PREGNANCY-BIRTH Messages for July, 1999: Re: Pregnant again after 3 miscarriages and 2 etopics

Re: Pregnant again after 3 miscarriages and 2 etopics

From: Mars (anonymous@obgyn.net)
Tue, 27 Jul 1999 09:38:03 -0500 (CDT)

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Hi Alana,

I am thinking positive for you! I hope all goes well and you find that its not ectopic. As far as u/s not showing sign of pregnancy, well I've read quite a few suprising stories about u/s on boards like this! QUITE a few, where no baby is found, then one is found at last minute, or with two different u/s machines and pressure on the abdomen and cervix to find it (the most surpising story so far that I've heard), so many different, sad, stories that I'll tell you what, if I ever have an early U/S and they didn't see a baby, I'd not believe it until I actually started miscarriage!! Similarly, I'm not sure I would count on things being ectopic necessarily, though with your history of having two it would cause some concern. Yet again, I wonder how far along you can go with ectopic and not have pain symptoms? It would seem to me that you would feel something by now. The tubes just aren't that big! I would not go and schedule a D&C for the next morning type thing that I hear some people have done. BUT, that's me personally, everyone has to make their own decisions on what's best for their body and their pregnancy. Its good that the HCG levels are rising!

As far as your chances should you have to have the one tube removed, it all depends on several factors. First, some questions.... like how long does it take for you to get pregnant in the first place? If your other tube is normal, then it should take roughly twice as long because you ordinarilly would ovulate from each ovary every other month. If it takes you two cycles to get pregnant, then count on four after the removal of the tube. I am wondering, however, if you have had a Hystersalpingiogram (hope I spelled that right), its the proceedure where dye is injected through the cervix and your uterus is observed under an x-ray machine to see the dye go through the uterus and through the fallopian tubes. This tells you if your tubes are both clear and not blocked. In some cases, tubes are partially blocked and sometimes the dye can be "forced" through and clear out a minor blockage. My proceedure showed things were good on all accounts, and it was moderately uncomfortable. I've heard with blocked tubes, however, it can be painful (briefly), and if the dr uses an older style cervix clamp its painful (mine used an inflatable soft balloon type device to hold the dye tube in place and I felt mild pressure from the balloon and menstrual cramps from the dye during the proceedure). This proceedure also can show a defect in the shape of the uterus (such as bicornate or fibroids). IF IT WERE ME in your situation, and I've not had a Hystersalpingiogram, before I let them remove my tube, I'd have this done to make sure the other tube was good!! If its not good, or you don't want to have the hystersalpingiogram and you don't have another non-ectopic pregnancy if this one doesn't succeed, then you can also opt for IVF. With IVF, the whole tube issue is not a factor because eggs are taken right from the ovary and placed into a dish to be fertilized with your husband/partner's sperm and then the embryo is placed into your uterus directly. Doesn't have to get caught up in the tube! Unfortunately, its expensive, and your insurance may not cover it. And its most successful when done with women who are under 35. So you have time!! :-) Do you have a history of fibroids? Have you had a laparoscopy? GOOD LUCK and let us know how things work out!

-- Marshella (30, edd #1 2/10/00 after 5.5 yrs infertility)

At Mon, 26 Jul 1999, Alana wrote: > >On July 12, 1999, I found out that I was pregnant for the 6th time (I >have no children). Since July 19th, I have been back and forth to the >hospital taking Quant. HCG's to make sure that my levels are rising. On >the 19th my HCG was 184.18, then it went up to levels 531.98, 618.68, >854.28, 1462.54, and today (July 26th) it is 3303. I know that rising >levels show a good sign, but my ultrasound didn't show any sign of >pregnancy. I've had two so far (July 19 & 26). The Dr. said that he >will do a repeat u/s on the 28th, if there is still no sign, it could be >another etopic. If there is another etopic, I will have to have my tube >removed, especially if it is on the left side like my last two etopics. >What are my chances with one tube for having a normal pregnancy before I >turn 35 in four years? Do you think that there is a possbility that I >could have a normal pregnancy ever? I need some positive response and >hope for the future. Thank you

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In reply to: Alana: "Pregnant again after 3 miscarriages and 2 etopics"

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