PREGNANCY-BIRTH Messages for January, 2002: Re: (1) Small gestational sac

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Re: (1) Small gestational sac - any chance? (2) Suspected Ectopic

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 27 Jan 2002 13:07:56 -0600 (CST)

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In reply to: ruby: "(1) Small gestational sac - any chance? (2) Suspected Ectopic"

At Sat, 26 Jan 2002, ruby wrote: >
>Dear All
>
>I am 37. Two previous normal pregnancies.
>
>I am now 6.4 weeks into third pregnancy. Started bleeding early week 5
>(varying from spotting to light period level)and still bleeding 8 days
>later.
>
>End of last week (at 6.1 weeks) I was called in by our hospital as a
>suspected ectopic on basis of HCG rise 1700 to 2200 in 2 days. They
>recommended immediate laparoscopy but I held out for trans vag scan
>first.
>
>It showed appparent 4 mm gestational sac. No yolk sac or embryo
>visible. Closed cervix. No sign of bleeding (?!). They dated it at
>4-5 weeks but I know that my dates are right because we used an ovo kit.
>Therefore the gestational sac is at least a week behind what it should
>be.
>
>Latest HGC (6.3 weeks) was 3100 (so doubling every 4 days). Still light
>bleeding.
>
>My questions are:
>
>1. Is there still any risk of ectopic?

Yes. The sac that was seen can be a pseudosac and still be consistent with an ectopic.

>
>2. Is there any chance of viability or does the small gestational sac
>(a week behind) + bleeding + HCG only doubling every 4 days + no nausea
>or tender breasts, mean it is doomeed?

Too early to be sure. When the HCG hits 6000, something should be seen either intrauterine or concerns of ectopic increase.

Hope this helps and write back anytime for more information.

Dr. M

>
>Nobody here (England) seems to know.
>
>Many thanks
>
>--
>Ruby
>
>p.s. I read a number of posts by Patricia with something similar. Would
>love to know what happened to her.
>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

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Next message: Harvey S. Marchbein, M.D.: "Re: Extended period with clomid?"
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