WOMENS-HEALTH Messages for May, 1997: Re: Signs of Epotic?

Re: Signs of Epotic?

From: R.Daniel (anonymous@obgyn.net)
Thu, 1 May 1997 20:04:51 -0500 (CDT)

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In reply to: anonymous@obgyn.net: "Signs of Epotic?"

At Thu, 1 May 1997, anonymous@obgyn.net wrote: >
>What are the signs of epotic pregnancy and is hyperstimulating dangerous
>on Clomid ???????
>
>Monique
>
>--
>---------------------------------------------------------------------------------
>Michael and Monique Bride <<The Brides for Life>> Kingston ON
>---------------------------------------------------------------------------------
>---------------------------------------------------------------------------------
>---------------------------------------------------------------------------------
>

The signs and symptoms of an ectopic (out of place) pregnancy are those same signs and symptoms of an intrauterine pregnancy plus usually some abdominal pain and/or vaginal bleeding. If these early signs are not heeded or in some cases do not occur,then later in the pregnancy if it ruptures shoulder pain and/or shock can occur. If the early symptoms are brought to the attention of the caregiver, a transvaginal ultrasound can be done. If the fetus is seen in the uterus then things are cool(at least there is 1 intrauterine pregnancy for sure). If no fetus is seen in the uterus, then a quantitative Beta HCG test is done. Beta HCG is the hormone measured in a pregnancy test. In this case we want to know HOw much of it is in the patients blood? If the level is above 2000 mIU/ml and there is no fetus in the uterus, there is an ectopic pregnancy somewhere or a miscarriage has recently occurred. At this point we will repeat the Beta HCG and ultrasound in 48 hours. If the Beta HCG has fallen by 50 % then there has been a miscarriage. If it has not fallen 50%, then there should be an ectopic pregnancy and it should be treated.

Ovarian Hyperstimulation is a totally diferent subject and if it occurs it is dangerous. It rarely happens with Clomid. It can occur much more commonly with pergonal. If you have further questions re: this check with your physician who put you on the clomid.

-- R.Daniel Braun, MD

"Heisenberg might have slept here" Unknown or Indecisve

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