ADVERTISEMENT
ADVERTISEMENT

Q. Had D and C before a month. Should I continue Primolut?

Answered by
Dr. Shruti Kainth Kaushal
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 21, 2016 and last reviewed on: Oct 09, 2018

Hi doctor,

I had D and C before a month and I bled for five to six days after that. I was given Xamic for three days and Primolut N for 21 days. I had brownish discharge 18 days after my D and C and then had bleeding for seven days. I am still spotting. My hCG three days prior to periods came 21 and my ultrasound while in periods came normal. The reason of my D and C was hydropic villi in placental tissue. Should I continue the tablet?

ADVERTISEMENT
#

Hi,

Welcome to icliniq.com.

I understand your concern.

  • As per me you should discontinue tablet Primolut (Norethisterone) as you have already taken for 21 days. After 7 to 10 days you will have normal periods.
  • Now you do not need any hormonal tablets. If you have any abnormal bleeding in next period then do let me know.

For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist

Hi doctor,

I still have two tablets. My concern is that is this not my periods? I have had light bleeding for a week this is precisely 18 days after D and C. I was scared of hydropic degeneration, so I am monitoring my hCG levels. Is there any other tests or issues I need to worry about?

#

Hi,

Welcome back to icliniq.com.

I understand your concern.

  • In your case the main reason for worry is hydropic degeneration and recurrence. You have to get serial hCG (human chorionic gonadotropin) level monitoring as well as repeated ultrasound estimation.
  • As you said your hCG was 21 it appears to me as non-pregnant level. You have to get beta hCG again after six weeks post pregnancy.
  • You should get ultrasound pelvis done at the same time. You can update me the report.
  • You can take Primolut for two days as dosage is of total 21 days.
  • You can get your complete blood count, liver function test, kidney function test and chest x-ray to rule out any rare chances of metastasis.
  • In your case you have to use contraceptive for at least one year. It means that you do not have to get pregnant for the next one year.

Investigations to be done:

1. Beta hCG.
2. USG - ultrasonography pelvis.
3. CBC (complete blood count).
4. LFT (liver function tests).
5. RFT (renal function tests).
6. Chest x-ray.

Probable diagnosis:

Gestational trophoblastic disease.

Preventive measures:

Contraceptive advice.

Regarding follow up:

Revert back with the investigation reports to an obstetrician and gynaecologist online.---> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist

Hi doctor,

I was tested negative for gestational trophoblastic disease. My cardiolipin and liver kidney tests everything came out normal during D and C. The only two tests remaining are chest x-ray and hCG. If the hCG count goes to zero then do I still need to follow up for regular hCG test?

#

Hi,

Welcome back to icliniq.com.

Thanks for the update (attachments removed to protect patient identity).

  • As you said you have been tested negative for gestational trophoblastic disease. But, hCG follow up is necessary just to detect recurrence. As, recurrence of this disease is very high.
  • If hCG goes to zero you need to get it repeated after six months as this is the best test to detect recurrence.
  • Chest x-ray should be done just to be on safer side.

For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
What are the causes of vaginal bleeding, five years after menopause?

Hello doctor,My mother was not having her periods from the past five years, but from yesterday, she started bleeding again ... Why is she bleeding all of a sudden ...   Read full

Is abortion necessary if ultrasound shows no gestational sac?

.. many scenarios in addition to normal healthy pregnancy in early pregnancy like missed miscarriage (baby died or did not get heart beat), ectopic pregnancy (pregnancy growth outside normal location in female body where it is harmful to both mother ...   Read full

Is it normal to have sperm leakage from vagina post-sex after D and C procedure?

.. ova requires a single sperm, and a normal male ejaculate contains millions of them. So sperm leakage should not be the only concern causing your subfertility. You need to go through some tests for you and your partner to rule out other causes as w...   Read full

ADVERTISEMENT

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


Management of Coronasomnia
Coronasomnia refers to increased sleep problems among people during the COVID-19 pandemic. Read the below article to get...  Read more»
Balantidiasis - Causes, Signs and Symptoms, Diagnosis, Treatment, and Prevention
Balantidiasis is a rare bacterial infection caused by a parasite called Balantidium coli. Read the article below to know...  Read more»
JAK Inhibitors in Treating Rheumatoid Arthritis
Doctors mainly suggest JAK or Janus kinase inhibitors for patients with rheumatoid arthritis to ease their symptoms. Rea...  Read more»

Ask your health query to a doctor online?

Ask an Obstetrician & Gynaecologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.