Re: Positive Pregnancy Test, No Embryo Sac Found?

From: art fougner, md (evsono@pipeline.com)
Sat Jul 14 10:28:42 2001


don't wish to seem like a spoilsport or stifle enquiries but this list is for professionals only. questions such as this should properly be directed to the women's health forum.

thank you

art

At Sat, 14 Jul 2001, Gunjan Puri wrote: >
>Hi Billie,
>
>1) What was the diameter of the gestational sac on sonography
>2) Was a yolk sac seen on sonography ?
>3) What was the character of gestational sac, irregular or regular ?
>A differnetial diagnosis could be embryonic demise or blighted ovum.
>
>THis site is for ultrasound specialists discussion, if I am not mistaken.
>

>>>----- Original Message -----
>From: "Billie" <noelani@aloha.net>
>To: "Multiple recipients of list ULTRASOUND"
><ultrasound@mail.medispecialty.com>
>Sent: 14 July, 2001 9:58 AM
>Subject: Positive Pregnancy Test, No Embryo Sac Found?
>
>> I'm a little confused and concerned re: pregnancy. I would appreciate
>> any assistance and or advice from anyone. thank you.
>>
>> my concern:
>>
>> The first day of my last period was on May 6, 2001. I spotted a little
>> on June 6, the day I was expecting my period. There was no period, but
>> a 3 days of very light spotting (brownish in color). I am assuming it
>> was when implantation occured? I then followed up with a pregnancy test
>> every two weeks, the first two were negative. The third in late June
>> was positive. I went to a women's health center to have pregnancy
>> confirmed, to my surprise they told me I was 8 weeks pregnant (using the
>> first day of my last period). Three days ago (July 11). I started
>> spotting, very lite spotting. I was not concerned because when I had my
>> child prior I spotted for a day, so I thought it to be normal. That
>> evening, needless to say, intimacies were shared between my partner and
>> I, and bright red blood gushed scared us after our love making.
>> What's weird, though, is that once I stood up to shower, the bleeding
>> stopped, and spotting ceased as well. I got up the next morning, to be
>> greeted by lite brown spotting again, and intermiting red spotting as
>> well. Today, I went in for an appointment. My doctor did another
>> pregnancy test again (positive), and performed an ultrasound on me, my
>> first for this pregnancy. He did not see, nor could he find any
>> evidence of an embryo growing in my uterus...being that I was 10 weeks
>> pregnant. He was dumbfounded, and sent me to have blood work done. One
>> today and will take another on sunday. He suspects an ectopic
>> pregnancy, but I have doubts, for I lack most of the symptoms that comes
>> with an eptopic pregnancy. The bleeding is still intermitent and there
>> is some tenderness within my ab and pelvic area, but no sharp pain..
>>
>> I am a little confused and very concerned. Could I have had a
>> spontaneous abortion (miscarry)? or perhaps would it be too early to see
>> anything on ultrasound ( i would think not)...
>>
>> one more thing to take into consideration -> this 2001 year has been one
>> of constant irregularity with my periods...
>>
>> and........a question-> if my partner and i engaged in sexual
>> intercourse prior to the ultra sound, would that effect the reading of
>> my pregnancy in anyway?
>>
>> Thank you!

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.




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