infection

[nearlyreadytopop]

Back for some more advice please.
Five weeks ago I had a mmc at 17 weeks. I had medical management and was discharged with a small amount of tissue that I was told I should pass naturally.
Last week I visited the GP as bleeding had started again and I am still getting positive preg tests. I was given two types of antibiotics, and had my HCG levels checked. I also had a scan and was told again about the small amount of tissue left. Its been 5 days now of antibioctics and if anything I feel worse. Still bleeding, sore lower back and crampy sore stomach.
I am back to GP tomorrow morning so I was wondering is it too late for a ERPC? This hasnt even been discussed yet, too me it seems like the fastest way for this to be over. I really dont want to be fobbed of with more/different antibiotics but dont know what I want iykwim.

[MrsJohnDeere]

Fwiw I had my miscarriage back in October (with EPRC) and may be having another one soon as i have tissue (although in my case it has regrown rather than being residual). Did your HCG levels come back ok (under 5?).

[MrsJohnDeere]

Sorry, that wasn't at all clear . I may be having another ERPC not another miscarriage.

[nearlyreadytopop]

Hi MrsJd
Hcg levels were 125 then 48hrs later were 115.
Gp has arranged another hospital appointment tomorrow as she thinks something more should be done. I just want it to be over!

[MrsJohnDeere]

Have they said anything about molar/partial molar pregnancy (that's what I have/had)? I would ask about it as it sounds like you might have this but very few doctors know much about it (and GPs really know nothing ime).

The gynaecologist I see said that many gynaecologists haven't even heard of it and go for years without ever seeing a case.

[nearlyreadytopop]

Locum Gp this morning mentioned it. She said its something I should be checked for. Tbh I have never heard of it. Will give it a Google (and probably scare myself in the process)!! How is it diagnosed?

[MrsJohnDeere]

Mine was diagnosed after my ERPC. Whatever was evacuated was sent off to the lab to be checked and the results showed a partial mole. My gynaecologist told me about it all when I went for a 6 week check up after the MMC. I had no idea and had never heard of it.

It is obviously a bit different if there's nothing to analyse. If you had an ERPC now they could analyse that tissue.

Diagnosis is made on the basis of HCG levels. They're tested through blood and urine samples. If you check out www.hmole-chorio.org.uk/ you might find answers to some of your questions. Don't let it freak you out though!

My HCG wasn't measured until 8 weeks after the ERPC and since then it has bounced up and down between a low of 37 and a high of 134. I'm currently in Charing Cross having treatment to bring levels down to zero.

[MrsJohnDeere]

Should have added, come join us on the molar thread.

[nearlyreadytopop]

Oh my goodness Mrs JD, what you have been going through! I have read the other thread and I hope you feel better really soon.
The first Doctor today was going to send me on my way with another HCG test. Thanks to you and my GP I mentioned partial molar pregnancy and asked for another scan. To begin with the Doc said that there was no point as such a small amount of tissue was seen last week. However once she scanned she spotted that something wasnt right and brought the consultant in who straightaway said I needed a D&C with tissue analysis as he suspected a partial molar.
I am quite shocked and I think I'm a little bit in denial about it.

[MrsJohnDeere]

It is a bit of a shock to the system isn't it. Try not to panic though, particularly when you hear the word cancer (easier said than done, I know). The chances with a partial mole are very low (0.5% I think ). Once Charing Cross or Sheffield get involved it all gets monitored and taken care of very well. I do wonder how many people have it and never know, or only find out years later when things are much more serious.

Glad the docs took you seriously and looked into it further.

I have had a stressful few months but nothing compared to what some people go through. I feel much calmer about it all now that I'm actually having treatment and dealing with the problem.