Detecting pregnancy by checking cervix and uterus - Mothering Forums
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#1 of 24 Old 09-10-2006, 12:41 AM - Thread Starter
 
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Is it possible for a midwife or doctor to detect or suspect a pregancy at exactly 5 weeks LMP from just checking the cervix and uterus? (Manually and visually, not with ultrasound)
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#2 of 24 Old 09-10-2006, 04:01 AM
 
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Yes--the cervix turns blue or purple and the uterus may feel slightly enlarged. Moreso the cervix though. and I can't for the life of me remember what that's called.....chadwick's sign?

It's not 100%, by any means, but that along with a missed period is enough to cause a practitioner (or lay person for that matter) to suspect a pregnancy.

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#3 of 24 Old 09-10-2006, 04:56 AM
 
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Chadwick's sign won't always be there at 5 weeks LMP, though.
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#4 of 24 Old 09-10-2006, 11:46 AM
 
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I totally missed the LMP. I was thinking post conception....I wonder if it could be possible though....like they say you make colostrum at xyz week-I was leaking at 16 weeks, which no one could believe, yk?

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#5 of 24 Old 09-10-2006, 12:19 PM
 
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Hey, CookieMonsterMommy, then I wasn't the only freak out there! I was leaking colostrum from about 16 weeks too. It was rather disconcerting. I wonder...do you have a heavy letdown and/or a ton of milk? I have both. I wonder if that has anything to do with the early leaking? Sorry, a bit off topic...:

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#6 of 24 Old 09-10-2006, 12:35 PM
 
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OMG-I had SO much milk! So much. Sometimes it made him choke. And if he nursed on the left breast, the right would be squirting too. I'm thinking with my next, I should be able to donate some milk.

Back to the cervix.

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#7 of 24 Old 09-10-2006, 12:41 PM
 
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This is going to sound incredibly dumb (there's your warning ).
How would a regular woman be able to tell if her cervix has turned blue or purple? Is this only something that can be done by a CP with a speculum?


Tried to warn you!

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#8 of 24 Old 09-10-2006, 12:51 PM - Thread Starter
 
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So my question is regarding 3 weeks since conception. If the OBGYN did not know about the missed period, and was just doing a yearly exam with pap smear, would he/she suspect pregnancy by the look and feel of cervix and uterus? Does the OBGYN even look at the cervix during a yearly exam?
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#9 of 24 Old 09-10-2006, 01:26 PM
 
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softening at the neck of the cervix- cervix becomes very blue/purple
the older "wive's tales" would say when a woman's tummy flattens low over the pubic bone instead of being a bump- probably has to do with increased circulation and weight of the uterus pulling down a bit at first
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#10 of 24 Old 09-10-2006, 04:26 PM
 
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janelle--can I ask why you're asking?
At a yearly, they might look at the cervix if they're doing a pap.
Some women's cervixes take on a blue-ish hue for no reason really. At 3 weeks post conception, I don't think so. If she does a bimanual exam (an internal exam while pushing on the abdomen to palpate the uterus) she might note that your uterus is a bit bulky, but it would be *very* slight, and not much diff than if you were about to menstruate.

IamPink--Not dumb at all. A regular woman can obtain a speculum and look at her cervix in the mirror while laying down. I highly recomend it.

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#11 of 24 Old 09-10-2006, 04:55 PM
 
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I don't think the bluish color shows up until 7-8 weeks LMP....can't say I've seen a whole lot of cervices at 5 weeks LMP, though. I try to schedule paps later in people's cycles, if at all possible, so not many mamas that would be 5 weeks LMP are seeing me, if that makes sense.

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#12 of 24 Old 09-10-2006, 06:44 PM
 
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so the softening of the neck of the cervix is called Hegar's sign should be able to be felt 6 weeks after LMP - but is not considered diagnostic because sometime women have soft everything without being pregnant.

6-8 weeks cervix softens and feels more like lips instead of firm like a nose
(oral birth control and mimic this -confuse this sign)
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#13 of 24 Old 09-10-2006, 09:12 PM - Thread Starter
 
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Quote:
Originally Posted by CookieMonsterMommy
can I ask why you're asking?
Because I made the appointment for my yearly exam before I got pregnant. My insurance pays for the whole bill if it is a yearly exam. If the doctor knew I was pregnant, it might turn into a different billing type, and instead of being free, I'd have to pay the whole bill. (I have a huge deductible). I also don't want my insurance company to know that I am pregnant yet. There's also another reason I want the doctor to do the pap instead of my homebirth midwife, which is too confusing to explain. So basically, I want her to do a yearly exam and pap without knowing I'm pregnant, at 3 weeks after ovulation. Of course I'd have to lie a bit about my LMP.
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#14 of 24 Old 09-10-2006, 10:37 PM
 
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Hmmm....

Just so you know, being pregnant can alter the pap results and give you something of a false positive. i'm not sure what gestation this occurs at though.

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#15 of 24 Old 09-10-2006, 10:45 PM
 
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I don't think he would be able to tell. 5 weeks LMP is so early but right on the cusp for Chadwick's sign which appears 6-8 weeks. I don't think a bimanual exam would reveal it this early either.

They should look at the cervix.

Amy: Certified Professional Midwife and mom to Max (11) and Stella (6).
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#16 of 24 Old 09-11-2006, 12:26 AM
 
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It has been a LONG time since I had an annual without being pg, but don't they do a pee in the cup thing anyways? I would think they would do a pg test if they did, just because.

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#17 of 24 Old 09-11-2006, 09:23 AM
 
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Oh yeah, I didn't even think about that. I'm thinking it's pretty standard to check and see if childbearing ages women are indead bearing a child.

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#18 of 24 Old 09-11-2006, 11:41 AM
 
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I generally get my gyn care in a clinic setting rather than a private practice, but I can assure you that they always do a test. Cuz I got caught out once!
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#19 of 24 Old 09-11-2006, 12:11 PM - Thread Starter
 
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Is there a way they can test for pregnancy without using urine? Because my gynecologist has never had me pee in a cup.
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#20 of 24 Old 09-11-2006, 01:45 PM
 
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It will show up in blood work- since they usually do that at an annual.

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#21 of 24 Old 09-11-2006, 02:41 PM - Thread Starter
 
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LOL, I guess my gynecologist is lazy, because she doesn't do bloodwork, either.
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#22 of 24 Old 09-11-2006, 11:15 PM
 
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Just curious (not to sound snarky)--why are you getting the annual? The pap results may be skewed...you're not getting your urine dipped...you're not getting any blood work....

am I missing something?

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#23 of 24 Old 09-12-2006, 01:01 AM
 
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Quote:
Originally Posted by CookieMonsterMommy
Just curious (not to sound snarky)--why are you getting the annual? The pap results may be skewed...you're not getting your urine dipped...you're not getting any blood work....

am I missing something?
:

I was wondering the same thing.

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#24 of 24 Old 09-12-2006, 02:15 AM - Thread Starter
 
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Quote:
Originally Posted by CookieMonsterMommy
why are you getting the annual? The pap results may be skewed...you're not getting your urine dipped...you're not getting any blood work....am I missing something?
Because I wanted to see her for something else, and I thought that insurance would cover an annual better than a regular office visit. I found out today that the cost will be the same (actually cheaper, since I won't be paying the lab fee). So, no pap for me.
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