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Need advice in pregnancy from OBG
LMP 11th Jun 2020, urine test is positive, with faint pink line, contacted gynac ultrasound was done could find baby in uterus.. Beta hcg test is done on 9th july 2020 (3 week 5 day) report 373.5 mIu/ml...
Radiologist thinks it epotic pregnancy
We have done hcg test 6 months ago.. Tubes are open no blockage
Did we test early.. Are hcg level normal
Even if hsg showed open tubes ,pregnancy can be present in Fallopian tubes
Sonography can pickup early ectopic
In cases of doubts 2 beta hcg levels 48 hrs apart are done
Early ectopic can be treated with medicines
Laproscopy is great help
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LMP: 11/06/2020
Urine pregnancy test Faint line, BHCG 373.5 suggestive of very early pregnancy.
Repeat BHCG after every 48hrs:
Normal pregnancy : BHCG value doubles in 48 hours.
Ectpic pregnancy: BHCG value doesnt double in 48 hours.
Once u reach BHCG level above 4000, repeat scan.
Avoid susten or proluton injectable or any progesterone support until 2and scan as it is not sure whether It is Intrauterine pregnancy or Ectopic pregnancy.
See ur Gynecologist asap if u started bleeding, severe abdominal pain, Vertigo or any major issues.
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Yes it is positive test with very early pregnancy
. If you have no pain pelvis it is not ectopic . Ectopic pregnancy always has painful . Intrauterine sac will be seen in transvaginal ultrasound only after B HCG is 1600/2000 and in trans abdominal ultrasound when BHCG is around 5000 (discriminatory zone)
Next Steps
Take Capsule Susten 200 mg vaginum pessary twice a day for 2 weeks
Injection prolin 500 mg twice a week for 2 weeks
Continue Fol 123
Mothers Horlicks two spoons with milk two times a day for 2 weeks
Health Tips
Avoid lifting weights and stress and intercourses
Avoid papaya and pineapple juice
Get a ultrasound pelvis done for uterus tubes and ovaries and gestation sac after 2 weeks
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