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Dr Owen
Dr Owen, Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 55754
Experience:  Board certified Ob/Gyn
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Hi Dr. Please help me Im 36 yrs old 6 weeks pregnant but bleeding|spottings

Customer Question

Hi Dr. Please help me Im 36 yrs old 6 weeks pregnant but bleeding|spottings since 6 days. BHCg as of 15/3/14(1172) progesterone level 12.9 caregiver told me quiry for ectopic pregnancy but I dont have any pain. Please help me to save my baby. Thank you.
Submitted: 2 years ago.
Category: OB GYN
Expert:  Dr Owen replied 2 years ago.

Dr Owen :

Hello

Dr Owen :

are you taking any progesterone?

Dr Owen :

so your HCG level is good

Dr Owen :

the Progesterone level is a bit low - and I would suggest possibly taking extra progesterone such as Prometrium 200mg twice per day.

Customer:

Its not ectopic pregnancy Dr?

Dr Owen :

Unless you are having Pain, then VERY unlikely this is an ectopic

Dr Owen :

so don't think about an ectopic at this point.

Dr Owen :

but I would suggest trying Progesterone

Dr Owen :

I wish you well

Dr Owen :

If you have more questions, please ask

Dr Owen :

Please click on Excellent for helping you

Dr Owen :

thank you

Customer:

Because my Dr.told me some possible diagnosis

Dr Owen :

Yes but you have no pain - so very Unlikely to be an ectopic

Dr Owen :

ectopic pregnancies usually are very painful

Customer:

How to stop my bleeding

Dr Owen :

that is why I keep saying Progesterone

Dr Owen :

your progesterone level is low

Dr Owen :

so ask your doctor for Progesterone - 200mg of Prometrium twice per day

Customer:

Can i buy progesterone w/o prescription?

Dr Owen :

you need a prescription

Dr Owen :

although I see you are in the UAE, so you might be able to buy without a prescription

Customer:

It will stop also the bleeding

Dr Owen :

that is why I keep saying to use the progesterone

Customer:

Ok Dr. I will

Dr Owen :

I wish you well

Dr Owen :

Please click on Excellent

Dr Owen :

thank you

Dr Owen :

Have a good evening

Customer:

But my concern also why is it there is no sac in ultrasound

Dr Owen :

you could be too early

Dr Owen :

so you have to be patient

Customer:

Ok dr. Thanks a lot

Dr Owen :

you are welcome

Dr Owen :

Please click on EXCELLENT for helping you

Dr Owen :

thank you

Customer:

What is the amount of Bhcg inorder to see in untrasound

Dr Owen :

usually 1500 to 2500

Customer:

My dr. Should be patient then

Dr Owen :

yes - and follow what I have said and suggested

Dr Owen :

Have a good evening

Dr Owen :

Please click on Excellent

Dr Owen :

thank you

Customer:

Every 48hrs they are taking my Bhcg

Dr Owen :

Yes

Dr Owen :

Please click on Excellent for helping you today

Dr Owen :

thank you

Customer:

Dr. Admitted me in the hospital because of this bleeding

Dr Owen :

okay

Dr Owen :

well you need to be patient

Dr Owen :

that is all you can do at this time

Customer:

They are not giving me any medication like progesterone

Dr Owen :

ASK for it

Dr Owen :

they might not know about it

Customer:

Ok dr. I will do it

Dr Owen :

you are welcome

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Customer:

Hi Dr. Owen

Dr Owen :

Hello

Dr Owen :

Please click on Excellent for having helped you yesterday

Dr Owen :

Thank you

Customer:

Dr. Just now i got my bhcg 1655.69 but rhe dr. Is not happy by rhe result

Customer:

Dr. Expected to inc double

Dr Owen :

okay - well only time will tell

Customer:

Last bhcg was 1173.55

Customer:

They wilk take bhcg again after 48 hrs

Dr Owen :

okay

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Please click on EXCELLENT for helping you yesterday

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that would be appreciated for all the time I have spent with you

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Thank you

Customer:

That is the time they will decide wether ectopic preg. Failing preg or ongoibg oreg

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thank you

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I will be happy to discuss today's questions after you click on Excellent

Dr Owen :

thank you

Customer:

What is ur opinion Dr.

Dr Owen :

Please click on Excellent and I would be happy to discuss your next set of questions

Dr Owen :

thank you

Dr Owen, Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 55754
Experience: Board certified Ob/Gyn
Dr Owen and other OB GYN Specialists are ready to help you
Expert:  Dr Owen replied 2 years ago.
Based on today's results - IF the test was done EXACTLY 48 hours later, then the result should be at least 1947. So I would suggest waiting another 48 hours - because sometimes the HCG results do NOT always follow what is expected, also your progesterone is low, you should be on Progesterone too.

I wish you well
Customer: replied 2 years ago.

I suggest to Dr. About the progesterone but she refused acording to her on that early preg no intervention needed


 

Customer: replied 2 years ago.

The scan is still not clear to figure out if the small dot is the gestational sac but that dot is inside the uterus.


 

Expert:  Dr Owen replied 2 years ago.
okay,

Usually not until about 1500 to 2500 is when you can see more...so it is a matter of just being patient. Time is the only way to know for sure.
Customer: replied 2 years ago.

So what if after 48 hrs still not doubling the result of


bhcg what will be the next action


 

Customer: replied 2 years ago.

I asked for progesterone tablet but not available here in uae can i use vag supp?

Or cream? What will be the frequency and duration then? Eventhough myob Dr. Not allowing me to take any medication i will try to find this.

 

Expert:  Dr Owen replied 2 years ago.
Yes you can use vaginal progesterone too.
any progesterone will help
thank you
Customer: replied 2 years ago.

Still bid for how long?

Customer: replied 2 years ago.

Dr.there is any thing that will increase my Bhcg level any food to eat or medicine to take or anything?


 

Expert:  Dr Owen replied 2 years ago.
YOu need to just be patient - there is NOTHING else you can do - Only what I have told you
Customer: replied 2 years ago.

Dr. Owen Ive done the Bhcg yesterday the amout is 2400+ still not doubling frm 1655 2 days back.Made the scan and there is gestational sac found inside my uterus but not developing well as per Dr. said. Still I'm bleeding fro 10 days now. On Sunday they will rep. another Bhcg and scan and if they will not see any development they will perform D&C bec. according to them the fetus is not developing well. Is it the right decision? Pls. help. Thank You.

Expert:  Dr Owen replied 2 years ago.
I would do another ultrasound and IF THERE is a change - then if could be normal - IF there is no change and more bleeding then I am sorry that this is most likely a miscarriage
Customer: replied 2 years ago.

So the Dr. plan is correct? You would suggest also the D&C?

Expert:  Dr Owen replied 2 years ago.
I would suggest a D&C ONLY when you know this is a failed pregnant - so wait to see what happens at the next appointment

I wish you well
Customer: replied 2 years ago.

Thank You Dr. Owen for your advice.

Expert:  Dr Owen replied 2 years ago.
Have a good night
I wish you well

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