|
Re: reply from Dr Lynn re Hormone levels and previous ectopic
From: Jane (anonymous@obgyn.net)
Wed, 13 Sep 2000 11:04:05 -0500 (CDT)
Thanks, Dr Montgomery
Can I re ask those questions if my HCG serum results come back positive
please? I'm going to the doctor tomorrow - and no, there is absolutely
NO possibility of a new pregnancy - sex hasn't appealed to me since all
this happened and I think I may be a little depressed over it all!!!
Could I mark the message for your attn if I need some answers after
tomorrow please?
Jane
At Wed, 13 Sep 2000, Lynn D. Montgomery, MD wrote:
>
>At Wed, 13 Sep 2000, Jane wrote:
>>
>>I had methotrexate for an ectopic pregancy on 10th August this year. My
>>hormone level only ever got to 556 and had actually started to drop of
>>its own accord prior to the methotrexate.
>>
>>My levels dropped very quickly, returning to zero within 3 weeks and any
>>pregnancy symptoms I'd had disappeared (ie sore breasts stopped).
>>
>>However, a 10 days later my breasts became a little more sore again and
>>have got more sore over the past week. I thought I ovulated last
>>Thursday (usual signs - pain, mucus and ovulation test was positive). I
>>did this because I was worried it my be the ectopic coming back.
>>
>>Today I did a pregancy test (and there's NO possibility of a new
>>pregnancy) and it was ever so slightly faintly positive (but only after
>>10 minutes) It was a Clear Blue test. It was so faint that I wonder if
>>I am imagining it.
>>
>>Questions:
>>What do I do if this is coming back, albeit ever so slowly?
>>Is there a chance it will die off again of its own accord?
>>Do I need methotrexate again and if so is there an HCG level at which
>>they'll step in?
>>I'm assuming that because of the methotrexate that the pregnancy is not
>>necessarily in the same place as it was and if it's not in the tube,
>>could it be anywhere more dangerous?
>>What happens if the methotrexate, if they give it again, doesn't work?
>>
>>I'm starting to feel very sick and scared about all of this. I thought
>>my nightmare summer was over!
>>
>>Please answer if you can
>>Thanks
>
>Jane,
>I would not just to conclusions yet. You need to contact your physcian
>for another serum HCG. If it is indeed rising again and there is no
>chance of another pregnancy, they will likely consider repeating a
>methotrexate dose. Frankly, it would be somewhat unlikely for the value
>to go to zero, then rise again without another gestation...
>Lynn
>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>
>**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.
>
>**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.
>
>**Thank you for your understanding ;-)
>
|
|
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)