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Spotting due to missed abortion - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Abortion and Stillbirth
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   Hi
User :   i want a small clarification
Doctor :   Please proceed.
User :   let this be confidential pls
Doctor :   Yes, this will be confidential
User :   i had my last period around 26 Jun10 wherein the flow was less than usual
Doctor :   Ok
User :   i have not yet got it
Doctor :   Ok
User :   went to my gynaec on 17Aug10
Doctor :   Ok
User :   who did a upt test which tested negative
Doctor :   Ok
User :   she gave me meprac or something table(10mg) for 3 days
Doctor :   Ok
User :   and said i shud get it by 02Sep10
User :   again on 07Sep10 i went for a test and sheagain did a upt
User :   was again negative
Doctor :   Ok
User :   on 10Sep10 she did a sonography
User :   and said that there is lot of fluid
User :   and the lining is thin
Doctor :   Ok
User :   i did not understand it
Doctor :   Ok
User :   but she has again asked me to do some serum (pregnancy) test
User :   wt is all this about?
Doctor :   May I know your age?
User :   is the upt test not correct
User :   my age is 39
Doctor :   Are you sexually active?
User :   i had it in june after which i got my periods
User :   also one more thing
User :   after i took those tablets
Doctor :   Do you have the reports of the ultrasonography?
User :   there was for 3 days a little bleeding but i never used a pad or protection becoz only when i used to wipe myself clean with tissue after urinating, i used to find the blood on it
Doctor :   OK
Doctor :   Are your periods regular in the past?
Doctor :   And do you have the final reports of the ultrasonography?
User :   verymuch, 2 days here or there
User :   no not yet
Doctor :   Ok
User :   have given a blood sample today
User :   will know only tomm
User :   but am very tensed
Doctor :   Let me brief you.
Doctor :   There are numerous causes for delayed/absent menstrual period/
Doctor :   Some of the commonest reasons are pregnancy, hormonal disturbances, medical illness, psychological problems and so on.
Doctor :   Pregnancy test are confirmed by checking the hcg a hormone,
Doctor :   this is done either by doing the urine pregnancy test or by blood HCG levels.
Doctor :   Both these test are not completely foul proof.
Doctor :   Meaning they occasionally provide false reports too,
Doctor :   the urine pregnancy test have more false reports being reported than the blood hcg levels.
Doctor :   However, pregnancy can only be confirmed by evaluation, either in the form of the urine pregnancy test, or blood hcg levels or by an ultrasonography.
User :   wt is ultrsonography?
Doctor :   I mean the ultrasound.
Doctor :   Ultrasound is the most confirmative.
User :   is it different from a sonography?
Doctor :   Since I do not have the final reports of the ultrasound, a definitive diagnosis of pregnancy cannot be done.
Doctor :   No, its the same.
User :   she did that on Friday
User :   and told me that she cannot see any trace of any baby anywhere
Doctor :   And since there are other structural cause (both uterine and ovarian) which also are responsible for the menstrual irregularities,
Doctor :   You may have to wait till those reports of the blood test come.
Doctor :   They will help the doctors in providing you with much more information on what is causing your problems now.
Doctor :   Have you followed what I have suggested?
User :   my only problem is i do not want a pregnancy now
User :   i just hope it is not
Doctor :   Its unlikely that its pregnancy, as they could have been easily picked by the scans and no repeat urine pregnancy tests(done the second time after 2 months of absent periods)
User :   yes, it was done immediately after a period of say first on 17aug10 and second on 07Sep10
Doctor :   Hence, I suggest you to wait for those test and they should help your doctors to provide you with more answers on your query.
User :   but i was just doubting how much cud i rely on that test
Doctor :   Though the urine pregnancy test can show false reports, a repeat test after a week increases the specificity of this test.
User :   one last query
Doctor :   Hence, your second test that was done almost a month after your absent period is more significant.
Doctor :   Hence there are less chances of pregnancy( a viable one atleast)
User :   doc, wt could that spotting for those 3 days be??
Doctor :   There are possibilities that you may have had missed abortion,
User :   but should it not have been caught in the sonography then
User :   doc, r u there?
User :   anyways thanks doc for the help
User :   are u there doctor?
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