PREGNANCY-BIRTH Messages for February, 2002: Re: 3 wks post D&E and hcg is 5,000

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Re: 3 wks post D&E and hcg is 5,000

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 21 Feb 2002 10:35:44 -0600 (CST)

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In reply to: Lizabeth: "3 wks post D&E and hcg is 5,000"
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Reply: anonymous@obgyn.net: "Re: 3 wks post D&E and hcg is 5,000 - Dr. Montgomery"

At Wed, 20 Feb 2002, Lizabeth wrote: >
>I am sorry to "monopolize" this board, this past pregnancy & consequent
>miscarriage has really been a harrowing experience in spite of the fact
>that this was the 5th mc.
>I had posted last week that 10 days post D&E that I was having "gushes"
>of blood & a few clots. In the past 10 days, I had 7 of these sudden &
>heavy bleeds. I returned to my RE today in order to have an ultrasound.
>He said that my uterus looked normal but that my fibroid, that is in the
>wall of my uterus, was larger. As a precaution, before I left, they did
>a hcg test on me. When I got home, the doctor called and said that it
>was at 5,000~3 weeks post D&E. I had miscarried right at 7 weeks so it
>is baffling as to why this number is still so high. I am repeating the
>beta on Friday but I am at a loss as to why this could be happening.
>Do you have any thoughts? Thank-you.
>
>--
>Lizabeth
>

First, let me provide a small correction. You had a D&C, not a D&E. As for the HCG, it is certainly unusual for the value to still be up. One would have to consider four things. First, there was some "molar" tissue as part of the pregnancy. Second, you are pregnant again (doesn't seem very likely). Third, there was some placental tissue retained in the uterus following the procedure-this should show up on the ultrasound now. Fourth, there was an error in the lab... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**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.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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In reply to: Lizabeth: "3 wks post D&E and hcg is 5,000"
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