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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pregnancy Symptoms After Undergoing A Miscarriage?

hi dr, i had a blighted ovum miscarriage 5 weeks ago, and bled 4 weeks ago for 4 days, then felt fine. all my pg symptoms went away, i know them well having 3 children already. went for a follow up scan yesterday to be told my uterine lining was 14mm, and they were treating it as a new pregnancy, then blood tests came back negative. the past week or so i have felt pregnant, breasts sore and leaking milk. this subdided after my mc. but is back again, hence why i thought i might be pg again. my question is, could i be in the very early stages of a new pregnancy and it isnt enough yet to show up in blood tests? at what point can the blood tests show up a pregnancy? they said it might just be another heavy bleed on its way, but they said they did see soemthing there, and think it might be a pasrt of the old ovum not yet come away, but they dont need to see me again and are not concerned.
i am very confused with having these pregnancy sypmtoms with my leaking breasts, and the 14mm uterine lining? plwasw advise i am going crazy thinking about it, thankyou, amanda age 30.
Mon, 29 Aug 2016
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OBGYN 's  Response
Hi there, I have understood your concern. I will suggest you the best possible treatment options.

1 ) First of all do not panic.

2 ) I will suggest you to get blood beta HCG test done. If it is positive, I will suggest you to get dilatation and curettage done. As this will help to clean out the contents of the uterine cavity.
The material curetted out can be sent for pathological examination to know its exact nature .

3 ) in case of negative test results, you can simply wait for the onset of periods or induce the periods with Tab Regestrone 5 mg twice a day for 5 days. Usually periods start within 3 to 10 days of finishing the tablets.
4 ) Also , if breast discharge persists then serum prolactin levels should be done.
If needed Tab Cabergolin 0.5 mg twice a week for 4 weeks will help to stop breast secretions.

5 ) In some women it takes time for breast secretions to subside after discontinuation of the pregnancy.
I will suggest you to use barrier contraceptive method like condom, if needed till this current dilemma gets over.
This will prevent unnecessary confusion arising from next or unexpected pregnancy.

It will be better to plan your next pregnancy, at least after 3 months and starting on Folic acid, Vitamin B 12 and Omega 3 supplements at least 3 months before you plan your next pregnancy. This will help to prevent various complications during the pregnancy .

I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgaonkar
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What Causes Pregnancy Symptoms After Undergoing A Miscarriage?

Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1 ) First of all do not panic. 2 ) I will suggest you to get blood beta HCG test done. If it is positive, I will suggest you to get dilatation and curettage done. As this will help to clean out the contents of the uterine cavity. The material curetted out can be sent for pathological examination to know its exact nature . 3 ) in case of negative test results, you can simply wait for the onset of periods or induce the periods with Tab Regestrone 5 mg twice a day for 5 days. Usually periods start within 3 to 10 days of finishing the tablets. 4 ) Also , if breast discharge persists then serum prolactin levels should be done. If needed Tab Cabergolin 0.5 mg twice a week for 4 weeks will help to stop breast secretions. 5 ) In some women it takes time for breast secretions to subside after discontinuation of the pregnancy. I will suggest you to use barrier contraceptive method like condom, if needed till this current dilemma gets over. This will prevent unnecessary confusion arising from next or unexpected pregnancy. It will be better to plan your next pregnancy, at least after 3 months and starting on Folic acid, Vitamin B 12 and Omega 3 supplements at least 3 months before you plan your next pregnancy. This will help to prevent various complications during the pregnancy . I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar