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Re: follow up question for dr please

From: samir fouad Aziz MD (anonymous@obgyn.net)
Mon, 12 May 2003 23:16:25 -0500 (CDT)


At Mon, 12 May 2003, anonymous@obgyn.net wrote: >
>Thank you dr Aziz,
>I did have three beta hcg's drawn throughout week 4 at 48 hours apart
>and they more than doubled each time.
>Does this make blighted ovum less likely? or is it irrelevant?
>thank you once again
>

the term blight ovum is somewhat incorrect, what happens is that the cells which will make the baby do not grow but the cells which make the after birth are still growing, from these cells human chorionic gonadotrophin is secreted,so levels of this hormone is not indicator of healthy baby >At Mon, 12 May 2003, samir fouad Aziz MD wrote:
>>
>>At Mon, 12 May 2003, anonymous@obgyn.net wrote:
>>>
>>>Hello,
>>>I am 6.5 weeks pregnant with our second baby. I had beta hcg's and
>>>progesterone levels taken throughout week 4 as I conceived on the
>>>progesterone pill and they ? an ectopic. They were great results, and
>>>as a result the dr only wants to see me next week at 7 weeks 5 days
>>>(last menstrual period) for an u/s to see the heart beat.
>>>
>>>I am having sore breasts and some nausea, and also bowel problems which
>>>I had with my prevous baby. But today I also have a little aching in
>>>the bottom of my back.
>>>
>>>Is this likely to be because of the bowel problems? or is it more likely
>>>to be a miscarriage waiting to happen?
>>>
>>>I would appreciate any help.
>>>
>>>Also if betas/ progesterone are great at week four, does it indictae
>>>that a miscarriage isn't about to happen anytime soon??
>>>
>>>And lastly, do beta's/ progesterone double appropriately at 4+ weeks
>>>last mentstrual period if it is a blighted ovum?
>>>
>>>Thank you
>>
>>back pain sometimes caused by softening of the ligament and usually
>>relieved when you sit properly and it is not indication of
>>miscarriage.for btas/progesterone to be reliable monitor for pregnancy
>>repeated measures are required not just one,usually B-HCG double every
>>48hours below 1200 and every 72hours till 6000 then every 4 days.Ectopic
>>is predicted if the rise is less than 60%of previous result
>>
>>--
>>SAmir Fouad Aziz MD
>>Assist Professor OB.Gyn
>>Director Gyn.oncology
>>Al-Azhar University-Egypt
>>Editorial advisor OBgyn.net(P&B,Gyn.Oncology)
>>Editor-in-chief http://www.arabicobgyn.net
>>Consultant Editor the contemporary Who's Who
>>This is for teaching purposes only
>>

--
SAmir Fouad Aziz MD
Assist Professor OB.Gyn
Director Gyn.oncology
Al-Azhar University-Egypt
Editorial advisor OBgyn.net(P&B,Gyn.Oncology)
Editor-in-chief http://www.arabicobgyn.net
Consultant Editor the contemporary Who's Who
This is for teaching purposes only



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