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Re: A bit confused by responses - would someone clarify pleaseFrom: Jane (anonymous@obgyn.net)Tue, 22 Aug 2000 12:12:32 -0500 (CDT)
At Tue, 22 Aug 2000, Jane wrote: > >Thanks you J Wang and D Ashley Hill for your answers. > >I'm afraid I am a little confused after reading both your replies. Are >you saying that I don't have the type of pregnancy ie molar, which can >go up again once negative, or that ectopics can too, but rarely do. Can >the cancer situation apply to ectopics aswell as in molars? > >No-one at my hospital has suggested doing any blood tests after I get to >zero; is this something I should insist upon, and how regularly should I >have them done (ie the norm in the US?) > >Thank you. > >Jane > >At Mon, 21 Aug 2000, D. Ashley Hill, MD wrote: >> >>At Mon, 21 Aug 2000, Jane wrote: >> >>>The good news is that after a HCG reading of 268 on Day 7 after the >>>methotrexate, I've just got my results from Day 11 and it's down to 31. >> >>This is very reassuring. >> >>>What I'd like to know (and this came from a consultant who didn't want >>>to give me Methotrexate) is it true that once the HCG comes down to >>>below 10, or even zero, it can sometimes start to go up again >> >>This is possible, but thankfully uncommon. This situation is why we >>measure HCG levels every week until zero, then monthly for 6-12 months >>(depending on the clinical situation). The worst-case scenario is that >>the HCG climbs but is not being monitored appropriately (which, of >>course, would not be the case with you). In those cases, the abnormal >>placental tissue can actually become cancerous, requiring advanced >>chemotherapy and, at the extreme, hysterectomy. So, it's very important >>to keep your doctor's appointments over the next year, and obtain HCG >>levels as suggested by your doctor. Even if your HCG levels begin to >>climb again, the abnormal placental tissue can be quickly treated with a >>D&C or further chemo. Again, it's a fairly uncommon situation, so the >>odds are certainly in your favor. Good luck with everything. >> >>-- >>David Ashley Hill, MD >>Associate Director >>Department of Obstetrics and Gynecology >>Florida Hospital Family Practice Residency >>http://home.cfl.rr.com/dahmd >> >>My apologies, but due to time constraints I am unable to answer private e-mails. >>
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