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The test showed pregnancy, but the period began “

The test showed pregnancy, but the period began

“I had a delay, the test showed pregnancy, but the period began” I went to the ultrasound – there is no pregnancy. Made the test – the result is positive. Test may be wrong?

Or maybe it is an ectopic pregnancy?

Marina, Dolgoprudny

For ectopic pregnancy, ultrasound will show a rounded education in the area of ​​the fallopian tube, and the numbers of hCG in the blood will be low in dynamics. A pregnancy test shows the presence of human chorionic gonadotropin in the urine. It appears immediately after the attachment of the ovum in the uterus or outside it.

The absolute sign of uterine pregnancy is the presence of an ovum in the uterus and an increase in the number of hCG in the blood by 2 times every 48 hours. To exclude diseases, it is necessary to make ultrasound of the small pelvis, kidneys and adrenal glands, to pass the analysis for the level of beta-hCG in the blood and for the tumor markers CA 125 and CA 19-9.

During critical days, unpleasant symptoms began: an unpleasant odor, severe irritation, discharge. Why is this happening?

What tests to take and for what?

Victoria, Rostov-on-Don

Judging by the complaints, this is bacterial vaginosis – a non-inflammatory infectious disease. Characterized by a sharp decrease in the number of lactobacilli and their replacement by anaerobic bacteria (they are able to live in the absence of oxygen) and gardnerella.

Most often this happens because of frequent inflammatory diseases and uncontrolled antibiotic intake. It is necessary to pass a gynecological smear and bacterial culture.

I recommend also to pass a new modern test – femoflor 16. This innovative method is a real-time polymerase chain reaction and allows you to determine both the qualitative and quantitative composition of microflora.

Two-stage treatment: 1) antimicrobial drugs; 2) means to restore normal microflora.

How to choose a hormonal contraceptive?

Valeria, Moscow

There are three groups of drugs that are prescribed depending on the hormones that prevail in a woman: estrogens, gestagens, or drugs of a balanced type. To select a specific drug, it is necessary to pass smears on the flora and oncocytology, coagulogram, biochemical blood test, hormonal profile (DHEA, LH, FSH, estradiol, testosterone, prolactin, progesterone). It is also necessary to do an ultrasound of the mammary glands and analysis of genetic thrombophilia.

To pick up oral contraceptives must obstetrician-gynecologist.

Can there be problems with conception after removal of the intrauterine device?

If you follow all the recommendations of a doctor, conception should occur 6–12 months after the contraceptive is removed. Much depends on the duration of wearing, the presence of inflammatory diseases of the genital organs, microtraumas of the uterine wall.

After removing the contraceptive, it is necessary to pass a coagulogram, since hormones affect the blood coagulation system, which may affect the timing and possibility of pregnancy. With a regular (3-4 times a week) unprotected sex life for 6–8 months and no pregnancy, it is worth testing for a hormonal profile.

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