PREGNANCY-BIRTH Messages for August, 2002: Re: Difficult Diagnosis

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Re: Difficult Diagnosis

From: M. Kelly Shanahan, MD, FACOG (anonymous@obgyn.net)
Sat, 31 Aug 2002 11:55:38 -0500 (CDT)

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In reply to: Jodi: "Difficult Diagnosis"

At Fri, 30 Aug 2002, Jodi wrote: >
>I have what appears to be a strange situation. I was pleasantly
>surprised to discover that I was pregnant. The first day of my last
>menstral cycle was 7/15/02. On 8/19/02, while I was away on a business
>trip, I started bleeding like a normal manstrual cycle. I assumed I was
>having a miscarriage and scheduled an appt. with my doctor. On 8/22,
>my doctor performed an ultrasound but found no sac. My hcg level was
>only 51 (which would be a VERY early pregnancy, not 5 or so weeks). I
>told the doctor that I had a little pain on my left side, so she feared
>it was an ectopic case. I have since had 2 more ultrasounds and 6 more
>blood tests. Today, 8/30, my hcg is 544, but my progesterone is only
>6.1. My doctor decided to put me on a progesterone suppositories to
>bring the level up. I have another ultrasound scheduled for 8/5, as
>they feel I should be near an hcg of 1500 (level needed to see sac). As
>of right now, we don't know if there was a second conception that is now
>normal, or if there is still a threat of ectopic. I have done a ton of
>research, but I still can't find any answers to this scenario.
>
>--
>If you have any ideas, I would love to hear them.
>Thanks,
>Jodi
>

ectopic has NOT been ruled out yet -- you still need close follow up

--
M. Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

author of "Your Over-35 Week-by-Week Pregnancy Guide"

**this is for general educational purposes only and does not supplant the need for you to consult with your own physician**
***private e-mails WILL NOT be answered***

Next message: M. Kelly Shanahan, MD, FACOG: "Re: Urgent ? for Doctor re: Ecoli (Please!)"
Previous message: M. Kelly Shanahan, MD, FACOG: "Re: vaginal pain early in pregnancy"
In reply to: Jodi: "Difficult Diagnosis"

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