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Re: + preg test after ectopic surgeryFrom: J.Glenn Bradley MD (anonymous@obgyn.net)Sat, 19 Sep 1998 14:28:28 -0500 (CDT)
At Sat, 19 Sep 1998, Denise wrote: > >one week ago, I had to have emer. surg. for a ruptured tubal preg. I >am confused , tonite I took a home pg test, and it came back positive >!!! I know that I'm having my blood tested weekly (HCG test). I am >confused, am I pg or not ? I would ask my gyn but, I have Kaiser, and >did not get any info from them unless I asked, and even then I got 2 or >more different answers from as many Dr's. >all I really want to know, is , Is this normal after having a tubal preg >so soon? >thank you, >Denise Kent Denise: It can take some time for the HCG to return to zero after an ectopic. The key however is not that the HCG is positive but rather what precise level is present,and on subsequent tests are the values falling??? If the value does not continuously drop, it means that there is still viable "pregnancy tissue" present somewhere!! Serial quantitative HCG measurements are especially important if the ectopic preganacy was treated by linear salpingostomy ( ie.was the unruptured tube opened and the ectopic tissue removed) or was the tube just removed??.In the former,if any viable ectopic tissue was left behind,it could continue to grow and cause a tubal rupture weeks later. A rising or persistent HCG level would suggest this possibility. Molar pregnancies are very different problems as some can become cancerous, and thus a negative HCG needs to be observed for a much longer time. Dr.B Dr
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