Birth Control Forum - Miscarriage and ectopic pregnancy

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Q: Miscarriage and ectopic pregnancy

asked by: DoctorQuestion on May 4th, 2008

I had a tubal when my last child was born, 9 years ago. Approximately two weeks ago, I had sexual intercourse with my partner, a couple of days ago, I thought I started my period but it was extremely heavy and the texture wasn't right. The next day I passed two fairly large tissue clumps. There was alot of bleeding. I automatically assumed I had an ectopic pregnancy, but I didn't get any of the pain/cramps/fever....... my body has disposed of all tissue and now I am bleeding like a normal menstrual period. Could it be possible to have had a real pregnancy and I miscarried in lieu of an ectopic one?

Replies(1)

Dr. Nikola Gjuzelov , MD

replied on May 9th, 2008

Birth Control Answer A4084

A heavy period is not proof that you had an early miscarriage. Vaginal bleeding is present in both an early miscarriage and atopic pregnancy but first you need to prove that you really were pregnant at all. You need to have a positive pregnancy test in both conditions: miscarry and ectopic pregnancy.

A home (urine) pregnancy test may not be relevant in case of ectopic pregnancy so a blood pregnancy test should be requested.

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