PREGNANCY-BIRTH Messages for April, 2001: Re: 5th m/c and no diagnosis! 8(

Re: 5th m/c and no diagnosis! 8(

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 10 Apr 2001 22:47:17 -0500 (CDT)

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In reply to: Sharon: "5th m/c and no diagnosis! 8("

At Tue, 10 Apr 2001, Sharon wrote: >
>I am currently pregnant for the 5th time with the previous 4 ending in
>miscarriage prior to the 8th week. My lmp was March 9th and I have been
>spotting for 3 days now. I realize that I am most likely in store for
>yet another miscarriage because things are going exactly as they have
>the previous times. While all this is extremely emotional for me, I
>find myself getting angry more so than sad because I have not been
>tested for anything such as infection, genetic factors, endocrine
>factors, immunologic factors, and maternal systemic disease. Another
>thing I have read about is having elevated NK "natural killer" cells
>which is attacking my embryo. All of these are potential causes for
>recurrent miscarriages yet none of the 3 infertility specialists I have
>seen over the last 7 years tested me for them. My obgyn md will confirm
>my pregnancies, place me me on progesterone tx and sets me up an appt to
>come in at week 8. By then, its too late as I have miscarried yet again
>8( I cant seem to find a doctor that will treat me aggressively enough.
>
>My questions for you is can a primary care physician run tests which
>could possibly diagnose my recurret miscarriages? If so, what tests
>would you recommend? If not, what type of doctor do I need to seek out
>for these testings?
>
>I would really appreciate a response regarding this! Thanks in advance!

The fact is that we are abysmal at diagnosing the causes of recurrent miscarriage, and even the most exhaustive evaluation will detect a possible cause only about 30% of the time. Go to an Reproductive Endocrinologist, and say, " I want a complete recurrent miscarriage workup." It will be expensive, and be prepared for the 2 chances in 3 that the evaluation will be normal.

--
William D. McIntosh, MD, FACOG

This is for educational purposes only, and is neither designed nor intended to replace consultation with and examination by a licensed medical professional.

Please, no private e-mails.  I will not be able to answer them.

Next message: Harvey S. Marchbein, M.D.: "How to send messages to the PREGNANCY-BIRTH forum"
Previous message: William McIntosh, MD: "Re: low amniotic fluid"
In reply to: Sharon: "5th m/c and no diagnosis! 8("

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