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Re: Dr. question about scarring after D&E

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 30 May 2002 16:12:14 -0500 (CDT)


At Thu, 30 May 2002, Anonymous wrote: >
>I have 3 children with no previous history of fertility problems or rpl.
>However since a fetal demise last year at 18 weeks with D&E, I have
>gotten pregnant 4 times in 12 months, only to have betas drop before
>reaching 100 at almost the exact day each time (18-20 days past
>ovulation). I am finally having an hsg on Monday to check for possible
>scarring or inflammation from D&E. Would this sudden appearance of
>chemical prengancies post D&E be consistent with scarring in your
>opinion?

No. They wouldn't implant at all. A "Miscarriage" this early is most likely due to a bad egg or sperm. If one checks this early, about 1 of 4 pregnancies ends in a miscarriage. Therefore, one of every 64 women would have 4 miscaariages at this stage just by the luck of the draw.

>
>All other tests are normal:
>day 3 fsh: 6
>day 3 estradiol: 33
>day 21 progesterone: 13.5
>Thyroid normal
>Prolactin normal
>Semen Analysis normal
>normal for fasting blood sugar
>complete immune workup normal
>32 day cycles with ovulation by bbt and opk each month, 14 day luteal
>phase.
>high level ultrasound of ovaries and uterus normal
>no PCOS
>no Endo
>
>thank you for any thoughts you have on this. We can't figure out what's
>going on!

--
R.Daniel Braun, MD  FACOG   FOG
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