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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had A Medical Abortion, Test Shows Faintly Positive, Pain In Abdomen. Should I Go For Scan?

hi i had a medical abortion on 21st dec lost a lot of blood and clots redone a preg test on 11th jan as i was told to the test came back very faintly positive, when i press on my lower tummy it aches not in pain feel like i have trapped wind??? when i told this to nurse she said could be hormones and would ring me back fri and im to do another test im feeling anxious and just wish i could find out sooner as i have 4 children and i work full time as teaching assistant could you advise me that its best to go for a scan monday?
Sat, 19 Jan 2013
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OBGYN 's  Response
hello,
thanks for the query.

Urine hCG decreases after abortion and can take anywhere from 9 to 35 days, with a median of 19 days to be back to normal.

However, the time-frame for when an hCG result will be negative is dependent on what the hCG level was at the time of the miscarriage.

If the levels of hCG do not fall to undetectable levels, some hCG-producing tissue may remain and have to be removed.

In your case i recommend you to get a repeat USG done to know the retained products of conception which needs to be evacuated either medically or surgically.
Take NSAID's for symptomatic pain relief.

hope this helps,
regards,
Dr Nilofer
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Had A Medical Abortion, Test Shows Faintly Positive, Pain In Abdomen. Should I Go For Scan?

hello, thanks for the query. Urine hCG decreases after abortion and can take anywhere from 9 to 35 days, with a median of 19 days to be back to normal. However, the time-frame for when an hCG result will be negative is dependent on what the hCG level was at the time of the miscarriage. If the levels of hCG do not fall to undetectable levels, some hCG-producing tissue may remain and have to be removed. In your case i recommend you to get a repeat USG done to know the retained products of conception which needs to be evacuated either medically or surgically. Take NSAID s for symptomatic pain relief. hope this helps, regards, Dr Nilofer