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Positive pregnancy test after VASECTOMY. How is this possible?

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Hello,

I am 43 years old patientold and I have tested positive for pregnancy with a home test kit. My husband is 47 and had a vasectomy 10 years old patientago. How can this be possible? Can this be the beginning of menopause and be a "False Positive"? My last period was around July 4th. My breasts are swollen and tender. No other symptoms. I have read that vasectomy failures are rare and that getting pregnant at 43 is difficult. Being pregnant seems very unlikely given my age and my husbands vasectomy. 

What should I do next? Also I do not have health care coverage. 

My mother had 7 children with her last child born when she was 40. She is very healthy and has never had any medical issues. I am also very healthy and have no medical issues. Non smoker, non drinker.


Thanks,

SM


Category: OBGYN

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Category: Infertility Specialist
Dr. Aarti Vazirani is online now

Expert:  Dr. Aarti Vazirani replied 4 Days.

Hello
Thanks for your query at DoctorSpring.com
Sometimes, but rarely, a vasectomy fails.
Yes, after years old patienttoo.
It is possible but rare.
It is not likely to be a perimenopausal false positive.
Well, next - please have an ultrasound scan and get the pregnancy confirmed.
If you wish for a termination, I can then guide you accordingly.
All the best.
Please feel free to discuss further.


Patient replied :

Dr,
Thank you for your response. I would not want to terminate. Would this pregnancy be considered higher risk due to my age (43)? What are the odds of a miscarraige? Chemical pregnancy?
Thanks


Expert:  Dr. Aarti Vazirani replied 3 Days.

Hi.
A chemical pregnancy generally would not show up on the urine test ( home kit ).
You can confirm only when a scan is done.
An odds of a miscarriage are considerably higher at this age, compared to a woman with a younger pregnancy.
The risk of anomalies such as Downs Syndrome too increases.
Pregnancy-related complications such as hypertension, diabetes during pregnancy, malpresentation, difficult labour, increased chance of C-section, placental complications - all have higher incidence after 40.
If you wish to continue this pregnancy, do so after having understood and accepted these risks, with a ' calculated risk ' and proceed ahead after consultation with a Fetal medicine expert.
Take care.


Dr. Aarti Vazirani
Category: Infertility Specialist
Experience: 
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
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