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Dr. Abdelreheem Jammal

Dr. Abdelreheem Jammal

Licensed Doctor

الأسئلة المجابة 14621 | نسبة الرضا 99.1%

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Hi.i was pregnant and then in week 5 I had...

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Hi.i was pregnant and then in week 5 I had bleeding they did the bhcg it was 34 and the doctor can't see anything inside the uterus .. 48 hours later the bhcg was 96 and then 48 hours later it was 125 .. the bleeding continues I was able to define some clots with the bleeding... 48 hours after the last bhcg the last test was 86 now I am bleeding again I believe this time it is menstrual period but a heavy one The doctor has suspicioused etopic pregnancy is this true as he was able to define one tiny sac on the ovaries
Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?
Yes I wrote every thing .. no medications
Doctor's Assistant: Anything else in your medical history you think the doctor should know?
Yes I had a surgery to remove under skin sac which was right below my c-section surgery .. the doctor has said to me that it has endometriosis cells ..I have one girl delivered by c section she is 7 yr old .. no pregnancy happens in the last year's ... and I was not taking any medicine for pregnancy stopping

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إجابة الخبير: Dr. Abdelreheem Jammal

Dr. Abdelreheem Jammal

Dr. Abdelreheem Jammal

Licensed Doctor

الأسئلة المجابة 14621 | نسبة الرضا 99.1%

Dear Customer
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Treatment of ectopic pregnancy?

  • Treatment is usually needed to remove the pregnancy before it grows too large
  • expectant management
  1. regular blood tests to check that the level of hCG in your blood is going down
  2. take paracetamol to relieve  pain
  • medication: a medicine called methotrexate is used to stop the pregnancy growing  
  • surgery

How to diagnose ectopic pregnancy?

  • It can be difficult to diagnose an ectopic pregnancy from the symptoms alone, as they can be similar to other conditions.
  • You may have symptoms of an ectopic pregnancy and a positive pregnancy test
  • You should do
  • Vaginal ultrasound
  • (hCG) may also be carried out twice, 48 hours apart, to see how the level changes over time.
  • level of hCG tends to be lower and rise more slowly over time than in a normal pregnancy.
  • laparoscopy may be carried out.

Causes of first trimester bleeding?

  • Anembryonic pregnancy
  • Ectopic pregnancy
  • Embryonic demise
  • Gestational trophoblastic disease or hydatidiform mole
  • Heterotopic pregnancy
  • Recurrent pregnancy loss
  • Spontaneous abortion
  • Threatened abortion
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إسأل Licensed Doctor

Dr. Abdelreheem Jammal

Dr. Abdelreheem Jammal

Licensed Doctor

الأسئلة المجابة 14621 | نسبة الرضا 99.1%

  • 100% ضمان الرضا
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