WOMENS-HEALTH Messages for May, 1998: Re: Spotting with high temps post m/c

Re: Spotting with high temps post m/c

From: james Connerth md (anonymous@obgyn.net)
Fri, 8 May 1998 11:02:49 -0500 (CDT)

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In reply to: Chris: "Spotting with high temps post m/c"

At Fri, 8 May 1998, Chris wrote: >
>Thank you very much for your time in posting responses for those of us
>who are so concerned about the mysteries of our bodies and relies on
>health professionals like yourselves to explain our own bodies to us.
>
>My questions: And please forgive my length, but I think it's necessary:
>Two months ago, my first cycle trying to conceive, I had (for the first
>time in my life) brown spotting at 7 dpo, nothing at 8, then at 9 and
>10, then it stopped. I assumed it was implantation bleeding after
>reading your forums here. Several days later I had nausea and felt warm
>with cold chills and had to come home from work just to sleep. That
>night I felt much better, and then next morning my temps dropped below
>cover, and within an hour after taking temps I had severe cramps. I
>took a bath to help with the pain and had what I have called "an
>explosion" of large pieces of tissue in the bathwater -- a very shocking
>image. The next day I went to the doctor, and she diagnosed early m/c
>and sent me for a u/s which showed an empty retroverted uterus except
>for a 1.1 cm round piece of liquid sitting on the cervix. The doctor
>advised no conception for the next month.
>
>I had very little bleeding after the bathtub experience -- maybe 1/2 day
>of extremely light blood.
>
>10 days later I ovulated again, and 8 days later I had brownish blood
>again. This time I assumed I was finishing the m/c (and my OB/GYN
>agreed). I was sent back for a u/s which still showed an empty uterus
>except for the same 1.1 cm liquid piece, which was then diagnosed as a
>Nabothian cyst. But the u/s showed copious extra-uterine liquid with my
>right fallopian tube "floating" in the liquid. I was sent for a blood
>HCG to rule out ectopic pg. It was negative (as expected, since I had
>been using contraception). I was diagnosed with a ruptured cyst.
>
>4 days later I had a full period which should have cleared out any
>leftover m/c, I thought. I was sent back for a final u/s to see that
>all extra-uterine liquid had been reabsorbed, and it essentially had
>been. At that time a 17 mm follicle was noted on my left ovary. I
>ovulated the next day, at day 12.
>
>Now I am 9 dpo and I have brown spotting again, the third month in a
>row. It's only on the tissue when I go to the bathroom -- never enough
>to show up on my underwear. I'm afraid to think it's implantation again
>because it could have the same result as last time. My temperature has
>been 37 C (98.6 F) for the last three days. (My cover is 36.6 (97.9
>appx?).
>
>FINALLY, my questions: 1) Is it possible for my gynecologist to have
>made a definite diagnosis of early m/c just by my charts, my history,
>and a physical exam, with no pregnancy test?No--not a definitive Dx.
>2) Is my body now making a pattern of this 9 dpo bleeding, and if so,
>will it affect my success of implantation? If it's not implantation
>bleeding, should I request a progesterone test, despite my high temps?Yes-around 8 days PO.
>
>Thank you so, so much. I'm becoming quite concerned.
>Premens.staining may be sign of endometriosis.
>
>--
>Sincerely,
>Chris
>

--
j.connerth md

Next message: james Connerth md: "Re: ELEVATED PROLACTIN AND MISSED PERIODS!"
Previous message: deb: "ELEVATED PROLACTIN AND MISSED PERIODS!"
In reply to: Chris: "Spotting with high temps post m/c"

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