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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.

*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.






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