PREGNANCY-BIRTH Messages for July, 2001: Re: Miscarriage Questions

Re: Miscarriage Questions

From: jwang, M.D. (anonymous@obgyn.net)
Mon, 30 Jul 2001 20:51:50 -0500 (CDT)

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In reply to: Amy: "Miscarriage Questions"

At Mon, 30 Jul 2001, Amy wrote: >
>I recently had a missed miscarriage on 7/9. I had a D&C the following
>day. The sonogram showed a sac (?) of 8wk2d and a fetus of 7wk0d. Based
>on this and no heartbeat I was told I had miscarried. I was on
>progesterone supplements for the week prior based on a blood test
>confirming pregnancy that showed a level of 9000 HCG and 8.4
>progesterone. My doc said that he was not convinced that the
>progesterone would do anything but that it couldn't hurt. My question
>is this: I have irregular periods anywhere from 31-40 days. I have no
>idea how I conceived or when exactly because of my irregularity and we
>were also using protection. I really did not think I was ovulating!
>Anyway, are going to try again after two cycles have passed and my
>doctor wants to do a endometrial biopsy for to see if I have luteal
>phase defect. Can you have this with such long and irregular cycles?

Yes.

If >I do have this, is progesterone supp at ovulation the treatment and if
>it is how successful is it?

Yes, this is the treatment and it is quite succesful.

I think that I probably conceived on a late >ovulation, maybe 25 days into a cycle. Does this have any bearing on
>the miscarriage?

No.

I am concerned that I am ovulating infrequently and >that although I was lucky the last time, that it will be hard to
>replicate. Do doctors prescribe Clomid when you have ovulated in the
>past but have irregular cycles?

Sometimes, depends on the individual case.

I think my main concern is that the >irregular cycles may have contributed to the miscarriage,

Not likely.

in which case >I want to be proactive. No genetic testing was done on the fetus.
>Thanks in advance for your help and sorry for the long post!!

-- J Wang, M.D Assitant Clinical Prof. Tufts University School of Medicine

statements are informational only and should not constitute a medical plan or treatment recommendation.

Next message: jwang, M.D.: "Re: Please Explain this to me!!"
Previous message: jwang, M.D.: "Re: Missed Abortion w/ No Symptoms - Should I have a D & C?"
In reply to: Amy: "Miscarriage Questions"

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