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Avatar universal

Obesity and Pregnancy

Hello, again.

I read somewhere that it was a bit more difficult to see a baby via ultrasound in an obese patient.
Nov. Dec. Jan. Feb. March. April and May would put me at six and  half seven months. My last vaginal ultrasound was in April and I was just told that if I didn't get my period under Duphaston then it means I'm pregnant.
Why would I be now when I wasn't at my last visit? I haven't had sex since October-November.
The Duphaston along with parsley insertion and tea made me start my period last month only it lasted a month. I was just told that the blood just needed to come out since I hadn't had it in so long.
I've asked so many times but could I be pregnant and because of my weight the vaginal ultrasound missed it? I was given photos of my uterus and ovaries and there was nothing there, no sac, no pole nothing.
Thank you in advance.
10 Responses
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1035252 tn?1427227833
I'm not positive, but I don't think that weight would affect a vaginal ultrasound. the only kind of ultrasound that weight would affect would be abdominal (external).  
Helpful - 0
1194973 tn?1385503904
I agree with Ashelen. I'm not sure how weight would have effect a vaginal ultrasound. Especially if they also gave you pictures of your uterus and there is nothing there.
Helpful - 0
Avatar universal
Thank you both for your answers but this http://journals.lww.com/greenjournal/Fulltext/2004/09000/Accuracy_of_Transvaginal_Ultrasonography_in.23.aspx has me a bit worried :S
Helpful - 0
1222635 tn?1366396286
that study is not referring to pregnancy but something entirely different, i don't think you have anything to worry about :) you said you bled for a month? you are not pregnant. even IF you were (which i HIGHLY doubt) then your not anymore after bleeding for a month.
Helpful - 0
Avatar universal
lol...I'm still feeling flutters though.
I did pass some rather giant clots too.
Helpful - 0
1035252 tn?1427227833
I agree with mom2ariana that the study refers to something else...and even if the endometrial thickness could affect early ultrasound results, there would be no hiding a fetus by now..especially if you're far enough to be feeling flutters caused by a fetus. large clots passed during pregnancy are 9 times out of 10 a bad sign and would not generally result in a term pregnancy.

I also wanted to add that after reading up about duphaston, I do not think that the thickness of the endometrium would affect your results...because duphaston is used to regulate endometrium growth and shedding, and is often used to MINIMIZE overgrowth of the lining so it's unlikely that a patient on duphaston would have an endometrium thick enough to hide a pregnancy (especially on vaginal ultrasound) for long, if at all.

if they can clearly see your uterus and it's empty, you are not pregnant. if the image was unclear, fuzzy, or otherwise leaves you in doubt that what they were seeing was in fact the whole picture, request another ultrasound. that's the only thing I can recommend...good luck
Helpful - 0
Avatar universal
I can't anymore. I've already seen two gynecologists and gotten two vaginal ultrasounds a month apart. One at what would have been five months pregnancy and the other last month and two pelvic ultrasounds :S
Because I got a negative HPT in December, negative blood test in January and another negative in March i can't get an ultrasound :S
Helpful - 0
1035252 tn?1427227833
I dunno what to say then..maybe call your doctor and tell them how concerned you are? Ultrasounds are really accurate, especially if you would have been 5 months at your last one...
Helpful - 0
202436 tn?1326474333
By "obese" how much overweight are you meaning?  Judging from what you have posted it does NOT sound like you are pregnant.  If you were given a good picture of your reproductive organs including the uterus and it showed no fetus then you are not pregnant.  If the ultrasound was having trouble due to weight it would also have trouble detecting the uterus and other reproductive organs as well.  As for the "flutters" it could be a number of things...gas possibly, or you could have yourself so convinced that there is a possibility of pregnancy that you are imagining these feelings.  PLease don't take that the wrong way.  Women all over the world have had whats called a hysterical pregnancy.  Hopefully you will get some answers soon one way or the other.
Helpful - 0
Avatar universal
Flutterings are most likely bowel movements/gas. That is what baby movements feel like in early pregnancy.

A vaginal sonogram, no matter your weight, would see a fetus. I do not think you are pregnant. Consult a professional for a second opinion but you might just be throwing money away.

Getting your weight under control most likely will help regulate your periods and help you conceive, too. Good luck!
Helpful - 0
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