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Hydrosalpinx + miscarriage, Now advised to take Loestrin 24 Fe (contraceptive), What should I do?
Jane_Ros posted:
I went to Doctor as I started having pain in left lower abdomen, she detected a large cyst around my Fallopian tube around 9 x 4 inch large (hydrosalpinx). I underwent Laproscopy and had to remove my tube.This was in 2010. Later we got pregnant in 2011, but this was not successful,I Miscarried within approx 5 wks.Don't know the reason for loss but my progesterone levels were too low for which I was suggested Progesteron suppositories but it was too late.Now the problem is that I have same kind of pain on my Rt Side, along with spotting.
I am worried. I discussed with my doctor and she advised me to take Loestrin 24 Fe(contraceptive), but I am not sure of taking this medication as I already have so many complication with my reproductive system. I am 29 and a student so may be i don't want to get pregnant soon after i miscarried,may be later this yr though. Dear all can you please tell me what should I do, should I take the meds my Dr advised me and If yes than can you please tell me a reason why should one take this med
thanks a lot in advance
David K Walmer, MD, PhD responded:
Jane, There are many different strategies that you could take. After a miscarriage, it is important to make sure that all of the tissue from the previous pregnancy has been removed or expelled. A fragment of residual placenta could lower your chances of conception. If you demonstrate that the lining of the uterus is very thin while taking birth control pills and you don't have any abnormal bleeding then that is pretty good evidence that all o of the tissue from the previous pregnancy is gone. There are other ways to do this as well. You could look inside the uterus with a hysteroscope. The good news is that despite having a known problem with abnormal fallopian tubes, you were successful in getting an embryo to make it down your remaining tube into your uterus. Given that & you age, I am hopeful that you will eventually achieve success. Don't give up yet. This is hard but in the end it should be worth the effort. Good luck!
Jane_Ros replied to David K Walmer, MD, PhD's response:
Dear Sir, Thanks a lot for your reply.
I would like you to know that I underwent Hysterosalphingogram (HSG) test and I was told that I have remnant Lt Fallopian tube which Dr left aside while previous laparoscopic surgery and the Right Fallopian tube is sacred but viable (I got pregnant with this Rt tube later). As of now, I have started having pain in my rt intact Fallopian tube and dr says that this might be a cyst formation again with this information in hand do you think taking Loestrin 24 Fe(contraceptive) going to help me in future conception? I have never taken any contraceptives before ( due to it's know side effects)
Also, I have another question, Is Monitoring HCG levels coming down to -5 enough to confirm that there are no more tissues from the previous pregnancy left in the Fallopian tube.

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