WOMENS-HEALTH Messages for August, 2000: Re: A bit confused by responses

Re: A bit confused by responses - would someone clarify please

From: Jane (anonymous@obgyn.net)
Tue, 22 Aug 2000 12:12:32 -0500 (CDT)

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Reply: Jane: "Re: A bit confused by responses from doctors - would a doctor please clarify"

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.
>>

Next message: Peggy: "Re: Ovarian Remnant after Hysterectomy?(Dr. McIntosh)"
Previous message: Emme: "Dr advice needed on Elavil effects IGNORE PREVIOUS POSTS."
In reply to: Jane: "Re: Methotrexate and what happens next"
Next in thread: Jane: "Re: A bit confused by responses from doctors - would a doctor please clarify"
Reply: Jane: "Re: A bit confused by responses from doctors - would a doctor please clarify"

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