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Re: 5 wks LMP & spotting - no sac visible, Hcg levels sufficient

From: j wang, M.D. (anonymous@obgyn.net)
Mon, 27 Nov 2000 19:10:15 -0600 (CST)


I answered on the other forum, so you posted fine.

At Mon, 27 Nov 2000, Jill wrote: >
>Sorry if anybody has already read this message. I mistakenly posted it
>first on another Forum, but now realize it should have been posted here.
>I have been spotting very lightly since approx. 4 weeks, 3 days LMP.
>Spotting has generally been very light and brown, but was red and very
>light twice. These two times, I also saw a small blob of what looked
>like tissue and blood (maybe pea-sized) in the toilet. Spotting seems
>to be related to activity level. Also, VERY SLIGHT cramping on one side
>for two VERY short time periods early last week. At 5 weeks, 1 day
>since LMP, I had a transvaginal ultrasound and blood test. No sac was
>visible, and my HCG level that day was 4780. My doctor said she didn't
>see any intrauterine bleeding, but that I do have a friable cervix. I
>have had two normal pregnancies prior to this. I am concerned about an
>ectopic pregnancy, but isn't this unlikely given my history of normal
>pregnancies and no infections or other physiological problems? What are
>the likely causes and outcomes for this set of facts?

--
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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