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Missed AB Pregnancy
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Missed AB Pregnancy


  I discovered I had gotten pregnant in October 1999,after trying to conceive
  for four months.  I began to miscarry after six weeks into my pregnancy.
  After some tests were completed my doctor diagnosed a missed AB pregnancy.  
  In December I received a shot (one time only) of methotrexate sodium.  I
  started bleeding again two weeks later.  The first part of January my levels
  were at 5.  I started my menstrual cycle on the 18th of January and it
  lasted for 10 days.  I started my period on February 10th and it lasted
  until the 26th.  During this cycle I started out spotting from the 10th
  until the 18th, then the bleeding got heavier(like a normal period) then
  at the end of the cycle I spotted again. Spotting during my menstrual
  cycle began after my abnormal pregnancy.  It was not a part of my menstrual
  cycle before.  I took an over-the-counter ovulation test before each
  cycle and the test indicated that I had an LH surge each time. Now it is
  March and I started my period on the 12th. I developed hypothyroidism after
  the birth of my daughter.  My levels were checked repeatedly during the
  last few months and my dosage was lowered to .112 from .125 in October or
  November. In February my doctors office suggested that they put me on
  medication to help regulate my menstrual cycles. But I would rather have
  an explanation as to why I am bleeding so long and if my thyroid condition
  could be responsible for my not getting pregnant,or is the methotrexate
  shot responible for my problems, or could it be something totally
  different?  Thank for taking the time to read and respond to my information
  any insight would be appreciated.
  Sincerely,Paula
  ?    
    
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Dear Paula:
Low thyroid function will contribute to increased bleeding. Commonly hypothyroid patients also do not ovulate. A serum TSH level and if necessary, a free T4 level, are the tests to decide if the level of thryoid replacement therapy is correct.
Methotrexate assists the breakdown and discharge of the early pregnancy tissue from the body. An hCG level that has dropped below detection (often 5 mIU/ml) shows that that drug has done its job.
Heavy bleeding can be due to problems inside the uterus (polyps, fibroids). This is the most common issue if the pregnancy has been completely dissolved, no new pregnancy has occurred, and thryoid function is normal.
Keywords: bleeding after methotrexate
This informatin is provided for educaton purposes and is not a medical consultation. If you have specific questions, please speak with your healthcare provider.





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