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Re: PREGNANCY: Original M/C or new M/C, (or menses?)?
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 22 Jun 2008 09:26:06 -0500 (CDT)
ANNWPMom
Here is the long and short of it. You have been having a very slow
miscarriage. With your levels as low as they were, not much fetal
tissue to 'float'. I would follow blood hcg levels until they get to
zero...Dr. von Almen
At Sun, 22 Jun 2008, ANNWPMom wrote:
>
>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;
--
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 emails cannot be entertained due to time
constraints; consequently, they will receive no response.
William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.
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