WWYD?

So as most of you know I had my second m/c in early May. I haven't been around here much since then because I've just needed a breather from everything, so I never got to update you all.

I went for my follow up appointment about three weeks ago and everything was fine. OB did genetic testing and everything came back completely normal. COMPLETELY FREAKING NORMAL. On the one hand, it's great, because there's nothing wrong. But on the other hand, I still have NO plausible reason for 2 back to back m/c's.

Seeing as getting pregnant is not the actual issue for me, and she doesn't feel this is necessarily "recurrent m/c", she gave me a few options:

1) Start seeing an RE
2) Just keep trying as normal
3) Start taking progesterone once I ovulate up until I get AF (or a positive HPT) (since my progesterone levels were low during the last pg and she had me taking supplements) - This is a good option, but EXPENSIVE, seeing as Crinone costs me $430 for 12 days worth

So, with all of that said......what would you do if you were in my shoes????? I'm terrified of a third failed pregnancy, and am really starting to lose hope.

Message edited 6/13/2012 12:13:46 PM.

Re: WWYD?

Genetic testing only rules out genetic reasons. There are a lot of other test that can be the cause of the losses. I regretted not seeing Dr B after my 2nd loss. Its worth it to at least have him run his RLP.

Re: WWYD?

I'm so sorry!

I would definitely consider seeing a RE. Just because the tests came back normal chromosomally, doesn't mean there isn't a reason for your losses. Most OBs won't dive deep enough to get to the root of the problem, but REs definitely will. You shouldn't have to endure another loss... If an RE could offer more insight, I say go for it!

Good Luck with whatever you decide!

Re: WWYD?

I'd see an RE. Best of luck to you!!

Re: WWYD?

I agree with the others... def see an RE. At least go for a consult and if you decide for some reason not to continue that path, you never have to go back... but you have nothing to lose. For what it's worth, none of my losses (that I had a d&c or d&e for) were chromosomal.

Re: WWYD?

I would definitely see a re. We have also had a few losses and I was also on the fence, but I just had a saline ultrasound test and they found a polyp on my uterus where the egg would typically implant itself... I will be getting that fixed next month...

I think it will give you peace if mind and can rule out anything.

Sorry for your losse and good luck!

Re: WWYD?

I agree with the others and suggest you see an RE. There are tons of reasons that could be causing the mc's, not just chromosomal. If you have OON coverage, I'd recommend Dr. B because he tests for more things than other docs do and he believes in immune issues which many others dont. Good luck with whatever you decide!

Re: WWYD?

I would definitely see an RE. I have had back to back losses and started seeing an RE shortly after. It's less stressful than ttc on your own.

Re: WWYD?

i def would see a RE as well..

if they did not runa full thrombo panel on me i would not have known all about the many many clotting issues i have that contributed to mc's

Re: WWYD?

I agree with PP to see an RE. I was in a similar situation - 2 mc's, get pg easily, genetics didn't point to anything of concern. I went on to have an uneventful pregnancy and healthy baby without consulting an RE but had another mc when I was ready for baby #2. I finally consulted an RE and glad I did. Even if you wind up having zero issues, you will know that you covered your bases (no what if's!) and when you get pg again you will be monitored by your RE. It was so much easier mentally going to the RE weekly starting from BFP as opposed to waiting to see the OB at 8 weeks. Best of luck to you!

Re: WWYD?

Honestly -- before you go to a RE or Dr. B I would ask your current OBGYN if they can run the recurrent miscarriage panel on you --- it tests for many other things including (i believe clotting issues) -- I have my script at home and will double check when i get off of work).

This is what my dr prescribed after my 2nd loss --- lost both at 8 weeks.

I never got around to using this script because I was sent to a hematologist by my primary dr because of sudden low hemaglobin counts -- but I showed him the script she wanted to test for. He said he was going to do blood work , including all the tests she wanted done.

I found out through the hematologist (which is the dr my obgyn was going to send me to if any of the recurrent miscarriage panel came back blood related) -- that I have Antiphospholipid Syndrome (APS) about APS
and two gene mutations: MTHFR C 677t & MTHFR A 1298C - both hetrozygous. One is b12 deficiancy and one is Folic Acid.

I am currently 18 weeks pregnant and am daily shots of Lovenox, baby asprin, folic acid, and prenatels. I am on b12 shots every other week because my levels are so low.

I went to Dr. B after I had all this diagnosed -- and while he is super nice and a great dr --- his plan was exactly what my hematologists plan is -- and he doesn't take my insurance and I paid $1, 450 out of pocket to see him. If you have out of network coverage and he takes that then I would def. suggest seeing him -- he has done wonders for so many girls on here. I just couldn't justify the cost or the distance (over an hour and 40 min drive for me each way).

Feel free to FM me if you have any questions or if I didn't make sense in this rambling reply.