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Re: Pregnant again after miscarriage, now spotting/cramping. Pituitary microadenoma contributing cause?From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)Sun, 25 Mar 2001 15:56:16 -0600 (CST)
At Sun, 25 Mar 2001, Mary wrote: > >I am a 37-yo female. I miscarried in December of this year at 5 1/2 >weeks gestation. I am pregnant again, presently 5 weeks gestation. I >had a serum hCG (qualitative) 5 days ago. For the past 3 days I have >had nearly continuous cramping, ranging from mild to very strong, >generally midabdomen in my uterus (not one-sided pain). I have been >spotting for 3 days, which varies from brown, to pink, to occasionally >red. Never enough flow to stain a pad, I just notice it on the toilet >paper. I am terrified I will miscarry again. My OB's nurse just said >to wait, and call them again tomorrow (Monday). I have a pituitary >microadenoma (prolactin secreting) - could this be affecting my >pregnancies? Could it cause me to miscarry? Does this bleeding/cramping >mean I will likely miscarry? With my prior miscarriage, I noticed the >first bleeding then immediately the flow started and I bled tremendously >for several days. I had 2 regular periods after that before becoming >pregnant. Will my age deem me a high risk patient? Thank you. mary All great questions and fears. None can be answered until you see your ob on monday, and get reevaluated. Microadenoma usually is a fertility issue, not a pregnancy issue. Age alone will not really make you high risk unless you have any chronic diseases due to your age.
-- William F. von Almen, II, MD, FACOG Editorial Advisor-Pregnancy and Birth Private Practice New Orleans, La.
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