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What Causes Faint Positive Pregnancy Test Result After Medical Abortion?
Hey I had a medical abortion about 7 weeks ago. I spotted on the 12th thinking it was my period me && my boyfriend have been having unprotected sex since the abortion. After I got some old blood vacuum out they said thettermination was complete. I took a pregnancy test yesterday the line was faint but definitely a positive so I took two more today and it said the same thing. Could this be from the abortion 7 weeks later or could this be a new pregnancy??? Thanks !
Sat, 3 Sep 2016
Hallow Dear,
Usually the pregnancy test becomes negative from one week to one month after an abortion. If even 7 weeks after the abortion pregnancy test is positive (though faint), it suggests the following possibility:
1. Choriocarcinoma: This is a cancer of placental tissue. Usually, it bleeds profusely. It is very fast spreading cancer, However it can be very easily and effectively treated by Methotrexate. Please get ultrasonography done for the evidence of Choriocarcinoma. You may require curetting or hysteroscopy for diagnosis.
2. Ectopic Pregnancy: This could be a new pregnancy, implanted somewhere outside the uterine cavity, usually tube. Faint pregnancy test suggests the possibility of ectopic pregnancy. Such pregnancy does not grow and carries a risk of rupture which is a bleeding emergency requiring emergency surgical intervention with many units of blood transfusion. However, if diagnosed before rupture, it can be treated conservatively with Methotrexate. Ultrasonography can help. Empty uterus will suggest implantation outside uterine cavity.
3. Pregnancy test done too early in normal pregnancy. However, this possibility is very remote. Ultrasonography will help.
Please report to the Obstetrician ASAP.
Dr. Nishikant Shrotri
Usually the pregnancy test becomes negative from one week to one month after an abortion. If even 7 weeks after the abortion pregnancy test is positive (though faint), it suggests the following possibility:
1. Choriocarcinoma: This is a cancer of placental tissue. Usually, it bleeds profusely. It is very fast spreading cancer, However it can be very easily and effectively treated by Methotrexate. Please get ultrasonography done for the evidence of Choriocarcinoma. You may require curetting or hysteroscopy for diagnosis.
2. Ectopic Pregnancy: This could be a new pregnancy, implanted somewhere outside the uterine cavity, usually tube. Faint pregnancy test suggests the possibility of ectopic pregnancy. Such pregnancy does not grow and carries a risk of rupture which is a bleeding emergency requiring emergency surgical intervention with many units of blood transfusion. However, if diagnosed before rupture, it can be treated conservatively with Methotrexate. Ultrasonography can help. Empty uterus will suggest implantation outside uterine cavity.
3. Pregnancy test done too early in normal pregnancy. However, this possibility is very remote. Ultrasonography will help.
Please report to the Obstetrician ASAP.
Dr. Nishikant Shrotri
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