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Query about ectopic pregnancy - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3620 Questions
User :   I got the depo shot about 6 months ago, had my period the whole three months the shot lasted, I imedietly switched to the pill and didn't have my period for about 2 months. I got my period and lasted longer than usual and then it went away, a week and a half later I had intercourse with my huband and had spotting imediatly after and for a day that turned into very heavy bleeding with a few small clots. I have only had intercourse with him a few more times within the last month after that because it is very uncomfortable. This last time I had very little spotting again that turned into very watery brownish discharge. But I think it is about the time I am supposed to get my period but I can't be sure because it has been so irregular. Also when I didn't get my period for a while I took like 4 HPTs and were all negative, but lately every other day it feels like there is a little movement like I had during my first pregnancy when I could first feel the baby, but I think it might be gas even though I have never had this feeling besides when I was pregnant. Could this be a hormonal imbalance or something more serious?
Doctor :   hi
Doctor :   let me read ur query
User :   hello
Doctor :   hello there ,..,
Doctor :   usually the symptoms of early preganancy are similar to that of symptoms during menses
Doctor :   both are due to altered hormone levels
Doctor :   the chances of being pregnant are less, since you have had 4 tests of HPT negative
Doctor :   Regular HPTs have a sensitivity of 97 %
Doctor :   but chances of failure to detect pregnancy can occur in cases where periods have been irregular and in cases of ectopic pregancy
Doctor :   the best way to confirm , in case of doubt is via blood tests for Serum HCG , which are very accurate
Doctor :   when u are having irregular periods, it is difficult to know when ovulation occured
User :   if i am not pregnant could these symptoms just be hormonal imbalance for birth control
Doctor :   usually 7-10 days are needed for HPT to become positive after conception
Doctor :   yes , definitely
Doctor :   hormone levels change during regular periods, also while on pills, or during pregnancy
Doctor :   so symptoms can be similar and sometimes confusing
Doctor :   have you understood my comments so far ?
User :   yes, is there anything else i should be worried about
Doctor :   Since you dont have abdominal cramps, and pain, there should not be anything to worry
User :   i stoped birth control and started eating beter and exersizing more should this help
Doctor :   presence of abdominal pain, severe cramps could be signs of ectopic pregnancy or twisted ovarian cyst ,
Doctor :   yes the steps you have started will definitely help
Doctor :   just relax for a day or two and get a blood HCG tested
Doctor :   this will clear all the doubts
User :   i have had normal cramping, but before i went on the shot i started to get sharp pin in left ovary are right before period is this normal
Doctor :   Consulting your OB/GYN so that she can help you get regular periods will be helpful
Doctor :   yes, that is dysmenorrhea, and is usually normal in most woman
User :   ok thank you i have an appointment but it isn't until the end of the month so i just wanted to ease my mind a bit
Doctor :   if this occurs regularly ,. there is nothing to worry
Doctor :   ok, sure
Doctor :   I hope i have cleared any doubts that you might have had
User :   yes thank you
Doctor :   you are most welcome
Doctor :   thanks for consulting me here
Doctor :   take care and have a good day
User :   thanks you too
Doctor :   bye for now
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