Dr. Balakrishnan R
Obstetrics and Gynecology
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Patient's Query
Hi doctor,
I am 29 years old with a Paragard IUD, and it has been dropped beyond the normal place. I was told to get my IUD out. I have an abnormal discharge, and I am 10 days late on my period. I got a pregnancy test done, and it was an error. I had an ultrasound, and I saw what looks like an ectopic pregnancy. I am concerned that I saw a heartbeat and a living thing in the scan. My IUD seemed like it was just about to come out and did not appear to swell my fallopian tube. I was told by the technician if the IUD is taken out, then I will be fine. I have unprotected sex every night, but my pregnancy test is an error. If the ultrasound is not negative or positive and looks like a heartbeat and not a flat line, then what does it mean? If it is red and blue scan, what does it mean? They kept asking me about my period for more than five times. The technician had her supervisor suggestion that the IUD needs to come out. I am having weird discharge, bloated, painful stomach and diarrhea. I had a miscarriage last year and the symptoms were the same that time. What shall I do now?
Hello,
Welcome to icliniq.com.
You are missing the most important thing that is the pregnancy test is an error, which means it is not positive. Of course, if IUD (intrauterine device) is displaced from the normal position, there is a chance of pregnancy and also of tubal ectopic pregnancy. But, it is not that all cases have a tubal pregnancy. Only after around 14 to 20 days of missed periods, you can see the baby's heartbeat on the scan. There is no matter how good the scan is. The thing, which you saw, could be your heartbeat and it can be mistaken. The red and blue color is Doppler scan, which just shows the flow of blood to and fro. The most confirmatory test would be serum beta hCG (human chorionic gonadotropin), and this can diagnose a pregnancy no matter how small it is. Only when the value goes above 1500 IU/mL, the baby's sac can be seen on the scan, not before. So, you can decide when to scan. The discharge can be the fluid from uterus cavity or cervical canal when the IUD came out. Fallopian tube swelling on the scan is not very conclusive.
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Obstetrics and Gynecology
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