What tests can detect past surgical abortion?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Well, I am deeply concerned about your worries. Let me explain to you that once you have a pregnancy or terminate the pregnancy, whether surgical or medical termination, positive results are shown for a maximum of three weeks; after that, the result becomes negative.

There is no beta hCG (human chorionic gonadotropin) or ultrasound that can detect the previous pregnancy. Beta HCG remains elevated till the pregnancy is positive after the level becomes less than 5 IU (international unit). I assure you that no medically proven investigation can detect that you had a surgically aborted pregnancy. But your fiance can identify that you had sexual intercourse before him because of losing your virginity, and that one you can make him understand.

Once again, I want to make sure there is no medical way to prove whether you had a pregnancy before or not; only we can confirm by asking about the patient's history. I hope I made it clear to this point. If you have any further queries, please do not hesitate to contact me. I would highly appreciate it if you could give your feedback.

I hope this helps.

Let me know if I can assist you further.

Thank you.

Hello,

Welcome back to icliniq.com.

I have read your query and understand your concern.

I am deeply concerned about your worries. The investigations to be done during pregnancy are as follows:

Baseline investigations:

1. Blood group and Rh (Rhesus) factor.

2. CBC (complete blood count).

3. Fasting blood sugar.

4. Urine complete examination.

5. Viral markers such as HBsAg (hepatitis B surface antigen), Anti-HCV (HCV antibody test), and HIV (human immunodeficiency virus).

Ultrasound:

1. Dating scan (7 to 9 weeks, 11 to 13 weeks).

2. Anomaly scan (18 to 22 weeks).

3. A recent scan (34 to 36 weeks) should also be done.

If there is a high-risk pregnancy, further investigations will be conducted accordingly.

I hope I have answered your query.

Let me know if I can assist you further.

Thank you.

Hello,

Welcome back to icliniq.com.

I understand your concern.

No, all these tests will not detect the previous pregnancy. No test tells us this patient had a history of previous miscarriages that may have been surgically or medically aborted. We can confirm that only by taking a history from the patient’s past obstetric history. These investigations that I wrote for you are routinely done in all women presented with pregnancy. I just said once you get pregnant in the future, you have to do an antenatal checkup and carry out all these tests. High-risk pregnancy is pregnancy associated with complications like anemia in pregnancy, hypertension in pregnancy, diabetes in pregnancy, gestational diabetes, SLE (systemic lupus erythematosus) in pregnancy, thyroid in pregnancy, and epilepsy in pregnancy.

I hope I have answered your query.

Let me know if I can assist you further.

Thank you.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

Well, I am concerned about your worries. Well, when you visit a doctor, he will go with the normal routine of history taking, like patient bio data, patient name, age, married for how many years, LMP (last menstrual period), and then active complaint, history of presenting illness, gynecological history, family history, medical history, surgical history, socioeconomic history, and personal and drug history. Even if the doctor asks questions like:

1. Is this your first marriage? - The answer you will give is yes or no.
2. Is this your first baby? - The answer you will give is yes or no.

Nobody will know your previous history of surgical abortion; maybe only you and your previous fiance will know. It simply depends on the answer you give, and he or she will move to the next question. Hide that, which is good for you, and it should not affect your current family. Just say no; this will not affect or change the management he is going to do. So do not worry. I assure you, until you share your past history with anyone, nobody will come to know your past record. The only thing that your husband or maybe a doctor can know is that you are not a virgin, which means that mostly you had intercourse before marriage. Although girls can lose their virginity without intercourse due to strenuous exercise or disease, you can convince them of this issue.

I hope I have answered your query.

Let me know if I can assist you further.

Thank you.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern.

Well, let me explain it to you.

Normally, we conduct an antenatal check-up.

In the first trimester, we perform the following:

Baseline investigations:

1. Blood group and Rh factor.

2. Complete blood count for hemoglobin, total leukocyte count, and platelets.

3. Urine complete examination for physical, biochemical, and microscopic analysis.

4. Random blood sugar.

5. Viral markers for HBsAg (hepatitis B surface antigen), Anti-HCV (HCV antibody test), and HIV (human immunodeficiency virus).

Ultrasound (referred to as obstetrics ultrasound):

1. 7 to 9 weeks: Dating scan.

2. 11 to 13+6 weeks.

3. 18 to 20 weeks.

Recent scan for fetal lie and presentation, placenta localization, and estimated fetal weight.

None of these tests are intended to detect a past surgical abortion, so do not worry about it. No one will know unless you share your history. Do not get overly stressed. If you want peace of mind, you can consult a gynecologist for reassurance. I would also advise you to meet with a consultant psychiatrist and undergo psychotherapy for your anxiety and depression. I believe you are experiencing panic and fear, so it is important to consult them, and I assure you that you will feel better after doing so.

I hope I have clarified your query. If you have further questions, please do not hesitate to contact me.

Thank you.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern.

An antenatal check-up is the consultation of a pregnant woman with an obstetrician from the first day of pregnancy until delivery. I meant the previous abortion history, which is part of the medical history. You should definitely consult a psychiatrist and psychotherapist.

I hope I have clarified your query. If you have further questions, please do not hesitate to contact me.

Thank you.

Hello,

Welcome back to icliniq.com.

I understand your concern.

Well, I want to tell you nobody will come to know about your past abortion history, neither your husband nor your obstetric doctor, if you do not share your past history with them. For your satisfaction, I will advise you to do a pelvic ultrasound.

I hope you are satisfied with my answer. if you have any further queries at any time, do not hesitate to contact me.

Thank you.

Hello,

Welcome back to icliniq.com.

Well, I am deeply concerned about your worries. I have seen the ultrasound report, and it looks like everything is fine, nothing to worry about. There are polycystic ovaries, which are common for young ladies. I would advise you to diet and weight reduction, and lifestyle modification. Avoid eating junk food and do some dieting and exercise; you have to reduce some weight.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Hello,

Welcome back to icliniq.com.

Well, I am deeply concerned about your worries. I have seen the ultrasound report, and the size of the uterus was normal, with no pathological defect. Endometrial thickness was normal. There were PCOS features in the ovary, and that is related to hormonal imbalance, not related to a past history of abortion.

You do not have to worry about anything. I assure you that nobody will come to know about your past history. Be confident and do not share with anybody about your previous relations.

The only thing that your husband may see is that you are not a virgin if he is an experienced guy , and you can convince him that you have lost your virginity maybe due to some exercise or maybe some other reasons; however, he cannot know that you had a miscarriage. I grant it to you if you do not tell anyone; nobody will understand. Do not create stress by yourself; be confident and sincere to your new husband, and forget about the past and what happened in the past. Carry on with your future goals and plans and how you will have a joyful and beautiful life with you. For the PCOS, you do not have to worry about anything.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Hello,

Welcome back to icliniq.com.

I understand your concern.

Well, yes, a pelvic ultrasound is a definitive test to assess the uterus and ovaries.

1. Uterus: We check the endometrial thickness, regularity, and any endometrial polyp or fibroid first. Myometrium: We check whether the fibroid is there. Serosal layer: We assess for any subserosal fibroids.

2. Ovaries: The size of ovaries and cysts, any free fluid in the pouch of douglas.According to your ultrasound report, everything was perfect; only there were polycystic ovaries, and that Is not a big problem.

Polycystic ovaries: It is a common problem for young girls.

You have to do lifestyle modification.

1. Stop eating junk foods like burgers, pizza, and cold drinks.
2. Start doing exercise 3 days a week for a 30-minute walk.
3. Try to reduce weight.

Along with that, I will advise you on these medications.

1. Tablet Metformin 500 mg 2 times a day for 4 months. This will help you to reduce the weight and glucose absorption. You may have nausea, vomiting, and diarrhea; it is the side effect of the drug. Do not worry about it
2. Tablet Folic acid 5 mg is good for preconception. One tablet at night for 3 months. It will help you to get pregnant once you get married.

Once the patient had a cesarean section delivery, then we called scar uterus for abortion; there will be no uterine scar at all. Now you do not have any problem that can tell your previous pregnancy. I assure you there is no need to worry at all; there is no way they can figure out you had a pregnancy before. However, you should make sure that you do not expose your past history to anybody. I guarantee nobody will come to know.

I hope I have answered your question.

Let me know if I can assist you further.

Thank you.

Hello,

Welcome back to icliniq.com,

Yes, it is the same tablet, Metformin 500 mg. Take it morning and night after a meal. It will not affect your health.

It has side effects of nausea, vomiting, and diarrhea. If you feel such signs and symptoms, it is a side effect of the tablet, and it is not a big issue and will not interfere with your future pregnancy. By the way, it helps you during pregnancy, and it is a safe drug even during pregnancy, although a few patients may experience these signs and symptoms. I would also advise taking a tablet of Folic acid 5 mg, one tablet at night, as multivitamins, and it will help you to get pregnant after you get married.

I hope this helps you.

Thank you.

Hello,

Welcome back to icliniq.com.

You can consult a specialist doctor for prescriptions.

Thank you.

Hello,

Welcome back to icliniq.com.

Well, I am deeply concerned about your worries.

Normally, Metformin does not cause breathing problems.

Thank you.

Hello,

Welcome back to icliniq.com.

I understand your concern.

Metformin does not cause breathing problems; it causes gastric disturbances such as nausea, vomiting, and diarrhea. Metformin will not cause any problems later in life.

I hope this helps you.

Thank you.