Hey, I'm really worried because my D-Dimer level is at 670 ngmL, which I know is higher than the normal range of up to 500 ngmL. I've also tested positive for COVID and I'm 36 weeks pregnant. I'm really concerned about the risks of blood clots in the placenta. Can you tell me how I might be able to bring my D-Dimer levels down? Also, is it necessary and safe for me to take a Clexane 60 mg injection? Would really appreciate your guidance on whether it's mandatory.

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Dr Ibrahim Salah

General Practitioner

MBBS
2+ Yrs

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Answered 04/07/2025

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It's been 3 months since my ruptured ectopic pregnancy laparotomy surgery on the right tube. Everything seems healed now, and my periods are regular. I have two concerns first, there's still slight swelling and numbness on the right side of my pelvic area, but no pain. Is this normal as part of the healing process, and will it go away over time? Second, I want to start more intense abdominal and body exercises for fat loss since I've been doing basic ones. Is it safe to increase the intensity now?

Yes, minimally invasive surgery is generally a good option

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Does prolapse cause discharge?

yes sometimes there might be discharge which can be bloody and associated with foul smell.

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My mom was just diagnosed with a grossly enlarged uterus and an intramural fibroid, plus her hemoglobin is at 5. Is surgery the only way to treat this or are there other options we can explore? We're really worried and want to understand all possible treatments.

No, surgery isn't always the only way to treat an enlarged uterus and intramural fibroids, even with low hemoglobin. There are several non-surgical options available, including medication and procedures like uterine artery embolization, depending on the severity and individual needs. Surgery, such as myomectomy or hysterectomy, may be necessary in some cases, but it's not always the first or only choice.

Answered by 1 Apollo Doctors

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.