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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have High Prolactin Level, Abdomen Pain. Urine Test Positive For Pregnancy. Have Ovarian Cyst And Tubal Pregnancy. Suggest?

Hi, I am 28, Had my physicals done a month and a half ago and everything was normal except my prolactin hormone level which was 58. I had to get an MRI done and the MRI was clear and so was the sonogram. 1 month after those tests I have a prolonged period and I have had heavy pain in my mid and lower abdomen and back. Got urine test done and now they said im positive for pregnancy (I was not 1 month ago, did'nt miss a period). Got a sonogram and blood test done. My doctor says i have a cyst on my ovary and i have my pregnancy in my tube. She also said that i have some fluid development which is causing the pain and i need to go to surgery or get the shots of methotrexate. I have never been pregnant before or had any infertility issues or any other health issues. Please help!
Sat, 28 Sep 2013
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Infertility Specialist 's  Response
Hi,
Welcome to HCM.
You can get your beta HCG test done. If value is above 1500-2000mIU/mL & pregnancy not visible in uterus, its most likely ectopic pregnancy & you need to follow your doctor's advise. If value is less than 1500mIU/mL, you can wait in consultation with your doctor for the pregnancy to be visible in scan. All this applies only if your condition is stable & ectopic pregnancy is not visualized in scan. If its otherwise (unstable haemodynamic condition/pregnancy seen on scan to be outside uterus) its better to follow your doctor's advice. In any case your doctor is best judge as he is personally examining you & seeing scan reports & can better judge condition than the one who is consulting online.
Wish you good health.
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Have High Prolactin Level, Abdomen Pain. Urine Test Positive For Pregnancy. Have Ovarian Cyst And Tubal Pregnancy. Suggest?

Hi, Welcome to HCM. You can get your beta HCG test done. If value is above 1500-2000mIU/mL & pregnancy not visible in uterus, its most likely ectopic pregnancy & you need to follow your doctor s advise. If value is less than 1500mIU/mL, you can wait in consultation with your doctor for the pregnancy to be visible in scan. All this applies only if your condition is stable & ectopic pregnancy is not visualized in scan. If its otherwise (unstable haemodynamic condition/pregnancy seen on scan to be outside uterus) its better to follow your doctor s advice. In any case your doctor is best judge as he is personally examining you & seeing scan reports & can better judge condition than the one who is consulting online. Wish you good health.