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Re: Early Ultrasound-No Sac

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 30 Jun 2002 20:00:21 -0500 (CDT)


At Sun, 30 Jun 2002, Kelly wrote: >
>I am 33, I have PCOS, and have one live birth in 2000. I had a
>miscarriage at 9 weeks in April. I began feeling pregnant on June
>16(bloated and pulling sensations), but had a negative HPT. Tested
>again on Thursday, June 20th and had a positive HPT. Since I have not
>had a period since miscarriage, the only clue I have as to gestational
>age is the HPT and a Beta HCG of 1611 ml taken on June 28th. I also had
>an ultrasound on Friday and no sac was seen in uterus or tubes. I go
>back for a quant HCG tomorrow morning but doctor gave me no indication
>of the course of treatment after that. Is this another miscarriage or
>is it too early to tell? I have no symtoms or risk factors for ectopic.
>Thanks.

Kelly

This is not real good news, as with vag probe u/s you should see gs in uterus by 1500 hcg, and most say around 1000. Now, is it in your tube or not? I suspect mondays quant will be very revealing. If hcg has really climbed, get another u/s asap to see where preg is. If hcg drops, you can probably watch and wait.

--
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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