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Possibility of miscarriage - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2307 Questions
User :   I had an early miscarriage on the 10th June andbecause it was early my doctor said we could continue trying. I did a test 10 days ago and got a positive( though it was faint) being paranoid I have done another test eveyday since. Although they have gotten slightly darker and clearly show a positive I still have not got a solid pink line. I've been to my doctor who also confirmed my pregnancy with a urine test and said it was still early as I would have been only 4 weeks and 5 days. Today I bought a clearblue digital to test the number of weeks and it said I was only 1-2 however I wouldve thought I would have beennearer 3 so expected it to come up 2-3. Now I'm afraid this is gonna end the same way as the first pregnancy. I thought it mayhave been coz I ovulated later coz of themiscarriage but not sure. Any words of wisdom?     
Doctor :   Hi
Doctor :   Iam.Dr.xxxx
Doctor :   Let me read your post
Doctor :   Do you have regular cycles?
Doctor :   May i know your age?
Doctor :   A spontaneous abortion is a process that can be divided into 4 stagesâ??threatened, inevitable, incomplete, and complete.
User :   Yes pretty much 28/29days but wasn't sure how the miscarriage would affect it this month. I've also had one successful pregnancy with no issues
Doctor :   ok
Doctor :   What is your age?
User :   Im29
Doctor :   ok good
Doctor :   So you dont have to worry
Doctor :   as you have an early successful pregancy earlier
Doctor :   Here what you might
Doctor :   be having is
Doctor :   an hormonal imbalance
Doctor :   that might have come from the abortion you had earlier
Doctor :   it will take some time for you to get the hormones in to order
Doctor :   that is quite natural
Doctor :   you might get some positivity in urine preg test
Doctor :   Did you do a blood HCg test?
Doctor :   And if you still have doubts
Doctor :   You can do an ultrasound of pelvis
Doctor :   Independent risk factors for a spontaneous miscarriage include advanced age, extremes of age, feeling stressed, and advanced paternal age.
Doctor :   Symptoms of vaginal bleeding but not abdominal pain are associated with increased risk of miscarriage.
User :   I did a test the day I started bleeding on the 10 th june and it was negative and done a few after that and they were negative. Doc says this is a new pregnancy and not related to my previous miscarriage. I have not had blood tests.
Doctor :   ok
Doctor :   did you do an ultrasound this month?
Doctor :   Do a blood test too
Doctor :   In the first trimester, embryonic causes of spontaneous abortion are the predominant etiology and account for 80-90% of miscarriages
Doctor :   Genetic abnormalities within the embryo (ie, chromosomal abnormalities) are the most common cause of spontaneous abortion and account for 50-65% of all miscarriages.
Doctor :   Teratogenic and mutagenic factors may play a role, but quantification is difficult.
Doctor :   Maternal causes of spontaneous miscarriage include the following: Doctor :   Genetic: Maternal age is directly related to the aneuploidy ris
Doctor :   Structural abnormalities of the reproductive tract
Doctor :   Complete blood count (CBC) with differential, beta-hCG, blood type and screen (possible crossmatch), possible DIC profile, and urinalysis
Doctor :   Beta-hCG is important to confirm the pregnancy and distinguish it from dysfunctional uterine bleeding or bleeding from another etiology. The hCG level is also important to help distinguish a complete abortion from a threatened abortion or ectopic pregnancy.
Doctor :   With missed, incomplete, or inevitable abortion present before 13 weeks' gestation, the standard therapy has been suction D&C.
User :   Not had an ultrasound yet I am waiting on an appointment comng through. I just didn't know if the digital result may have been coz I ovulated later
Doctor :   OK
Doctor :   So the ultrasound to confirm pregnancy
Doctor :   The prognosis for early pregnancy loss is excellent. After one complete abortion, no increased risk exists for another one.
Doctor :   one miscarriage does not put you at increased risk for another miscarriage. your next pregnancy is likely to last to term since you are young and has no other risk factors.
Doctor :   did you get what i said?
Doctor :   Is there anything else i can help you with?
User :   Yes but why did the test result only show 1-2 weeks
Doctor :   Hormonal imbalance....
Doctor :   it will get corrected soon
Doctor :   Thanks for consulting bye for now..

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