Thursday, 21 February 2019

Real Women- Real Experiences- 22.2.19- Chemical Pregnancy- What It Is

Real Women- Real Experiences- 22.2.19- Chemical Pregnancy- What It Is

A 26 year old woman, resident of Nerul,Navi Mumbai, a dentist by profession, has been married for 6 months.

She was not looking to become pregnant, but her pregnancy test came weak positive after missing periods for 3 days.

She was to travel to another city for a function in family, hence was desirous of removing pregnancy as early as possible.

In the meantime she also started with spotting per vaginum of some blood.

When an Trans- Vaginal ultrasound was done- it showed - no G-sac ( Gestational Sac ). 

A conclusion of Chemical Pregnancy was made. It is a known clinical entity- wherein sperm and ova after meeting- start to develop a zygote but for so many reasons- mainly genetic- fail to produce a healthy pregnancy.

Nature's way of removing it is - a bit delayed menses.

Many a times if Urine Pregnancy Test ( UPT ) is not performed, diagnosis of this condition is completely missed.

It is a common phenomenon in IVF ( In Vitro Fertilization ) cycles as , both patient as well as the treating Gynecologist are eager to know the result of their trial and will perform Beta HCG test even before the expected date of menses.

It will come a bit high but then menses will resume.

The clinical significance is that these reactions are not to be regarded as pregnancies , turning into early abortion. 

If that approach is taken , a lot of unnecessary heartache, headache and investigations will be avoided. 

The key of management is- DO NOTHING    


To know more , log on to our website
 www.mygynaecworld.com

By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-My Gynaec World

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