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Hysterectomy and ectopic pregnancy

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Iam 42 yrs old and had a total hysterectomy 15 yrs ago and was seen in the er last moth with flu like symptoms. when i went into the triage center the nurse did not ask when my last period was so the dr took a preg test and it was pos. i have pain on my left side and am always nausiataed in the morning and have been loosing weight and that is not easy for me. i am scared and uninsured so i can't just run to any specialist.
please help,i also do not take any hormone therapry for 5 yrs was taking premerine

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replied January 8th, 2010
Hysterectomy Answer A8977
Welcome to the ehealthforum and I am glad to help you out.

A total hysterectomy is complete removal of the uterus including the corpus and cervix. You have not mentioned whether this total hysterectomy was done along with a bilateral salpingooopehrectomy(removal of fallopian tubes and ovaries on both sides). Since you are having a positive pregnancy test, it looks like it is an ectopic pregnancy which has resulted from fusion of the ova released from the ovaries with the sperm. This is found in women with a hysterectomy and is considered a medical emergency. It can happen because although the uterus and cervix have been removed, but the fertilization has occurred by means of a fistulous tract formed between the ovary and the fallopian tube/ stump.

My sincere advice in your case would be to get an ultrasound lower abdomen done after consulting a gynecologist at the earliest. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For an exact diagnosis, you are advised to consult your doctor. I sincerely hope that helps. Take care.

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