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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal Pain, Spotting, Foul Smell, Pain And Bleeding After Sex. Have IUD. Concerned About Ectopic Pregnancy

I have had purple spotting (prune juice color) blood during the past week as well as abdominal pain on both sides. I had very light menstrual bleeding a week ago accompanied by an unusual foul stench. Pain & bleeding has accompanied some sex. I have an IUD & am concerned about ectopic pregnancy, could this be the problem? Please advise.
Mon, 15 Jul 2013
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Pathologist and Microbiologist 's  Response
Hello,

The symptoms are more in favour of infection.

It may be Pelvic inflammatory disease.

If you suspect Ectopic pregnancy it should be immediately attended to.

If left unattended it may rupture, bleed heavy and sometimes life threatening.

Do a Urine pregnancy test.
If it positive then do serial Serum beta HCG

Ultrasound of the abdomen.

Consult a Gynecologist at the earliest.
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Abdominal Pain, Spotting, Foul Smell, Pain And Bleeding After Sex. Have IUD. Concerned About Ectopic Pregnancy

Hello, The symptoms are more in favour of infection. It may be Pelvic inflammatory disease. If you suspect Ectopic pregnancy it should be immediately attended to. If left unattended it may rupture, bleed heavy and sometimes life threatening. Do a Urine pregnancy test. If it positive then do serial Serum beta HCG Ultrasound of the abdomen. Consult a Gynecologist at the earliest.