PREGNANCY-BIRTH Messages for June, 2002: Re: Ectopic

Re: Ectopic

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 30 Jun 2002 13:41:10 -0500 (CDT)

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In reply to: Melissa: "Ectopic"

At Sun, 30 Jun 2002, Melissa wrote: >
>Last year I was diagnosed with an ectopic pregnancy. When I began
>bleeding, I was 5 weeks pregnant. I went to the ER where they performed
>a vaginal ultrasound. Within the endometrial canal a complex appearing
>2 cm. hypoechoic region was noted, with no fetal pole, or fetal heart
>tone that they could see. Also, they noticed my left ovary measured 2.2
>cm x 2.7 cm x 3.7 cm and a complex hypoechoic area that measured 2.4 cm
>x 1.3 cm in the same ovary. My right ovary unremarkable.
>I visited my OB/GYN 2 days later, and he also performed a vaginal
>ultrasound which showed NO gestational sac within my uterus. During
>those 2 days I had stopped all bleeding. My HCG levels were monitored,
>they continued to rise and so, I was diagnosed ectopic. My question is,
>what happened to my gestational sac in those 2 days, and could I have
>been pregnant with twins? My doctor has said nothing, no explanations
>whatsoever, just that I had a better chance of winning the lottery... If
>someone can answer these questions, I thank you.
>taylorjl@earthlink.net

Melissa

No way to know. Odds are, the mass in the uterus was just decidual pregnancy reaction, as the chances of having a pregnancy in both uterus and tube are somewhere between 1/20,000 and 1/40,000

--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
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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