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GYNECOLOGIC: Amenorrhea following D&CFrom: Amy (anonymous@obgyn.net)Mon, 6 Oct 2008 11:10:45 -0500 (CDT)
I am 27 years old with one child. My husband (same father) and I have been trying to conceive for one year (had Mirena removed exactly one year ago this month). Since then I have had 4 chemical pregnancies and one missed miscarriage (slow heartbeat detected at 6 weeks, empty sac at 8 weeks). D&C performed at 9 weeks (June 10) after cytotec failed to induce miscarriage. Accidentally kleihauer betke was performed prior to D&C (not sure why this was done as I am Rh positive) but result was 0.9% Since D&C, have not had any bleeding (now going on 4 months) although I have felt I am ovulating and am having menstrual cramping for 2 days each month. Because of this, my physician ordered hormone testing, which I had done approx 5 days after ovulation results are: Progesterone : 5.7 LH: 8.6 FSH: 5.8 Prolactin: 9.9 HCG: <1 KB: 0.9% (re-drawn strictly for curiosity) Antibody screen: negative Thrombophilia panel appears normal (not all tests have been completed) HSG done in April (prior to D&C) normal. Just hoping someone can give me another opinion on what would be the next step of testing at this point specifically regarding the amenorrhea? Progesterone withdrawl? Estrogen/progesterone challenge? Any any ideas on why I would have an elevated KB??? Thank you!
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