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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had An Ectopic Pregnancy, Had A Missed Abortion, Had Chicken Pox. On Siphene. Pregnancy Test?

Hi Doctor, My height is 5 feet 6 inches, weight 61kgs. Medical history : LMP: 01-04-2013. Married for 4 years, 1) had an ectopic pregnancy in May 2011 and left tube was removed. 2) Had a missed abortion in dec 2011 in 6 weeks.3) had tested positive in sep 2012 which reulted in periods in 2 days after testing positive subsequently i had chicken pox which dr. termed it as chemical abortion. this month ie april 2013, my dr advised for siphene 50mg from day 2 to dat 5 and i was advised for follicular study. Day 17, the follicle ruptured. i was then advised for Duphaston 10mg twice daily.today i took the pregnancy urine test and found negative. My question is 1) Is it too early for a pregnancy test ?2) since my ovulation happnend on 17th day, should i get the results now? 3) if this theraphy doesnt work, what is the alternate theraphy. thanks for your help.
Mon, 6 May 2013
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OBGYN 's  Response
Hello ramya
Thanks for your query.
Firstly you need investigations to know the cause of two abortions.
Rule out genetic ( chromosomal ) causes, abnormalities in size and shape of the uterus or cervix, intrauterine infections, autoimmune disorders and hormonal imbalances.
After this evaluation only you should plan a pregnancy.
Meanwhile, a pregnancy test is positive 2 weeks after ovulation.
However to be on the safer side, add 3-4 day more and then go for it.
If this therapy doesnt work, please go for evaluation of your fallopian tube patency ( as you had previous ectopic ) by laparoscopy.
The further steps would be indicated by the findings of the laparoscopy.
Take care.
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Had An Ectopic Pregnancy, Had A Missed Abortion, Had Chicken Pox. On Siphene. Pregnancy Test?

Hello ramya Thanks for your query. Firstly you need investigations to know the cause of two abortions. Rule out genetic ( chromosomal ) causes, abnormalities in size and shape of the uterus or cervix, intrauterine infections, autoimmune disorders and hormonal imbalances. After this evaluation only you should plan a pregnancy. Meanwhile, a pregnancy test is positive 2 weeks after ovulation. However to be on the safer side, add 3-4 day more and then go for it. If this therapy doesnt work, please go for evaluation of your fallopian tube patency ( as you had previous ectopic ) by laparoscopy. The further steps would be indicated by the findings of the laparoscopy. Take care.