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Re: (90% ectopic, Will never know)

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 4 Oct 2000 16:18:54 -0500 (CDT)


At Wed, 4 Oct 2000, Olga wrote: >
>On Sep 26 I was 5 weeks pregnant and started bleeding with cramps. The
>HCG tht day level was 5500. I had an ultrasound made that day, they saw
>a gestional sac (that was what the technician told me in that moment and
>some bleeding in the Uterus. She said the sac was very small for the
>gestational age adn thte Beta analysis would prove a miscarriage. Two
>days later the Beta was 7600, I was not bleeding any more. The doctor
>thought that there was a high possibility of ectopic, applied
>Methotexate on Friday. Saturday and Sunday no more bleeding until today
>(Wednesday (6 days after). I am having the Beta test tomorrow. Is it
>possible after the drug to have some small bleeding on an off, and some
>mild but not very noticeable cramping? Is it also possible that this was
>not an etopic, meaning could the HCG level increase for a different
>reason than ectopic?
>Thanks for your help

Olga, It is very normal to have some bleeding and cramping following the methotrexate therapy. Keep in mind that your uterus did not know that the pregnancy was in the tube. The lining of the uterus becomes thick and plush for the embryo. With the loss of the pregnancy, that lining has to be shed. This will result in bleeding and cramping, usually like a heavy period. Given the HCG's, it would seem like an ectopic pregnancy to me... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**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.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)






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