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Answer to your Health Question

Question (03/02/2011):

My name is Nasreen and I am planning for a baby.

From recent months I am experiencing few health problems.

Need your medical advice.

From 03-Jan-11 I found it was slight bleeding and blood spotting and went to Gynec doctor she told that it may be Implantation is happening so you are facing this issue just wait for sometime if you don't get periods do the pregnancy test.

1-Feb-11 I did the pregnancy UPT test the result was positive later.

We went to doctor for further advice and later we did Beta HCG test on 1-Feb-11 and result was 362 ml
and on 03-Feb-11 Beta HCG was 261 and showed the reports to doctor.

Doctor said it's getting aborted automatically and later we did the ultra sound we didn't find gestational sack.

Later after 15 days again I did pregnancy UPT test on 25-Feb-11 and test was negative.

The concern is that still I am facing bleeding and spotting (Brown/ sometime it will be little red mix) whenever I pass urine.

When the Test is negative then it would be aborted completely right.

One more Gynec she said I have Polycystic ovaries so I am facing this pregnancy problem.

I am really confused and tensed what really happening in my stomach or in my body.

It would be great help if you kindly help me what is the real issue in my health or in my pregnancy.

Whether I am pregnant or not or what is the other issue for bleeding.

Thanks in advance for your quick help and support.




Dear Nasreen,

The hormone human chorionic gonadotropin (better known as hCG) is produced during pregnancy. It is made by cells that form the placenta, which nourishes the egg after it has been fertilized and becomes attached to the uterine wall.

Levels can first be detected by a blood test about 11 days after conception and about 12 - 14 days after conception by a urine test. In general the hCG levels will double every 72 hours.

The level will reach its peak in the first 8 - 11 weeks of pregnancy and then will decline and level off for the remainder of the pregnancy.

Women who have PCOS appear to have an increased risk of miscarriage.

Treatment for PCOS depends largely on an individual woman's fertility desires.

For those women not desiring immediate pregnancy, there are basically two options to help regulate menstrual cyclicity and prevent endometrial hiperplasia.

For women with PCOS who desire pregnancy, ovulation induction is often necessary.

This involves medical treatment in order to help the ovaries release an egg each month in a reliable fashion. For many women this involves simple and relatively inexpensive oral medication.

Others may require more intensive and expensive therapies utilizing injectable medications.

Diagnosis of PCOS can be difficult since a specific test can't be performed nor is there a set list of symptoms that doctors can look for. Each woman's experience of PCOS is unique because no two women have the exact same symptoms.

However, a diagnosis is usually made when a woman has irregular or absent periods, in addition to signs of hyperandrogenism without another medical cause.

When a woman has infrequent, absent or irregular periods, it is a sign that ovulation may not be occurring. The doctor will try to rule out other conditions that could cause irregular periods, such as thyroid disease, hyperprolactinemia, Cushings syndrome or congenital adrenal hyperplasia.

PCOS is often suspected when a patient has irregular periods or fertility problems. These symptoms signal a disruption in the reproductive cycle, which normally culminates each month with ovulation (the release of an egg from an ovary).

Many women with PCOS, though not all, have enlarged ovaries with numerous ovarian cysts.

Other PCOS symptoms include:

- Excessive production of androgens, which may cause excess hair growth on the face, chin, upper lip, nipple area, chest, lower abdomen and thighs or male pattern baldness
- Acne
- Obesity in approximately 50 percent of cases
- Dark patches on the skin
- Prolonged PMS-like symptoms
- Pelvic pain

Besides a thorough physical exam and family medical history, doctors may use the following diagnostic tools:

-A pelvic ultrasound to determine if ovaries are enlarged, to see if cysts are present and to measure the thickness of the lining of the uterus

-Blood tests to detect elevated levels of androgens. Hormone levels measured may include prolactin, thyroid stimulating hormone, 17-hydroxyprogesterone, testosterone and DHEA-S. Levels of glucose, insulin, cholesterol and triglycerides may also be assessed.

-Blood test to detect high levels of lutenizing hormones (LH) or an elevation in the ratio of LH to follicle stimulating hormones (FSH)

Do you have any other questions? Enter your health question

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