Expert: Shan Yi Sheng - 3/22/2009

Question
Hello and Thank you for reading my question,
I am a 25 yr old wife mother of a toddler. I became pregnant after failed contraception last December 2008. I was forced to choose between getting help for anxiety and severe GERD/ulcers or carrying out the pregnancy. I chose to take care of myself so that I could be a good mother to the child I already have here.....This was the toughest decision I have ever made. So I went in a at 6 weeks gestation and had a surgical abortion... I was awake and not knumb for any of the procedure and had an extremely hard time holding still...the reason I am telling you this is because I do not believe the doctor did everything he was supposed to. Immediately after the procedure I had horrible cramping , but little to no bleeding. They said this was normal. I went home and started feeling better, as far as as pregnancy symptoms go. 3 days after the procedure I began to bleed heavily...I bled for a week, and then it stopped again. All normal I was told. Consistently I had a brown-tinted, mostly clear odorless discharge...again was told this was normal. I went back in at 3 weeks for a check up, and they said the ultrasound showed a "line of blood"....that I should wait to start birth control(b.c.), because it wouldn't be as effective. My Family doctor told me not to start b.c right after the procedure because I was having an upper GI series done 1 week later, and some other testing...So to this day I am not on BC, because I have not gotten a periods. I had the procedure on January 27th, 2009....
Okay- so after 6 weeks with no period, I took another pregnancy test....came out positive. I immediately called the clinic and they said this was normal....I refused to accept that and went in the clinic. There they performed an ultrasound and preg.. test... The preg. test there said negative, but the PA said my ultrasound showed a NEW pregnancy. She said she couldn't be sure, and to come back in a week. I have been using condoms with my husband since we resumed sexual in intercourse about 2 weeks after the procedure. One night a condom slipped and was left in me, which I immediately pulled out, showered and took Plan B contraceptive. In a frenzy, thinking I was pregnant again, I got on here and mailed Dr Joan....She was extremely helpful and even helped me top get a HCG test done....which the clinic I went to, said they were unable to order. I took the blood test, and my level was 49...Dr Joan said there was no way that I was peanut again, and that there was most likely tissue left in me. I called the clinic back and told them I had this blood test, and they said that I didn't need to return then for the follow up ultrasound, because the spot they saw on the ultrasound was so small it did not need intervention. It will be 8 weeks on Tuesday, and I still have no period.... I am losing my mind because I keep taking at home tests and they keep coming up positive. When the clinic told me I was pregnant, before I got in touch with Dr. Joan, my husband and I did have unprotected sex, because we thought I was already pregnant!!!!! I can not get back in touch with Dr Joan to ask her for another blood test yet....but she did say the only way I would have been pregnant with a number like 49, is if I had gotten pregnant like 3 days before the blood test...which according to my records is near impossible.
I do not know what to do...I do not think I am getting the best medical care , and I do not have anywhere else to go. I could not face my regular OB/GYN and tell her what I have done.......The only other reputable abortion provider in the area only sees patients for this, when they are already established before they become pregnant...
I just want to know what is in my body and why I am not having a period. I need my period...and I also need to start birth control, since I have no way of knowing when I am ovulating...Before this, I could tell you the exact days I was fertile...I knew my body and I knew my cycle...I have become very depressed thinking about what I have done, even though I really felt I had no choice....I cry allot and can;t seem to let it go....I have on the other hand, since terminating the pregnancy...taken care of my medical needs. I have been on medication for the GERD and ulcer, and have also gotten my anxiety under control without medication. If I were pregnant again, I would not want to have another abortion, but I would worry what affects the previous procedure would have on the baby....
I know I have thrown a lot at you, and I am sorry if I am rambling. I just need answers...If you have any advice, i would greatly appreciate your time.
Thank You, 'Jeanne

Answer
Dear Jeanne,
in which city do you live ?
If I know ,I can give you the address of a reliable abortion-
professional.
You really need a good checkup.
Why not go to your regular OB/GYN ? Will she punish you ?
some courage needed !

by for now,

dr Shan