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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Unprotected Sex. Pregnancy Test Positive. Right Tube Removed Previously. Got Pregnant Ovulating From The Right Side. Opinion?

My LMP was 30th July 2013, I had unprotected sex on 10th August and then two days of bleeding on 26th and 27th August which I assumed was my period. However yesterday (10th September) I started to bleed again which made me worry so I took a pregnancy test and it was positive. I went to EPU today and a scan showed thickened endometrium, undistrupted echo line, no gestational sac and no obvious ectopic pregnancy.
However there was a small swelling adjacent to my left ovary, but I ovulated from right side. There was no sign of blood in pelvis but there was some free fluid in pouch of Douglas, this contained no echoes.
I had an ectopic pregnancy in my right tube three years ago which required the removal of my right tube, which makes it even stranger that I got pregnant ovulating from the right side.
My results today were HCG 295 and Progesterone 46.
I feel certain this is an ectopic again, but I'd like your view please.
posted on Mon, 16 Sep 2013
Twitter Tue, 17 Sep 2013 Answered on
Twitter Wed, 18 Sep 2013 Last reviewed on
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OB & GYN Specialist,  's  Response
Hi,
Thank you for choosing Healthcaremagic. I have analyzed your query in details, I am very sorry about your past ectopic. As you are pregnant now, and beta HCG is less than 1000, so you need to repeat beta HCG if there is doubling of HCG. If the HCG remains persistant, it could be PUL-pregnancy of unknown location.
Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!!


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OB & GYN Specialist,  Dr. Dr. Soumen Patra's  Response
Hello,

It is quite possible to be pregnant from ovulation of right ovary in spite of removal of right tube. After ovulation, ovum traverses through peritoneal cavity and enters into the left tube which leads to positive pregnancy after unprotected sex.

For confirmation of uterine or tubal pregnancy, you need to undergo one TVS scan and repeat beta-HCG. Kindly, consult with gynecologist for proper management.
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Had Unprotected Sex. Pregnancy Test Positive. Right Tube Removed Previously. Got Pregnant Ovulating From The Right Side. Opinion?

Hi, Thank you for choosing Healthcaremagic. I have analyzed your query in details, I am very sorry about your past ectopic. As you are pregnant now, and beta HCG is less than 1000, so you need to repeat beta HCG if there is doubling of HCG. If the HCG remains persistant, it could be PUL-pregnancy of unknown location. Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!!