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Treatment to concieve - Online Doctor Chats

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

General & Family Physician
Practicing since : 2009
Answered : 674 Questions
Doctor :   Hi
User :   Hello Doctor...
Doctor :   How can I help You
Doctor :   oK
User :   Doctor ... I have a query regarding Pregnancy ..
Doctor :   pLEASE ASK ME?
User :   my pregnancy was confirmed as "WEAKLY POSSITIVE" on Nov 20th ....
Doctor :   Ok
User :   then my Gynae started me treatment with HCG & Progesteron Injections
Doctor :   Ok
User :   i had taken 2 HCG injections & 2 Progesteron Injection till today ...
Doctor :   ok
User :   Today she did a scanning & through scanning she came to know that there was no enough growth and told me that sack is very very small .. so did urine test again
Doctor :   Ok
User :   but through urine test ..pregnancy report was "NEGATIVE"
Doctor :   Ok
User :   i am really very sad about it ..
Doctor :   Ok
User :   she had given me some tablets last week since i had urine infection ... for a weeks time
Doctor :   Iam very sorry to hear about this
Doctor :   Ok
Doctor :   So What do You wish to ask me
User :   could u pls tell me what might be the reson for this ?
Doctor :   It is possible that You were not pregnant
Doctor :   Pregnancy tests can be misleading sometimes
User :   initially pregnancy was confirmed & treatment was started to protect the same ... all of a sudden pregnancy goes off after 2 weeks of confirmation ...
Doctor :   Was it a urine test which You had done?
User :   no it was done lab technician of the hospital
Doctor :   Had You confirmed the pregnancy Thru ultrasound?
User :   no ...
Doctor :   Yes It is possible that You were not pregnant in the first place
User :   blood test was done .. but i dont think it was done for pregnancy confirmation ...
Doctor :   Ok
Doctor :   Pregnancy should always be confirmed with an ultrasound
User :   if u want the blood report i can give details ..
User :   when exactly it should have been done ?
Doctor :   Ok You can send the reports to YYYY@YYYY
Doctor :   We will give You a call
User :   when exactly ultra sound should have been done ?
Doctor :   A pregnancy which is 5 weeks can be diagnosed thru ultrasound
Doctor :   were You taking treatment for infertility?
User :   no ... let me give u more details on my menstrual cycle ..
Doctor :   A woman given hcg injections for infertility treatment may give a false positive for pregnancy
User :   from past 4-5 months my cycle was 35-39 days ..
User :   in the month of nov also it delayed for 6-7 days ...
Doctor :   Ok
User :   i did a pregnancy test on Nov 19th which was 36th day of my cycle .. but one line was full dark & other was very light ...
User :   so thought of going to doctor and went to doctor on 37th day of my cycle ..
Doctor :   One possibility is that Your pregnancy test went wrong which is possible
Doctor :   As You have told me Your test wasds interpreted by a lab technician and not someone qualified?
User :   same report came there also when urine test was done .. in the hospital ..
Doctor :   Ok
Doctor :   There are certain medical conditions where the body produces more hcgand these conditions could cause a positive pregnancy test
User :   the report was given as "WEAKLY POSITIVE" which doctor confirmed as pregnancy
Doctor :   Yes It is possible that You may not have been pregnant at all
Doctor :   Or the test could have been wrongly performed
User :   then why did she start giving the hormonal injections ?
Doctor :   And like I told You certain medical conditions cause elevation of hcg which may cause false positivesleading a woman to beleive she is pregnant when she is not
Doctor :   The gynaecologist probably beleived the test and started thinking You were pregnant.In order to safeguard the pregnancy progesterone and hcg injestions were given by her
Doctor :   This is a possibility
Doctor :   Hope You have understood what I am sayiong
User :   yes ... but when the pregnancy report was WEAKLY POSITIVE what more the doctor could have done ?
Doctor :   Did You ndo a blood hcg test to confirm the pregnancy or was it only a urine test?
Doctor :   I would suggest that the next time you can confirm the pregnancy thru ultrasound besides urine test and blood test for hcg
Doctor :   Is there anything else I can help You with?
User :   blood test was done and report was shown to her next week when i went to consult her .. At that time she said blood test report is ok no thing to worry .. she never told anything like pregnancy is re-confirmed through blood test ..
Doctor :   The blood test was probably for haemoglabin and not for hcg
User :   was may be ... but doctor ...
Doctor :   False positives may also appear on tests used past their expiration date
User :   pls help in understanding this ... did the gyneacologist i have consulted have gone in the right path ?
Doctor :   Yes I feel that there was some problem with the test
Doctor :   Next time please confirm pregnancy by ultrasoung
Doctor :   Is there anything else I can help You with?
User :   i.e. when report was weakly positive... instead of going for treatment of hormonal injections ... what else she could have done ?
Doctor :   I feel an ultrasound should have been done
Doctor :   Is there anything else I can help You with
User :   yes ..
Doctor :   Hope You have understood what I have said?
User :   i need more info from you doctor if could ..
User :   ultra sound is something different from normal scanning that is done at 7th or 8th week of pregnancy ?
Doctor :   it is the same
Doctor :   ultrasound can be done from 5 weeks onwards
User :   ok .... so according to you pregnancy has not happened at all ?
User :   in my case ?
Doctor :   there are two possibilities!)you were not pregnant and the test was wrong2)since the test was weakly positive Your doctor thought that the pregnancy was in danger .Hence she gave You these injections to strengthen the pregnancy but the pregnancy did not work out.
User :   ok
Doctor :   However we do not know for sure which possibility happened because ultrasound was not XXXXXXXX to confirm itf pregnancy existed in the first place
User :   doctor .. u were telling there might be some medical conditions that hcg may be present in urine or blood .. could pls tell be more about that ?
Doctor :   certain conditions like IgA deficiencies,heterophile antibodies.diseases of liver and cancers can cause increased hcg levels and women may wrongly be diagnosed as having pregnancy
User :   ok
User :   if i consider that i was a pregnant and today report is negative ... is that considered as abortion ?
Doctor :   without an ultrasound I cannot coment?
User :   but urine test for pregnancy report is fully negative today ?
Doctor :   And You havent told me the details of Youur blood test whether it was for hcg or haemoglobin
Doctor :   Ok
Doctor :   So it can be one of the 2 possibilities which I had told You
User :   at least my menstrual cycle could have started by now right ?
Doctor :   Has it not started yet?
Doctor :   I think It would be best if You followed up with Your gynaecologist
User :   no it is not ..
Doctor :   ok i think You should follow Up with Your gynaecologist
User :   when i asked her today about the cycle she said it is due to hormonal injections
Doctor :   Ther could have been in imbalance due to the injections You have taken which have disturbed You cycle
Doctor :   Yes
User :   in blood test there is no information about hcg
Doctor :   Next time confirm pregnancy with a blood hcg test and ultrasound along with the initial urine test
User :   doctor when do u think my cycle might start
User :   ?
Doctor :   it is possible
Doctor :   But Your gynaecologist will be able to guide You better since she has been treating You all along
Doctor :   You havent done any ultrasound yet?
User :   it was done today ...
Doctor :   Did You get the report?
User :   after ultra sound scan she said sack is very small and no growth ... after that she told to go for urine test once again ... report has also come ...
Doctor :   Is the sac in the uterus?
Doctor :   What did the reports show?
User :   sac volume is given as adequate
Doctor :   Ok
User :   No evidence of any subchorionic collection seen
User :   Internal
Doctor :   Ok
User :   OS is closed
Doctor :   It is best that You show these reports to Your gynaecologist
Doctor :   She will decide how best to handle Your pregnancy
User :   these are given by her ..
Doctor :   Whether it is to be strengthened by hormonal therapy or not
Doctor :   This implies that You are pregnant
User :   she said fertilization has not happened properly and was not strong enough to retain even after the hormonal injections ..
Doctor :   Ok
Doctor :   She will decide what is best for You on the basis of Your reports and physical examination
Doctor :   Without physicalk examination or seeing Your reports it is not possible to comment
User :   you are right doctor .. but i am just confirming from you whether i was treatment in a right way or not .. if not i can go to different gynae or so .. so that next time i dont have to suffer like this ..
Doctor :   I think that You have had the right treatmentby Your gynaecologist
User :   so do you think i can continue my treatment & consultation with her for next time also ?
Doctor :   I can give You the names of a few other gynaecologists .Please confirm Your number so that You cn get a call from our customer care
Doctor :   Are You located in bangalore?
User :   yes i am located in bangalore .. but pls doctor help in this confirming this first .. was the treatment given by her was correct or not ?
Doctor :   I think That Your doctor has handled You in the right way.However whether the pregnancy is viable or not is upto Your gynaecologist to decide
User :   ok
Doctor :   I think beccaue the pregnancy test is negative and that is the reason gynecologist did Ultrasound to make sure whether pregnancy/foeus is inside or not. But what she found is small tissue .
User :   no doctor ... after scanning only urine test was done today
Doctor :   so based on ultrasound findings and negative urine pregnancy test, it can be said that there was a miscarriage happened
Doctor :   But the irine test evejnn after scan is negative
Doctor :   That means there is a possible miscarriage
User :   how it might have happened ? i mean miscarriage ?
Doctor :   To conform that you can repeat the scan and urine test after
Doctor :   how we have no reason
Doctor :   First trimester abortions are mostly chromosomal
User :   no bleeding .. no stomach pain ... from the time pregnancy was confirmed ...
Doctor :   ctuall what your docotr gave progesterone and HCG were useful
Doctor :   they stabilose the fetus in uerus
Doctor :   Do u follow me?
Doctor :   Did I resoolve all ur querries
User :   yes i am ..
Doctor :   'Thank you very much for consulting us
User :   so miscarriage has happened
Doctor :   yes, from the tests
User :   since hormonal injections were given no bleeding no stomach pain has happened ...
User :   am i right ?
Doctor :   y
Doctor :   do you have anty other Qs
User :   no
Doctor :   My best advise is
Doctor :   repeat the scan and urine test after 1 wk
Doctor :   some times abortions are very common in first trimesters
Doctor :   I am sorry for whatever happened
Doctor :   But be positiver
User :   abortions are due to chromosomal reasons ?
Doctor :   99% abortions in in first 12 weeks are due to choromosomal defects
Doctor :   in baby
Doctor :   be positive
User :   ok .. thanks for your information and time doctor ....
Doctor :   Next time when your Urine pregnancy test is positive do confirm the pregnancy using b hcg blood test and ultrasound scan
Doctor :   hope ayou have understood?
User :   yes i do
User :   thanks once again ..
Doctor :   Is there anything else I can help you with?
Doctor :   Bye for now
User :   no.. bye..
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