Re: ply from Dr Lynn re Hormone levels and previous ectopic
From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 13 Sep 2000 17:01:07 -0500 (CDT)
At Wed, 13 Sep 2000, Jane wrote:
>
>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
**Certainly
>
>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 ;-)
>>
--
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 ;-)
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