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Doctor insights on: History Of Ectopic

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My history-1 ectopic 8years ago. 5w pregnant now. Hcg low and slowly rising (43 and 68 two days later. Low progesterone (4.1) bleeding. Viable?

My history-1 ectopic 8years ago. 5w pregnant now. Hcg low and slowly rising (43 and 68 two days later. Low progesterone (4.1) bleeding. Viable?

What did you doc say: Does not look good with that low of Progesterone and u are bleeding, the beta did go up 66% in 2 days but I am sure your doc is having u do another beta and prog. I check my pts every 3 days as it is supposed to double every 3 days but with your history and that prog u are at high risk for another ectopic or misc, u need close followup by your doc as prog less than 5 is suspicious for ectopic. ...Read more

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I have a history of ectopic, second trimester loss, and miscarriage what steps I should take? What questions to ask my obgyn

I have a history of ectopic, second trimester loss, and miscarriage what steps I should take? What questions to ask my obgyn

Difficult one!: These pregnancies may have different causes. Second trimester losses are rare, thankfully, however ectopic pregnancies are fairly common. It would be interesting to find out what the causes for these losses are. Your doctor must understand that these are different issues and will not have a one size fits all approach. ...Read more

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I am 10 days past period. Nausea cramping and fatigue but neg preg test. History of ectopic and low hcg...can I be preg?

I am 10 days past period. Nausea cramping and fatigue but neg preg test. History of ectopic and low hcg...can I be preg?

Repeat pregnancy tes: Repeat the pregnancy test in 1 week from last test to help detect pregnancy. If its persistantly negative, your odds of pregnancy are very low

Best wishes
Dr M ...Read more

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Can this be an ectopic pregnancy: missed period (8 days in), dull pain in left lower abdomino, negative pregnancy test, history of ectopic pregnancy?

Can this be an ectopic pregnancy: missed period (8 days in), dull pain in left lower abdomino, negative pregnancy test, history of ectopic pregnancy?

Unlikely: It is unlikely an ectopic pregnancy, but there are other things that can give you this type of pain, including acure appendicitis (although that is usually right and center). You need to be checked, though, sooner than later. ...Read more

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Missed period, lower abdominal pain, with history of ectopic pregnancy but multiple negative tests after 2 weeks late. Could it be ectopic?

Missed period, lower abdominal pain, with history of ectopic pregnancy but multiple negative tests after 2 weeks late. Could it be ectopic?

See answer: Even with an ectopic pregnancy, your test would/should be showing signs of pregnancy. However, if your pain persists, you need to let your dr. Know so other causes can be sought and then the proper diagnosis and treatment will hopefully follow, best wishes. ...Read more

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Two months late for period history of ectopic and molar pregnancy, home test negative doctor said uterus wasn't enlarged 3 weeks ago. What's going on?

Two months late for period history of ectopic and molar pregnancy, home test negative doctor said uterus wasn't enlarged 3 weeks ago. What's going on?

Many things possible: There are many causes of late periods including ovarian cysts, hormone imbalances, thyroid disease, pcos etc. If you miss a period for 3 months or late periods are common then it's best to see a doctor for evaluation. I would suggest you see an obgyn or a reproductive endocrinologist. ...Read more

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HCG was 155 in 2 days jumped to 462. If HCG is still rising normally is an ectopic still possible? Past history of 1 ectopic 4 miscarriages.

HCG was 155 in 2 days jumped to 462. If HCG is still rising normally is an ectopic still possible? Past history of 1 ectopic 4 miscarriages.

Yes: Because of your previous history of ectopic pregnancy, you have a higher risk for a repeat ectopic. The increased HCG is encouraging for a intrauterine pregnancy, but you are not out of the woods for ectopic pregnancy unless and until a gestational sac is seen inside the uterus by ultrasound. ...Read more

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If I have a history of tubal ectopic pregnancy, will this enhance future incidences?

Yes: Ectopic pregnancies usually occur at a site of tubal damage or narrowing, the pregnancy gets "stuck" in the tube and doesn't make it to the uterus. The ectopic itself causes further damage and scar tissue. Once an ectopic has occurred, the risk of another ectopic increases. However, it is common for a normal pregnancy to occur after an ectopic. ...Read more

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1 week after having sex may be I have morning sickness can it be ectopic pregnancy? As I have previous history of two ectopic.

Hard to say: From the info provided. Not sure where you were in your cycle when you had sex. However, with your history I would suggest you see your doctor for evaluation and testing. Many recommend waiting 2 weeks for testing but many tests can detect a positive pregnancy ealier. ...Read more

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Progesterone went from 14 to 10 in a week. I'm 5 weeks pregnant. My doc says it's ok but should I be concerned? I have history of M/c and ectopic

Progesterone went from 14 to 10 in a week. I'm 5 weeks pregnant. My doc says it's ok but should I be concerned? I have history of M/c and ectopic

Trust your OB MD: I assume your OB MD is aware of your previous history and is scheduling ultrasound testing to look for intrauterine gestation sacs or ectopic pregnancy. As long as your blood HCG is rising then trusting your OB MD to care for you at this point is tantamount. ...Read more

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5wks preg, with ectopic history. When can I do ultrasound as I am having lower abd pain but no bleeding.

5wks preg, with ectopic history. When can I do ultrasound as I am having lower abd pain but no bleeding.

Any US this preg?: Please see your doctor regarding your abdominal pain asap since it concerns you. Do not wait for bleeding. You could have an ectopic pregnancy.

If no prior ultrasound this pregnancy, then early OB ultrasound should be performed now to look for an intrauterine pregnancy versus ectopic. ...Read more

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Does HSG image abnormality inside of tube, i.e. narrowing, subtle blockage that cannot be imaged by laparoscopy dye injection? Is there need for HSG if laparoscopy says tube is open (ectopic history)

Does HSG image abnormality inside of tube, i.e. narrowing, subtle blockage that cannot be imaged by laparoscopy dye injection? Is there need for HSG if laparoscopy says tube is open (ectopic history)

Open not shut case: If the Fallopian tube was patent (open) at Laparoscopy then the HSG concern is a "shut" case. Actual indigo carmine dye extruding from the tube itself with eyeball visualization is ALWAYS better then X-ray HSG dye study with indirect observations. ...Read more

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Is there an explanation for ectopic pregnancies if there was no history of pid?

Is there an explanation for ectopic pregnancies if there was no history of pid?

Transmigration: The phenomenon occurs when fertilizarion occurs let's say on the left and the embrio drops out if the frimbrial end of the tube and migrates to the right tube. In the meantime the embrio is replicating and may be to big to make it to the uterine cavity. It gets stucked in the tube, ectopic pregnancy. ...Read more

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Lmp11/25, slow rising hCG on jan.4 517 & progesterone 16.7, history of ep, endometriosis, inconvlusive us!? Are my #'s ok? Chances of another ectopic?

Lmp11/25, slow rising hCG on jan.4 517 & progesterone 16.7, history of ep, endometriosis, inconvlusive us!? Are my #'s ok? Chances of another ectopic?

Higher than normal: Your HCG level is low for the timing in pregnancy. You need to be followed closely. Once you have had an ectopic that chance goes up a lot in the future. If your HCG does not rise well you should be treated in some way top make sure things are safe for you. ...Read more

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Was the ectopic my fault because I had a history of chlamydia but doctors won't know why it happened to me I hate myself?

Was the ectopic my fault because I had a history of chlamydia but doctors won't know why it happened to me I hate myself?

Don't blame yourself: Please don't blame yourself for ectopic pregnancy; it was definitely not your fault. There are several potential causes for an ectopic. A history of chlamydia can lead to tubal occlusion, but no one asks to get chlamydia. Without a test to see if your fallopian tubes are occluded, there is no way to even tell if that is the reason for your ectopic. Most common reason is idiopathic - unknown. ...Read more

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What can I do about these symptoms? I am a 44 yr old woman & here is my gynocelogical history: I have had 3 pregnancies in 1 year's time. The 1st one ended in a miscarriage at the end of the 3rd month, the 2nd one, 6 months after the 1st, was an ectopic p

What can I do about these symptoms? I am a 44 yr old woman & here is my gynocelogical history: I have had 3 pregnancies in 1 year's time. The 1st one ended in a miscarriage at the end of the 3rd month, the 2nd one, 6 months after the 1st, was an ectopic p

I: I am sorry that you are going through all of that. That is a wide variety of symptoms. The best advice would be to seek out a low cost or no cost clinic in your area. The best start may be to start at planned parenthood who could evaluate your abnormal periods and discharge, and could refer you to another low cost or no cost provider for assessment of your other symptoms. There are providers who will help you so please be sure to start calling to be seen. ...Read more

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I have had two ectopic pregnancies and two healthy babies. No history of std's. Is there an explanation for the ectopic pregnancies?

Not really: Once someone has one tubal pregnancy then the risk for future ectopic pregnancies goes up. Sometimes these are caused by unknown or undiagnosed tubal damage. In other cases there is no clear underlying cause. What we do know though is that having one increases risk for future tubal pregnancies. ...Read more

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If my first pregnancy resulted as a ectopic pregnancy treated by surgery would I be marked high risk for my next pregnancy strictly due to my history?

Ectopic: There are no set criteria for what would make one "high risk". This would be up to the discretion of your doctor. An ectopic pregnancy raises your chances that subsequent pregnancies will also be ectopic. This is why you should get checked as soon as you are pregnant. An ultrasound at about 6 weeks can determine if the pregnancy is in the uterus or possibly another ectopic. ...Read more

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Any benefit to not remove healthy uterus if ovary due to cyst must be removed? No cancer history on both sides of family. Lost prior ovary to ectopic.

Any benefit to not remove healthy uterus if ovary due to cyst must be removed? No cancer history on both sides of family. Lost prior ovary to ectopic.

No benefit: Leaving the uterus in, after both ovaries are gone, will not provide any benefit. There is additional, albeit minimal, risk in removing the uterus as compared to removing the ovary alone. ...Read more

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Pcos history. Neg pregnant test 2/6, then on time period 2/8-2/13, then positive pregnant test 2/17. Pregnant or miscarriage or ectopic?

Pcos history. Neg pregnant test 2/6, then on time period 2/8-2/13, then positive pregnant test 2/17. Pregnant or miscarriage or ectopic?

Congrats: Cannot answer this online, not enough information. See a doctor for a serum (quantitative hcg) test, this can sort this out for you. ...Read more

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I'm 4 wks +1d pregnant. I've a slight pain near my navel and a history of ovarian cysts. Could I feel an ectopic pregnancy yet or is it probably gas?

Pregnancy pain: Yes you could possibly feel an ectopic pregnancy at this point in pregnancy however it is doubtful you would have pain near your naval. Pain at this stage would be down in your pelvis and low abdomen. If you do have severe pain and bleeding or just severe pain I would seek medical attention. ...Read more

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My wife had ectopic pg followed by salpinjectomy in 21 months ago. 6 months ago she had d&e&c, it was a blighted ovam. Both times she took letrozol.

My wife had ectopic pg followed by salpinjectomy in 21 months ago. 6 months ago she had d&e&c, it was a blighted ovam. Both times she took letrozol.

Letrozole: Had nothing to do with the bad outcomes. Ectopics most often occur from tubal disease, 'blighted ovum' is an abnormal pregnancy from conception. Sorry about the bad news, and bets of luck in future. ...Read more