Dr. Steven R.
Goldstein MD, a top Gynecologist in
Manhattan writes regarding the “Chemical” Pregnancies and miscarriages:
Regarding pregnancies, the home pregnancy test will turn
positive at the time of the expected menses. Unfortunately, many of these will
end up as “chemical pregnancies” and bleed before any ultrasound detection is
possible.
The prognosis for such chemical pregnancies, however,
is excellent going forward. Studies have shown that when there is such an occurrence,
the rate of a healthy intrauterine pregnancy in the next month is 35% and,
actually, reaches 83% within six months. This is an excellent prognostic sign.
Such a patient has ovulated, has at least one open tube, has a partner who
makes sperm and she is capable of capacitating his sperm.
Although such patients feel they have suffered a
“miscarriage,” their prognosis is excellent going forward. Dr. Goldstein has
not had a patient who miscarried in more than 25 years. He has just as many
cases of pregnancy failure but because of early pregnancy monitoring with
ultrasound, he has been able to diagnose virtually all of pregnancy failure
prior to its spontaneous passage (i.e. miscarriage).
By using early ultrasound
and monitoring a pregnancy to see that it is developing normally, when a
pregnancy does fail, Dr. Goldstein can virtually always detect that before it
is spontaneously passed. This prevents ending up in the Emergency Room at 4AM
and needing an emergency D&C.
Dr. Goldstein, an expert Gynecologist
in Manhattan, is a Professor of Obstetrics and Gynecology at New York
University School of Medicine, the Director of Gynecologic Ultrasound at NYU
Langone Medical Center, and is recognized as one of the nation’s best
Gynecologists.
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