WOMENS-HEALTH Messages for September, 1997: Re: Cervical Polyp-miscarriage-blood clots(medical opinion or similiar experiences?)

Re: Cervical Polyp-miscarriage-blood clots(medical opinion or similiar experiences?)

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 23 Sep 1997 16:38:31 -0500 (CDT)

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At Tue, 23 Sep 1997, Kelly wrote: >
>Hello.
>In April of this year I had a miscarriage at 13 weeks. I had gotten
>very sick one night and then my water broke(didn't know what it was at
>the time). I went to my dr. and she admitted me to the hospital. I
>ended up having to stay for 2 weeks. I was told that I had developed
>blood clots in my pelvic region(pelvic thrombophlebits?). The blood
>clots then moved to my lungs, which is when I was moved to intensive
>care. They finally figured out I had blood clots and was put on Heparin
>and finally I started getting better. I obviously lost my baby during
>all of this. My question was, at first my doctors told me that I would
>probably never know what caused my infection. I have subsequently gone
>to my doctor(after being taken off Coumaden after 3 months) and we went
>over all my test(many)- from the hospital. He also ran some immune
>tests(for blood clotting problems-negative). Then, he saw that I had a
>cervical polyp during my pregnancy(he wasn't the dr. that diagnosed the
>polyp). When I went in at 10 1/2weeks, one of my dr.'s said that the
>reason I had bleeding was because of this polyp and that I didn't have
>anything to worry about- I wasn't going to have a miscarriage. Well, my
>other doctor thinks that possibly the polyp caused the infection to
>begin with and I was wondering anyone's thoughts on this. And also,
>will this affect my future pregnancies or concieving? I appreciate your
>help. Sorry this was so long. Kelly

Keely, I'm so sorry for your terrible loss. To be sick with a blood clot must have made the situation even worse.

Although nothing in this world is 100%, I would consider the polyp a possible but very rare (and I mean *very* rare) and unusual possibility for all your problems. Pelvic thrombophlebitis is a very unusual complication (I know it doesn't help to hear that, but it's true). Without a source for infection (septic thrombophlebitis) and without a positive finding on the LAC (lupus anticoagulant) or ACA (anti-cardiolipin antibody), I think the cause will probably be unknown.

This should not affect conceiving but care should be taken due to prior thrombophlebitis because there is a greater chance of recurrence than an initial case.

Some people might treat patients preventatively with low dose heparin. Have your history and file reviewed by a MFM (maternal fetal medicine) specialist to determine if other tests are necessary and if any prophylactic (preventative) treatment will be to your benefit.

--
Harvey S. Marchbein, M.D. FACOG, FACS
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

*Note:  Opinions expressed here are for educational purpose only.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.
**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: pain in ovaries during period"
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In reply to: Kelly: "Cervical Polyp-miscarriage-blood clots(medical opinion or similiar experiences?)"
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