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Re: Docs-what would YOU recommend to your patients after 4 consecutive m/c?-answer to doc

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Mon, 3 Jun 2002 08:24:21 -0500 (CDT)

At Sun, 2 Jun 2002, anonymous@obgyn.net wrote: >
>Thank you Dr. von Almen-no, testing after the first 2 was not
>recommended, after the 3rd one, our insurance would not pay and it was
>too expensive. Same problem this time. I realize that being 40 greatly
>increases the odd of chromosome problems, but 4!??? Also, I have been on
>Prometrium with each pregnancy after the 1st loss...along with baby
>asprin with the last 2...thanks again.
>
>At Sat, 1 Jun 2002, William F. von Almen, II, MD, FACOG wrote:
>>
>>At Sat, 1 Jun 2002, so wrote:
>>>
>>>Brief history-4 m/c, 8/99-5 wks, 12/99-10 wks (after seeing heartbeat),
>>>11/01 (8 wks-no heartbeat), and 6/02 (8wks, only fetal pole seen). I've
>>>been to the RE-hubby and I are seemingly fine. I am however, 40. I do
>>>realize the risks and odds of having a baby late, but 4 m/c seems
>>>excessive! My RE told me that my eggs tested quite well, but STILL this
>>>keeps happening. (Have 2 children-20 & 4-no problems with those
>>>pregnancies...)
>>>
>>>My doc is great, but mystified. Any idea? What would you advise your
>>>patients to do? Give up? It's so disheartening...Thanks for your
>>>responses..
>>So
>>
>>Sometimes it just takes a while. In the meantime, I would ask doc about
>>using postovulatory progesterone, and then increasing once you are
>>pregnant. I would also ask about baby aspirin. Good Luck--any of the
>>losses been tested for chromosomal defects?
>>
>>--
>>William F. von Almen, II, MD, FACOG
>>Chairman, Editorial Advisory Board
>>Pregnancy and Birth Section
>>Private Practice
>>New Orleans, La.
>>
>>*Please understand I can not respond to private emails.
>>
>>*These comments are for educational purposes only. They are
>>not meant to take the place of an examination by a qualified
>>health care provider. They are not intended to be the start
>>of a physician-patient relationship.
>>

Anon

You and your husband need chromosomal testing. Habitual abortion is a legitimate diagnosis for this testing and should be covered. You may also want to ask your RE about uterine bloodflow/lining studies. Some women have benefited from taking estrace(estradiol) during the first trimester due to poor utering lining 

--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
Private Practice
New Orleans, La.


*Please understand I can not respond to private emails.


*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.



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