Jun 2000, concerned wrote: >
>Hi,
>
>My wife had a D&C (due to miscarriage) in april. After that she bled a
>lot and had sever pains for 2-3 days. Since then she has been bleeding
>off and on. Now she is having her periods every 15days and they last
>10+ days. Sometimes she passes clots and mucous, sometimes the blood is
>black sometimes red. Occassionally she has abdominal and lower back
>pain.
>
>Its almost 12 weeks since her d&c.
>
>Her doc is doing blood tests every 2-3 days and her hcg is hovering
>around 10-15. The doctor said it should have been zero now. She
>suspects that either something's left inside or her body is taking
>longer than usual to adjust or some rare condition in which growth
>occurs again (i forgot the name).
>
>She had an ultrasound done today. We'll come to know tommorow about her
>latest test results and appointment with doctor(again) on next wed.
>
>What should we expect????
>Is it possible that something could be left inside?
>Does it mean that the doc is not good and Should we change her doctor if
>thats the case?
>
>worried.....

Most likely it means that there is some placental tissue left inside the uterus which is still alive and producing HCG. We are talking about a piece so small that it would require a microscope to see it. It does not mean that your Doctor is not good. In fact he/she is probably pretty good for getting the test to make the diagnosis. The probable best treatment would be an injection of a medication called Methotrexate. This would be in a dose similar to that for an ectopic pregnancy. A repeat D & C is likely to miss it agagin.

RDB

--
R. Daniel Braun, MD FACOG  FOG

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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