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What Do My Lab Test Reports Indicate?

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Posted on Mon, 14 Nov 2016
Question: Hi doctor

My LMP was 12 Sep 2016 and I did my 1st ultrasound yesterday and according to LMP it should be 5 weeks and 2 days but according to ultrasound it is 4 weeks and 2 days

I am attaching the reports can u please guide wat dis reports mean
doctor
Answered by Dr. Purushottam Neurgaonkar (1 hour later)
Brief Answer:
Repeat USG after ten days. Continue with your supplements.

Detailed Answer:
Hi there,
Dr. Purushottm Neurgaonkar welcomes you to HCM VIRTUAL CLINIC. I have understood your concern. I will suggest you the best possible treatment options.

1 ) First of all do not panic. .

2 ) As you have mentioned that USG shows disparity between Period of gestation and actual gestational age.
This can be due to delayed conception, due to delayed ovulation.

3 ) In such case, I usually suggest to my patients to wait for 10 days and to repeat the USG.
This will help to know the viability and exact gestational age of the pregnancy.

4 ) Till then, continue with your Folic acid, Vitamin B 12 supplements on daily basis.
Take rest.
Mediate.
THANK POSITIVE.

All things will be fine in the due course of time

I hope this answer helps you.
Please do write about the helpfulness of this answer. I will highly appreciate it.
Thanks.
Dr. Purushottam Neurgaonkar.
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Purushottam Neurgaonkar (1 hour later)
I have gone through your ans... but is der anything to worry about and my ruptured date was 26 September.. have u seen the reports.

And wat is Msd 4.8mm corresponding 4.2 weeks

I am taking trazer forte tab
Dubagest tab not orally
Folvite tab

doctor
Answered by Dr. Purushottam Neurgaonkar (19 minutes later)
Brief Answer:
MSD is mean sac diameter. Continue with Dubagest

Detailed Answer:
Hi there,
Thanks for appreciating the answer and reverting back.

I Have gone through your reports that you have attached with your query.

As you have mentioned that you are talking micronized progesterone tablets, it is a pregnancy support hormone. Please continue taking it.

MSD, means mean sac diameter. It is size of th e gestational sac, the bag of water in which baby remains floating. It gives some idea about the gestational age I f pregnancy,Un early days of pregnancy.

Secondly, with your ovulation date of 26 , repeat USG will be helpful to know about the viability of the pregnancy.

Till then please don't worry.

I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgaonkar. .

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Purushottam Neurgaonkar (20 hours later)
Hello doctor

Thank u so much for the reply, I really appreciate your replies.

Now how long u want me to wait n do a repeat check or can I visit a doctor and repeat a sonography to check the growth. Or u want me to wait till 3 Nov.

And meanwhile what precautions you want me to take. Is traveling locally by train or by car will be okay.
doctor
Answered by Dr. Purushottam Neurgaonkar (6 hours later)
Brief Answer:
You can wait till 3rd November. Travel by train is ok.

Detailed Answer:
Hi there,
Dear XXXXXXX
Thanks for appreciation of the answer.

If there are no other symptoms like lower abdominal pain or bleeding, you can very well wait till 3rd November for repeat USG.

Till that time you can do routine activities. But please do not lift weights, or do not do jerky movements.
You can travel by train.

I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgaonkar
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Purushottam Neurgaonkar (42 hours later)
Hello doctor

I did a home test today mrng it came positive..

And I just thought of sharing this as I was checking rupture was on 26 Sep and According to sonography it is showing 4 weeks and 2 days so according to dates my conception date is showing on 3 oct and last relation we kept was on 1 oct is it possible dat my conception was late.
doctor
Answered by Dr. Purushottam Neurgaonkar (11 hours later)
Brief Answer:
delayed ovulation around 30th September. Review USG will be helpful .

Detailed Answer:
Hi there,
Thanks for appreciating the answer and reverting back .

As per your history of ovulation study, the date of ovulation and gestational age do not match.
But according to the date of your last unprotected sex act, the gestational age can be approximated.

In this situation, only thing that I can conclude is the possibility of having delayed conception of another ovum formed around 30 th of September and it was obviously not documented.

Anyway, if interval growth on USG between two USG shows good corresponding growth then you can simply relax and need not worry.

I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgaonkar
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Purushottam Neurgaonkar

OBGYN

Practicing since :1992

Answered : 2236 Questions

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What Do My Lab Test Reports Indicate?

Brief Answer: Repeat USG after ten days. Continue with your supplements. Detailed Answer: Hi there, Dr. Purushottm Neurgaonkar welcomes you to HCM VIRTUAL CLINIC. I have understood your concern. I will suggest you the best possible treatment options. 1 ) First of all do not panic. . 2 ) As you have mentioned that USG shows disparity between Period of gestation and actual gestational age. This can be due to delayed conception, due to delayed ovulation. 3 ) In such case, I usually suggest to my patients to wait for 10 days and to repeat the USG. This will help to know the viability and exact gestational age of the pregnancy. 4 ) Till then, continue with your Folic acid, Vitamin B 12 supplements on daily basis. Take rest. Mediate. THANK POSITIVE. All things will be fine in the due course of time I hope this answer helps you. Please do write about the helpfulness of this answer. I will highly appreciate it. Thanks. Dr. Purushottam Neurgaonkar.