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Miscarriage with changes in breast - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   Hi, I had a complete miscarriage at 8 weeks 3 weeks ago after bleeding for 2 weeks before the miscarriage happened. Had 2 scans in that time and there was a feats with a heartbeat although heartbeat had slowed for the second scan. 2 weeks after the miscarriage, my breasts started to feel tingly progressing to very sore as the week has gone on. They are huge with blue veins and hot. Have felt very tired also. Is this normal?
Doctor :   Hi
Doctor :   let me read ur query
User :   Hi there.
Doctor :   yes it is normal for breast changes to occur
Doctor :   also it depends on the hormone changes as well
User :   As sore as this? Ok
Doctor :   your progesterone and prolactin levels may be still high
Doctor :   this might be the cause of such changes
User :   Will it persist like this until my period arrives?
Doctor :   may i know your age ?
Doctor :   yes, it is likely to stay for a while
Doctor :   but it will subside on its own
User :   I'm 41 will be 42 in a couple of months
Doctor :   was a complete evacuation done ?
Doctor :   Is this your first pregnancy?
User :   I took the fetus to the hospital who were monitoring me and they examined it and said it was complete
Doctor :   ok
Doctor :   do u have any fever ?abdominal pain, discharge, etc
User :   No it's my 11th. I haven't been pregnant for 10 years though. It was a surprise. I have 5 children. Had 2 miscarriages before and 2 terminations for abnormality for spinal muscular atrophy. I had a daughter who died at 9 months old with spinal muscular atrophy. I have a new partner now. He has no children
Doctor :   ok , i understand
Doctor :   so are u planning for more kids later on ?
User :   No no abdominal pain. Some cramping no discharge that is unusual.
User :   We are now. My partner had a testicle removed when he was 15 and had lacked testosterone when I met him a year ago. I encouraged him to be treated and was 3 months on testogel and I got pregnant. Was a surprise as they said t would be unlikely
Doctor :   In that case, make sure that your doctor gives you some progesterone supplements that can help to maintain your pregnancy.
User :   Sill he prescribe it if I ask him? Why progesterone supplements?
Doctor :   normally with age, the chances of progesterone secretion by the placenta or the ovary during initial stages of pregnancy may be less,
Doctor :   so this can cause miscarriages
User :   We are now taking vitamins and minerals. In particular vitamin c
Doctor :   progesterone is the normal hormone that helps to maintain pregancy
User :   Will my doctor prescribe it if I ask him?
Doctor :   yes
Doctor :   you can ask him, if he feels that you need them, and he will evaluate you and prescribe it
Doctor :   i mean you need to ask your gynae , not your primary care physician
User :   Ok thank you for that. You have Been great and very reassuring. When should progesterone be taken? Should I ask for a consultation with ,my gynae as soon as I get a positive pregnancy test?
Doctor :   yes , you may need it once the pregnancy has been confirmed
Doctor :   you are welcome
Doctor :   i hope i have answered your queries
User :   Should I be aware of anything else that can help?
Doctor :   be sure to be on folic acid and vit B12 supplements as well
Doctor :   before you get pregnant again
User :   Yep am doing. Thank you for your time. Take care
Doctor :   and iron pills too
Doctor :   you too
Doctor :   thanks for consulting me here
Doctor :   have a great day
Doctor :   bye for now
User :   Found it very liberating. And put my mind at rest. You too!
Doctor :   you r welcome
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