Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does The Following Ultrasound Report Indicate?
Question: I am a 35 year old who has had a previous ectopic pregnancy that resulted in the bursting (and subsequent removal) of my right tube. This happened almost 3 years ago. I have recently fallen pregnant, but it appears my HCG levels are not increasing "normally" - 115 on Monday, 129 on Weds. and 140 on Friday. I only have my left tube now and my Dr. wants me to take a methotrexate shot this next Monday. I just want to know if there is ANY possible chance that this is a normal pregnancy and my levels are just increasing slowly in the beginning? An ultrasound shows nothing at this stage. I do have some throbbing in my right side (but I have no remains of a tube there - and my gyno believes it is due to a cyst that burst). I'm torn between taking the shot and potentially saving my left tube if it is ectopic and waiting until we know for sure it is ectopic. Do I have any chance at a normal pregnancy?
Brief Answer:
Chances of a normal pregnancy are very remote.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
HCG levels usually double every 48 hours during an early pregnancy. The rise is even more rapid in early pregnancy. A slowly rising levels are strongly suggestive that the baby is not growing normally. The chances of having a normal pregnancy in the uterus are very remote. There is a high chance- more than 90% of an abnormal pregnancy.
You must save your left tube in order to take a next chance for pregnancy.
It is best to take a methotrexate shot as suggested by your gynecologist. Waiting to make the diagnosis clear will only increase the chances of tube rupture.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Chances of a normal pregnancy are very remote.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
HCG levels usually double every 48 hours during an early pregnancy. The rise is even more rapid in early pregnancy. A slowly rising levels are strongly suggestive that the baby is not growing normally. The chances of having a normal pregnancy in the uterus are very remote. There is a high chance- more than 90% of an abnormal pregnancy.
You must save your left tube in order to take a next chance for pregnancy.
It is best to take a methotrexate shot as suggested by your gynecologist. Waiting to make the diagnosis clear will only increase the chances of tube rupture.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
