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Re: Ectopic/Early Loss

From: j wang, M.D. (anonymous@obgyn.net)
Mon, 30 Oct 2000 05:01:19 -0600 (CST)


It sounds like your cycles are out of "cycle". With all the concern you have had, your body may be a bit confused. If you haven't had any sexual contact, you could not be pregnant after a negative blood test.

At Mon, 30 Oct 2000, Peyton wrote: >
>I am REALLY worried. I thought everything was settled (as far as my
>body is concerned) but yesterday my breasts started hurting and today
>they swelled up again (GIGANTIC!) It does not feel at all like the usual
>PMS swelling, this is identical to what I described below in the
>previous message. Also, earlier today I had a LARGE gush of white
>discharge, and it has continued coming since.
>
>I took another HPT just to follow up on the 25- it was neg. I have not
>been sexually active at all. What could possibly be happening to my
>body? These symptoms feel just like the pregnancy.
>
>Thanks for your answers!- I'm a little nervous here and don't know what
>to think.
>
>At Sun, 22 Oct 2000, William F. von Almen, II, MD, FACOG wrote:
>>
>>At Sat, 21 Oct 2000, Peyton wrote:
>>>
>>>2 years ago I had an ectopic pregnancy. At first they thought it might
>>>take care of itself, then they tried to treat with methotrexate for over
>>>a month- the hcg decreased at first, and then went back up again and was
>>>back and forth for a while- one night I was having MAJOR pain and
>>>bleeding (which was ongoing..just particularly bad this night) so I
>>>called the doc and they gave me a prescription for a pain killer. The
>>>drugs knocked me out for several hours and when I woke up I had bled
>>>through my pad, clothes and bed. When I got to the hospital they
>>>realized the EP had ruptured and removed the tube. Should they have
>>>opted for surgery sooner? I feel like I might have saved my tube that
>>>way.
>>>
>>>ALSO, (more drama), I had unprotected sex on Sept 29, and within 3 days
>>>I had severe migraines, exhaustion, sore gums, heavy white discharge,
>>>dizziness, constant nausea, finger swelling, a lot of my hair started
>>>falling out, and instead of breasts I had two bricks strapped to my
>>>chest. On October 6th I took a PT which gave a faint positive (my
>>>period wasn't due until the 18th). My stomach was tight and bloated and
>>>I had slight back pain starting on the eighth, my tummy actually felt
>>>hot. On the 15th I had a brown discharge, and then on the 16th started
>>>clotty bleeding (which my period is sometimes) I got to the doctor on
>>>the 17th- my urine and blood were negative for pregnancy. That
>>>afternoon it went back to a brownish discharge and since my breasts have
>>>returned to normal size- I lost all symptoms except for some dizziness
>>>and still having discharge. Doc thinks I miscarried early- is this
>>>likely? wouldn't it have shown at least SOME level of HCG still? I am
>>>very paranoid to let this go after what happened last time- tho I really
>>>don't feel pregnant anymore. He said no d and c would be neccessary- is
>>>that accurate? What is all this discharge and crazy periodish thing
>>>telling me?
>>>
>>>Sorry this is so long- thanks for reading!!
>>Peyton
>>
>>In retrospect, yes you should have had surgery sooner. That does not
>>mean what was done was wrong, your case was just more difficult.
>>Yes, I think you were pregnant. That is why all the weird periodish
>>stuff. You do not need a d&c, but I would probably run another home
>>pregnancy test in about a week to be sure it is negative (I bet it will
>>be). 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.
>>

--
James 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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