Multiple Miscarriage - fertility testing options?
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Thread: Multiple Miscarriage - fertility testing options?

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    Community Host ChristaM's Avatar
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    Default Multiple Miscarriage - fertility testing options?

    Hello All:

    I recently suffered a second miscarriage which the doctors believe is likely simply the result of chromosome issues as a result of me being 40. However, I do have an appointment setup to meet with my doctor to discuss possible testing to perform before we try again. I should clarify that my doctor was okay with this approach and said we could decide together what next steps should be. I just want to be well informed and able to decide as quickly as possible - so want to research a bit before the appointment.

    I'm wondering if anyone has experience with fertility testing and would be willing to share info on procedures we might should consider. Looking for info at this time.

    TIA, Christa
    Last edited by ChristaM; 07-09-2013 at 11:41 AM. Reason: Clarify issue - doctor approach
    Me: Christa, 41
    DH: Craig, 47 (Married: 8/19/05)
    DD: Kendall Evelyn (10/6/06)
    DS: Quentin Vincent (4/14/09)
    : November 2012@ 10 weeks (due date: 6/22/13)
    : June 2013 @ 7-1/2 weeks (due date: 2/10/14)
    : December 2013 @ 4 weeks (due date: 8/9/14)



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    Posting Addict Audgee's Avatar
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    I can tell you based on my own experience, my OB said she would do extra testing after 3 m/cs and it was 6 months without getting pregnant (and I was 37 at the time - would have been a year if I was younger).

    Most of the testing is pretty straight forward: extensive bloodwork and possibly cycle monitoring. If you are concerned there is an issue I recommend getting a referral to a.reputable RE. GPs and OBs are great at what they do, but they are not experts in fertility.
    Have your DH be prepared for blood work and SA - too often we, as woman, always assume we are the issue....

    Age can be a big factor and m/c is more common, so I feel your pain (I'm 42 and hoping for 1 more, had 4 mcs between my 1st and 2nd and 1 more m/c since having my youngest....here's hoping for good news for us both!
    Audrey
    DH Sebastian
    DS Sawyer 4/1/06
    DD Payton too beautiful for this earth, born silently 7/19/09 at 33 wks
    DS Greyson 6/29/11



  3. #3
    Community Host ChristaM's Avatar
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    Quote Originally Posted by Audgee View Post
    I can tell you based on my own experience, my OB said she would do extra testing after 3 m/cs and it was 6 months without getting pregnant (and I was 37 at the time - would have been a year if I was younger).

    Most of the testing is pretty straight forward: extensive bloodwork and possibly cycle monitoring. If you are concerned there is an issue I recommend getting a referral to a.reputable RE. GPs and OBs are great at what they do, but they are not experts in fertility.
    Have your DH be prepared for blood work and SA - too often we, as woman, always assume we are the issue....

    Age can be a big factor and m/c is more common, so I feel your pain (I'm 42 and hoping for 1 more, had 4 mcs between my 1st and 2nd and 1 more m/c since having my youngest....here's hoping for good news for us both!
    Thanks for the reply - I did update my original post to clarify that my Doctor is fine with proceeding with testing. He actually asked that I setup the appointment so we can talk about it. So, I don't think he's inclined to make me wait it out. I think this is likely just going to be testing to determine my ovarian reserve, etc. But, I don't know that for sure, because he mentioned blood work, x-rays and ultrasounds, etc. So, I'm just trying to learn as much as possible ahead of time.
    Me: Christa, 41
    DH: Craig, 47 (Married: 8/19/05)
    DD: Kendall Evelyn (10/6/06)
    DS: Quentin Vincent (4/14/09)
    : November 2012@ 10 weeks (due date: 6/22/13)
    : June 2013 @ 7-1/2 weeks (due date: 2/10/14)
    : December 2013 @ 4 weeks (due date: 8/9/14)



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    Community Host Lizbet22's Avatar
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    To get tests before a 3rd mc makes you very privileged.
    I had to wait til 3 too and was lucky they included chems too as normally it's a normal one.. Not chem. but then I am in England so things may be different anyway.

    You may be given a hsg which is a dye test of your uterus an tubes.
    I had one after a year of trying and not falling and fell that month. Kind of cleaned me out. And then I had another after my 7th mc and was told I had scarring BUT when I went in for surgery to remove it there was no scarring.... Strange.
    My tests were all normal until I went private and was diagnosed as being homogyous for mthfr which is a mutation gene which means you don't convert folic acid properly and this leads to the babies mutating to a trisomy baby. That was the reason for all of my losses.
    It is something you inherit from your parents.
    So have it for life.
    I am not sure if you may be tested for if you already have a child.
    I know they wouldn't test my sister or nieces because they have children.
    But I know someone on here has the same condition and has 2 children just not sure if she as diagnosed on the first lo or not.
    Hope I haven't rambled on too much.
    After my diagnosis I have finally g?t to 35 weeks with my first and I will be 40 in September.

    Sorry for your losses and good luck
    Xxxxxx

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    Online Community Director MissyJ's Avatar
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    Christa,

    I just wanted to say again that I am so very sorry for your loss. (((((HUGS))))) Please know that I will be keeping you in my thoughts and prayers. I do not have experience with fertility testing despite all of my losses but do hope that it goes smoothly for you.

    Several years ago, we had a guest - Darci Klein, author of To Full Term. Her story was incredibly compelling to me and I found she had heavily researched and advocated for more testing to be offered to women with multiple losses. She still has her website which lists some of the additional testing available: Prevent Pregnancy Loss - Discover how...

    All the best,
    ~Missy

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    Community Host ChristaM's Avatar
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    Quote Originally Posted by MissyJ View Post
    Christa,

    I just wanted to say again that I am so very sorry for your loss. (((((HUGS))))) Please know that I will be keeping you in my thoughts and prayers. I do not have experience with fertility testing despite all of my losses but do hope that it goes smoothly for you.

    Several years ago, we had a guest - Darci Klein, author of To Full Term. Her story was incredibly compelling to me and I found she had heavily researched and advocated for more testing to be offered to women with multiple losses. She still has her website which lists some of the additional testing available: Prevent Pregnancy Loss - Discover how...

    All the best,
    ~Missy
    Thanks Missy -- that link was helpful. I appreciate it!
    Me: Christa, 41
    DH: Craig, 47 (Married: 8/19/05)
    DD: Kendall Evelyn (10/6/06)
    DS: Quentin Vincent (4/14/09)
    : November 2012@ 10 weeks (due date: 6/22/13)
    : June 2013 @ 7-1/2 weeks (due date: 2/10/14)
    : December 2013 @ 4 weeks (due date: 8/9/14)



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    Posting Addict Spacers's Avatar
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    I went through fertility testing when we had trouble TTC Weston. We had already done genetic testing on me when I was pregnant with Tiven so we knew there wasn't any problem with antibodies or inherited disorders on my side, but they did the same tests on DH as well because there's now a thought that sometimes a fetus that is a "carrier" from the father's side might be viewed by the mother's body as being defective, so the mother's body gets rid of it. DH also had a sperm analysis done even though I'd been pregnant at least twice before, because sometimes illness or injury can affect sperm count.

    When DH's things all came back OK, we did some more looking at me. I had an ultrasound to make sure that my uterus & ovaries were normal, and an HSG to make sure that my fallopian tubes weren't blocked. I had bloodwork to rule out thyroid and immune system issues. Finally, I had what they called a full-cycle test, which meant getting blood drawn every other day beginning on CD3. This tracks your hormone levels through the cycle, because even if a test show that you hit the normal amount on the right day, you might be really low the day before and the day after, and that can cause problems.

    For me, everything was normal, I was ovulating every month, my luteal phase wasn't too short, and I was conceiving but they weren't sticking. I was diagnosed with old eggs and encouraged to move to IVF with donor eggs. That wasn't an option for us, for a few reasons, so we tried a few cycles of Clomid, a few cycles of Femara, and a cycle of injectables. In retrospect, I believe the only problem was that I was still nursing Tiven at night. All the experts said, nursing is not an issue if your hormone levels are normal, but the only thing that changed between 2.5 years of TTC and getting pregnant with Weston was that Tiven weaned.
    David Letterman is retiring. Such great memories of watching him over the past thirty-two years!

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