Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
168 Doctors are Online

Have a PCOS ovary and fibroid. Had miscarriage. What could be the cause? - Online Doctor Chats

Date : 03-Jun-2013
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor:good morning
Doctor:Please proceed with your query
User:good morning
User:was seeking a gynae advise
Doctor:I am a general physician but I can suggest you as well
Doctor:You may ask me your queries
User:my last periods were on 15th july
User:i suspected i was pregnant around 22nd or 23rd Aug
User:normally my cycle is 28+7 days
User:did preganews test, very very faint line after 15 min
User:then Dr XXXXXXX had suggested me serum beta hcgtest to confirm
User:it was 266
Doctor:Did you get that done?
User:i consulted the gynae
User:she said she can confirm after seeing next hcg test after 72 hours
User:also got trans vaginal ultrasound where the doc cud not pace the gestation ssac
User:assuming my ovulation cycle is delayed i was asked to wait for another week
User:but my uterus wall had doubled in thickness
User:after 3 days hcg was 353
Doctor:When was the ultrasound done?
Doctor:May I know the date of it?
User:first hcg test on 28th
Doctor:First of September?
User:second one on 2nd sept
Doctor:I wish to know the exact date of your trans-vaginal Ultrasound
User:yes it was 1st Sept
Doctor:If there is no gestational sac, we need to rule out ectopic pregnancy as well
Doctor:Did the doctor look at the uterine tubes on the scan?
User:think so
Doctor:Second possibility is that you may have had a missed abortion
User:yes i had
User:but am shocked
User:wht cud have led to this
Doctor:I am sorry, but do not panic
User:so soon
User:i assume i was in like 2nd-rd week
Doctor:What did the doctor say after the scan?
Doctor:Is she asking you to repeat the scan again?
User:i spotted on 3rd sept morning
User:then 4th sept again
User:from yesterday onwards bleeding is i get during my menses
User:got hcg test again done yesterday, 5th sept
Doctor:Are you bleeding vaginally now?
Doctor:Is it just spotting or the normal flow?
User:2 days it was just spotting
User:then yesterday onwards it is normal flow as my periods
Doctor:It mostly seems like you have aborted
Doctor:Please get an ultrasound done to confirm this
Doctor:I am sorry but it is possible
User:wht leads to it so early
Doctor:The causes for early first trimester abortion are many
Doctor:Is this your first time?
Doctor:It happens mostly due to defects in the uterus
Doctor:problem with implantation
User:yes infact never planned earlier
User:i have a PCOS ovary and 1 fibroid measuring 5cm
User:age 36
Doctor:Thanks for the information
User:location of fibroid is not a problem though
Doctor:The size of the fibroid is a bit concerning
Doctor:It is better to get it removed
User:wht uterine defects can lead to this
Doctor:The hyperoestrogen state will normalize then, it will be easier to conceive
Doctor:Defects in the wall like bifid uterus
Doctor:I do not think you have this as it would have been seen on the scan
User:then r u saying the fibroid cud have led to this
Doctor:It is possible
User:so r there no drugs to prevent fibroid action
Doctor:Yes, there is medical management as well
Doctor:But is is preferable to go for surgical removal as it is a day care procedure
User:surgical removal is scary
Doctor:No, it is not
Doctor:It is a day care procedure
Doctor:You will not feel pain
Doctor:You can go back home same day
Doctor:Please consider this option
User:how much does it normally cost
Doctor:It will benefit you
Doctor:It should not cost you more than 0000
User:cysts dont hinder
Doctor:Cysts come in the way too
User:wht is the treatment for tht?
Doctor:For the cysts, the treatment is exercise, diet management and metformin tablet
User:which is used for diabetes?
Doctor:Yes, that is right
User:any particular exercise u recommend
Doctor:Aerobic exercises are very good
Doctor:You can try them
Doctor:Initial warm up, stretching and actual work out - all lasting for 40 mins will be ideal
Doctor:Are you there?
Doctor:Are you there?
Doctor:Please proceed if you have more queries
User:and wht abt diet management
Doctor:You need to take more of vegetable salads and fruits
Doctor:Low carbohydrate and low fat intake
User:this bleeding wud last how long?
Doctor:Not more than a week
Doctor:Please repeat a scan after a week
User:scan now wud help understand wht?
Doctor:Scan now is required because
Doctor:We should make sure that the abortion process is complete
Doctor:We should see that the uterus is normal again
User:and whn can i try again
Doctor:After a rest for 3 weeks would be ideal
Doctor:I am sorry,but we are going very slow
Doctor:Can you be a little quick with your queries?
Doctor:I am sorry again
Doctor:Are you there?
Doctor:I am sorry
Doctor:I do not see a response from you
Doctor:I have to close the chat window now
Doctor:Please log in again to chat with our doctors
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor