PREGNANCY-BIRTH Messages for May, 2001: Re: cramping/bleeding

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Re: cramping/bleeding

From: M. Kelly Shanahan, MD, (anonymous@obgyn.net)
Sat, 5 May 2001 00:54:08 -0500 (CDT)

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In reply to: sally: "cramping/bleeding"

At Fri, 4 May 2001, sally wrote: >
>Well it has happened yet again, all the sympoms,+hpt, then today, day 26
>my period seems to have started, my pg symptoms gone. I have made an
>appointment to see my m.d. but need to know what I should be asking her
>to do. I believe that the following can cause early miscarriage (my 4th
>in a year)
>Thin endometrium, possible that progesterone helps??

yes, if you have a luteal phase defect, whcih can be diagnosed by properly timed endometrial biospy

>Infection?

thought to be possible, but not born out by the evidecne

>Hormone levels?

only progesterone, unless you have PCOS; metformin looks promising here, but hte data is early

>Chromosomal abnormality..I know she can't do much with that one

unless you or your partner have a translocation -- in which case donor egg or sperm (depending on who carries it) can be used

>
>Can anyone shed a light on anything I may have missed? Also are
>Prometrium and Crinone progesterone supplements?

yes

> Thank you

if not done already, you should have a workup for repeated miscarriage, which includes anticardiolipin and lupus anticoagulant; HSG or saline infusion ultrasound to check the uterine cavity; chromosome analysis; endometrial biopsy to detect luteal phase defect. If your doctort is not familiar with the workup, you should see a reproductive endocrinologist

-- M. Kelly Shanahan, MD, FACOG South Lake Tahoe, CA

author, Your Over-35 Week-by-Week Pregnancy Guide available in all major bookstores and on-line at amazon.com http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740/sr=8-1/ref=aps_sr_b_1_1/103-7407404-7691069http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740/sr=8-1/ref=aps_sr_b_1_1/103-7407404-7691069http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740/sr=8-1/ref=aps_sr_b_1_1/103-7407404-7691069

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In reply to: sally: "cramping/bleeding"

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