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Re: 2 live children,4 miscarriages and ttc now 1 year.Help!

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 19 Feb 2002 15:01:31 -0600 (CST)


At Tue, 19 Feb 2002, Deni wrote: >
>Two live children followed by 4 losses before 12 weeks.Diagnosed by
>Professor Regan at St Mary's London with APA.
>Have now been trying to get pregnant for a year and nothing.All hormone
>levels are fine....FSH fine 5.7,LH 4.1 AND TESTERONE 1.7.
>I have had 3 d&c's and last loss natural.
>Is a HSG nessecary??How likely are silent tubal infections?
>I am 38 now and my first loss was 5 years ago....I am at a loss what to
>do next and am finding it hard thinking about IVF as a last option.
>Your help or thoughts would really be appreciated.
>I am ovulating and cycle is 28 days.
>Deni
>Thank you

APA - antiphospholipid antibodies?

You are not having trouble getting pregnant, nor passing the conceptus through the tubes to the uterus, so I don't see what possible use an HSG would be. If you were having recurrent ectopics, well, maybe, but that is not an issue for you. I am not sure that IVF offers you any benefits either. Again, conception does not seem to be an issue. You are getting pregnancies to the uterus. Holding them there is the trouble. Perhaps it is a progesterone issue, as much as it pains me to raise an issue I am not sure I believe in.

--
William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.




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