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Re: 5 wks LMP & spotting - no sac visible, Hcg levels sufficient
From: j wang, M.D. (anonymous@obgyn.net)
Mon, 27 Nov 2000 17:31:34 -0600 (CST)
You are not a t high risk for an ectopic, but that's still a possibility
given your history. Another HCG should be checked in a couple of days.
That result will give an idea of what's happening. It is possible that
you did miscarry, and the HCG levels are on their way down.
At Mon, 27 Nov 2000, Jill wrote:
>
>I have been spotting very lightly since approx. 4 weeks, 3 days LMP.
>Spotting has generally been very light and brown, but was red and very
>light twice. These two times, I also saw a small blob of what looked
>like tissue and blood (maybe pea-sized) in the toilet. Spotting seems
>to be related to activity level. Also, VERY SLIGHT cramping on one side
>for two VERY short time periods early last week. At 5 weeks, 1 day
>since LMP, I had a transvaginal ultrasound and blood test. No sac was
>visible, and my HCG level that day was 4780. I have had two normal
>pregnancies prior to this. I am concerned about an ectopic pregnancy,
>but isn't this unlikely given my history of normal pregnancies and no
>infections or other physiological problems? What are the likely causes
>and outcomes for this set of facts?
--
James Wang, M.D
Assitant Clinical Prof.
Tufts University School of Medicine
**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.
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