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Suggest Tests To Determine Successful Abortion

Posted on Mon, 21 Apr 2014

Question: i, m 33 n mother of 2 kids (9yrs old son n 6 yrs old dughtr) I hd my last periods on 24th XXXXXXX then no periods till 4th march ..then I test fr pregnancy n it shw very very veryyy light grey line then on 6th march I hd m kit fr abortion. I start bleed after 2 days but only fr overnght which was dark red or brown on color... then after 7-8 days .hd spotting ..then I just recheck fr pregnancy is removed or nt coz of little amt of bleeding, it again shw light grey line then I go fr lab test which shwed positive n then I went fr ultrasound on 22 march.. it shwed nthng at all in my uterus.. my doc was 200% sure fr no pregnsncy but still suggest fr blood test coz of my doubt.. it showed 115 beta hcg... which srewed me..coz my doc suspect fr ectopic pregnancy... she gave me shot of methotrexate 50 mg as injection on my right buttock n warn me fr bleed or severe pain but nthng hd happen again... n ask fr blood test again after 2 days which shws 121 beta hcg then she suggest to go fr laproscopy as soon as possible but I took time n felt to take second advice, nw another gysnae test fr pregnancy in a kit n it shwed nthng n then she took beta hcg test again n said.. that there was nthng at all.. nw m waiting fr blood report. Nw my question is.. is it possible that ectopic was never there? Then why reports were so?

Answered by Dr. Aarti Abraham (15 minutes later)

Brief Answer: PLEASE UPLOAD REPORTS. Detailed Answer: Hello Thanks for writing to us with your health concern. Please upload the datewise ultrasound scans and the datewise B HCG reports. That will enable me to provide you with a better diagnosis. All the best Looking forward to hearing from you soon. Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (6 hours later)

Gd evening dr. I uploaded all the reports including the latest blood report... plz respond me as soon as possible.. m in a trauma kind of situation Thnx

Answered by Dr. Aarti Abraham (26 minutes later)

Brief Answer: REPORTS NOT CLEAR. Detailed Answer: Good evening XXXXXXX I will try and be as prompt as possible. I understand your anxiety and apprehension. Unfortunately, all the reports uploaded by you are blurred. Either the camera shook while taking the pictures or there is some issue. Can you please upload them in a better manner, so I can read the fine print and the figures ? Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (16 hours later)

Good afternoon.. m sorry for ths... hereby I sent you tge clear ones ..plz tell me the further step or suggestion... Waiting fr ur kind support n response.

Answered by Dr. Aarti Abraham (36 minutes later)

Brief Answer: EXPLAINED BELOW Detailed Answer: I have gone through the reports. Firstly, the ultrasound you had earlier was abdominal scan. Such scans are NEVER clear or reliable. Based on an abdominal ultrasound, it was wrong to provide you with Methotrexate. Yes it is entirely possible that there was no ectopic pregnancy. YOu had a medical abortion, following which it takes time for B HCG values to normalize. The strip test might be positive for even a month, it is not to be used to determine if the abortion was complete. ONly ultrasound will tell that. The uterine cavity was empty in the first scan. As evidenced by serial B HCG measurements, the values are falling , so dont worry. To clear the confusion of the ectopic pregnancy once and for all, I urge you to get a pelvic ultrasound scan done in expert hands. The second doctor has mentioned on paper that the scan is normal, but I cannot see the report of the second scan. Either send it across or repeat the scan, thereby your confusion will be over. I can see no need for a laparoscopy in any case.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar