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Have a PCOS ovary and fibroid. Had miscarriage. What could be the cause? - Online Doctor Chats

Date : 03-Jun-2013
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor:good morning
Doctor:Please proceed with your query
User:good morning
User:was seeking a gynae advise
Doctor:I am a general physician but I can suggest you as well
Doctor:You may ask me your queries
User:my last periods were on 15th july
User:i suspected i was pregnant around 22nd or 23rd Aug
User:normally my cycle is 28+7 days
User:did preganews test, very very faint line after 15 min
User:then Dr XXXXXXX had suggested me serum beta hcgtest to confirm
User:it was 266
Doctor:Did you get that done?
User:i consulted the gynae
User:she said she can confirm after seeing next hcg test after 72 hours
User:also got trans vaginal ultrasound where the doc cud not pace the gestation ssac
User:assuming my ovulation cycle is delayed i was asked to wait for another week
User:but my uterus wall had doubled in thickness
User:after 3 days hcg was 353
Doctor:When was the ultrasound done?
Doctor:May I know the date of it?
User:first hcg test on 28th
Doctor:First of September?
User:second one on 2nd sept
Doctor:I wish to know the exact date of your trans-vaginal Ultrasound
User:yes it was 1st Sept
Doctor:If there is no gestational sac, we need to rule out ectopic pregnancy as well
Doctor:Did the doctor look at the uterine tubes on the scan?
User:think so
Doctor:Second possibility is that you may have had a missed abortion
User:yes i had
User:but am shocked
User:wht cud have led to this
Doctor:I am sorry, but do not panic
User:so soon
User:i assume i was in like 2nd-rd week
Doctor:What did the doctor say after the scan?
Doctor:Is she asking you to repeat the scan again?
User:i spotted on 3rd sept morning
User:then 4th sept again
User:from yesterday onwards bleeding is i get during my menses
User:got hcg test again done yesterday, 5th sept
Doctor:Are you bleeding vaginally now?
Doctor:Is it just spotting or the normal flow?
User:2 days it was just spotting
User:then yesterday onwards it is normal flow as my periods
Doctor:It mostly seems like you have aborted
Doctor:Please get an ultrasound done to confirm this
Doctor:I am sorry but it is possible
User:wht leads to it so early
Doctor:The causes for early first trimester abortion are many
Doctor:Is this your first time?
Doctor:It happens mostly due to defects in the uterus
Doctor:problem with implantation
User:yes infact never planned earlier
User:i have a PCOS ovary and 1 fibroid measuring 5cm
User:age 36
Doctor:Thanks for the information
User:location of fibroid is not a problem though
Doctor:The size of the fibroid is a bit concerning
Doctor:It is better to get it removed
User:wht uterine defects can lead to this
Doctor:The hyperoestrogen state will normalize then, it will be easier to conceive
Doctor:Defects in the wall like bifid uterus
Doctor:I do not think you have this as it would have been seen on the scan
User:then r u saying the fibroid cud have led to this
Doctor:It is possible
User:so r there no drugs to prevent fibroid action
Doctor:Yes, there is medical management as well
Doctor:But is is preferable to go for surgical removal as it is a day care procedure
User:surgical removal is scary
Doctor:No, it is not
Doctor:It is a day care procedure
Doctor:You will not feel pain
Doctor:You can go back home same day
Doctor:Please consider this option
User:how much does it normally cost
Doctor:It will benefit you
Doctor:It should not cost you more than 0000
User:cysts dont hinder
Doctor:Cysts come in the way too
User:wht is the treatment for tht?
Doctor:For the cysts, the treatment is exercise, diet management and metformin tablet
User:which is used for diabetes?
Doctor:Yes, that is right
User:any particular exercise u recommend
Doctor:Aerobic exercises are very good
Doctor:You can try them
Doctor:Initial warm up, stretching and actual work out - all lasting for 40 mins will be ideal
Doctor:Are you there?
Doctor:Are you there?
Doctor:Please proceed if you have more queries
User:and wht abt diet management
Doctor:You need to take more of vegetable salads and fruits
Doctor:Low carbohydrate and low fat intake
User:this bleeding wud last how long?
Doctor:Not more than a week
Doctor:Please repeat a scan after a week
User:scan now wud help understand wht?
Doctor:Scan now is required because
Doctor:We should make sure that the abortion process is complete
Doctor:We should see that the uterus is normal again
User:and whn can i try again
Doctor:After a rest for 3 weeks would be ideal
Doctor:I am sorry,but we are going very slow
Doctor:Can you be a little quick with your queries?
Doctor:I am sorry again
Doctor:Are you there?
Doctor:I am sorry
Doctor:I do not see a response from you
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