Quick Solutions for Abdominal Pain and Pregnancy Worries

Quick Solutions for Abdominal Pain and Pregnancy Worries
Published on, 04 June, 2024. Answered by Dr. Mini Sood and Verified by Dr.Galen Team
Patient Question

Hello Doctor,

I recently underwent a lower abdomen TV ultrasound due to symptoms resembling pregnancy, such as faint positive results on a urine test. Alongside these indicators, I've been experiencing pain and bloating. It's important to note that my fallopian tubes have been tied for nearly nine years. Additionally, I have a medical history that includes CIN and other surgeries.

 

Answered by Dr. Mini Sood

Hello,

Thank you for reaching out to Dr. Galen. Please find the below response to your query.

Firstly, the presence of pregnancy symptoms alongside a faint positive result on a urine test despite having undergone tubal ligation raises the possibility of ligation failure. While tubal ligation is typically an effective method of contraception, there is still a small chance of pregnancy occurring, albeit rare after such a long period of time.

Moreover, given your symptoms and medical history, there is also a concern for the possibility of an ectopic pregnancy. This occurs when a fertilized egg implants itself outside of the uterus, often within the fallopian tubes. Ectopic pregnancies can be dangerous and require immediate medical attention.

To further investigate your condition and arrive at a definitive diagnosis, I recommend the following steps:

  1. Repeat Urine Pregnancy Test: A repeat urine pregnancy test can help confirm the initial findings and assess the progression of hormone levels indicative of pregnancy.

  2. Serum Beta hCG Test: This blood test measures the level of human chorionic gonadotropin (hCG) hormone in your bloodstream, providing a more accurate indication of pregnancy and helping to differentiate between intrauterine and ectopic pregnancies.

  3. Additional Ultrasound Scan: Another ultrasound scan will be beneficial in visualizing any abnormalities or confirming the location of the pregnancy, whether intrauterine or ectopic.

Once we have gathered these additional diagnostic insights, we can collaboratively discuss the next steps with your obstetrician. If the pregnancy is confirmed to be intrauterine, we will explore options for continuation or termination of the pregnancy based on your preferences and medical considerations. However, if an ectopic pregnancy is detected, prompt surgical intervention may be necessary to prevent complications.

Furthermore, in the event of confirmed ligation failure resulting in pregnancy, it's important to explore your options and ensure appropriate care. Depending on the circumstances, you may be eligible for compensation for the failure of the ligation procedure, provided it falls within the stipulated time frame.

In conclusion, I understand that this situation may be concerning, but please rest assured that we are here to support you every step of the way. Please proceed with the recommended tests at your earliest convenience, and feel free to reach out if you have any further questions or concerns.

Thank you for entrusting us with your care.


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About Dr. Mini Sood

Dr. Mini Sood

Obstetrician and Gynecologist


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