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PREGNANCY: Original M/C or new M/C, (or menses?)?From: ANNWPMom (anonymous@obgyn.net)Sun, 22 Jun 2008 00:38:09 -0500 (CDT)
G6(or 7?)P2M4(or5?). On 5/7/08, at 6 wks pg, I start bleeding. Go in for blood testing. Results: beta at 212, progesterone low. Start progesterone supplements. Beta monitored and going up, but not as much as one would hope. At 7 wks pg, have u/s done in office that suggests no embryonic sac; beta is now 500. Instructed to stop progesterone since no embryonic sac present. 2 days later, I pass some material that is pinkish grey and small white cord-like pieces. Continue to bleed for a few more days; then bleeding tappers off to spotting. Give material to OB when she returns from vacation (~4 days after collection). She puts it in cup of tap water and tells me it can't be fetal tissue b/c it doesn't float; then pours it down drain. Blood draw at 8 wks pg: betat9; bleeding now stopped (~2 wks of bleeding). Sent to hospital for high resolution u/s which reveals that, except for a small "clot" right above my cervix (spot on monitor appears to be about 1/2 the width of top of cervix upon which it is resting), there are no products of conception and nothing that appears to be a fibroid or ectopic pg. Couple of days later, assuming no longer pg and not yet capable of becoming pg again and thinking that some intercourse might help dislodge the "blood clot" shown on the u/s, my dh and I have sex. Next 2 days, have a little brown spotting, but nothing major. Then no more bleeding or spotting. 2.5 wks after hospital u/s (at what would've been 11 wks pg), conduct a hpt which is positive, then go in for beta (&0). Next day, start having symptoms of vaginitis--itching, cottage-cheese like discharge, no odor. Symptoms continue for 5 days, but show improvement. Then start bleeding again just as symptoms resolving (6/15). Take another hpt (at what would have been 12 wks pg) which is negative, but go in the next day for beta draw since I am bleeding again; beta“. Still bleeding and just today passed some material that appears to be a very dark-red fibrous glob with a thick white cord-like appendage hanging from it (also appears to have 3 black sand-like granules just at the top of the white "cord" where it attaches to the dark-red glob). The entire mass is about 2" long by 3/4" wide at it's widest point. The white "cord" is about 1/4" wide. The end of the "cord" which is dangling away from the dark red mass appears to be broken. My questions: 1) Is this pregnancy material (it appears to be placenta tissue and umbilical cord, but they do not float in water)? [Or in other words, does pregnancy tissue really float in water?] 2) Is it possible that today I passed the "clot" that was on the hospital monitor ("clot" on monitor seemed quite small in relation to what I passed today)? Or could it be from pg that resulted from sex my dh and I had after u/s (beta 4 days before u/s and 6 days before sex was 749; sex event in question was now 4 wks ago)? Or could it be my cycles restarting (can you menstruate while having elevated beta?)? 3) If it is "clot" that was on the u/s, why did my body have no bleeding for 3 wks, then suddenly start bleeding again for another wk before finally expelling it? 4) Is there any test that can be done on the material passed to determine what type of tissue it is and/or to determine what might have caused the miscarriage? Please help. My OB seems very confused and has not been able to advise me or give me any information for almost a week. Any information you could provide would be greatly appreciated. Thanks, ANNWPMom
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