PREGNANCY-BIRTH Messages for May, 2001: Re: Doc question

Re: Doc question

From: M. Kelly Shanahan, MD, (anonymous@obgyn.net)
Sat, 26 May 2001 13:31:42 -0500 (CDT)

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In reply to: Caroline: "Doc question"

At Fri, 25 May 2001, Caroline wrote: >
>Thanks in advance for your advice. My ob-gyn told me the pathology
>results from my D&C were inconclusive, so we both assumed my miscarriage
>was caused by a hormonal problem. I then went to a maternal-fetal
>specialist who diagnosed a luteal phase defect and put me on Serophene.
>Then, much to my (and my ob's) surprise, the cells DID grow out and we
>were told it was a Trisomy 22 chromosomal defect that caused the
>miscarriage.
>
>SO ... my question ... Do I still need to be treated for the hormonal
>problem even though that's not what caused my miscarriage?

not unless luteal phase defect was diagnosed by approprite testing (progesterone levels and endometrial biopsy in a non-pregnant ovulatory cycle)

Can that >alone cause another miscarriage?

yes

How do I know for sure whether I have a >luteal phase defect?

see above

(The doctor did an endometrial biopsy but maybe I >should get a second opinion--not sure.)
>
>Lastly ... any idea what Trisomy 22 means?

an extra copy of chromosome 22 (3 instead of the normal 2 copies) >
>Thank you.
>
>--
>Caroline
>

-- 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˜6597740

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In reply to: Caroline: "Doc question"

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