PREGNANCY-BIRTH Messages for November, 1998: Re: Looking for Advice on 2 miscarriages

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Re: Looking for Advice on 2 miscarriages

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 9 Nov 1998 19:46:25 -0600 (CST)

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At Sun, 08 Nov 1998, Susan wrote: >
>Hello. I am looking for advice. I am 30 years old and I have
>experienced two consecutive miscarriages in the past seven months. The
>first occurred in April. Problems are estimated to have started in my
>eight week. The ultrasound revealed that the pregnancy sack was
>empty--indicating that the embryo did not "build" properly. I underwent
>a D&C. I became pregnant again in August. I miscarried naturally in
>late September. The ultrasound had revealed an embryo and I miscarried
>before a heartbeat was detected.
>
>I just got my period on Saturday. My doctor told me that it is fine to
>try to conceive with this first cycle since my blood tests have all
>concluded negative. In other words, there does not seem to be anything
>obviously wrong with me--I have just been a victim of bad luck.
>
>My question is: What can I do differently this time? I would like to
>start trying to conceive right away but feel uncomfortable proceeding
>just as before. Is there anything I can do or should request from my
>doctor at this point? I feel that I should be proactive in ensuring the
>best scenario with this next attempt.
>
>Thanks in advance for your help.

Although habitual aborter is a term defined as 3 miscarriages, many practitioners will do a full workup or at least a basic workup after 2 losses. This may include a serum progesterone in the luteal phase, an endometrial biopsy, a semenanalysis and ureaplasm culture (although some debate this testing in someone whose partner has gotten pregnant), Anticardiolipin antibody and Lupus anticoagulant. Some may also recommend genetics on the parents and s sonohysterogram to check for uterine abnormalities. A thyroid and prolactin level may also be done. It is up to you and your practitioner as to how aggressive you wish to become with your testing. Therapy should be ased upon results.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: anonymous@obgyn.net: "Possible problem in early pg..."
Previous message: Richard M. Chudacoff, MD: "Re: tubaligation after delivery"
In reply to: Susan: "Looking for Advice on 2 miscarriages"
Next in thread: William F. von Almen, II, MD: "Re: Possible problem in early pg..."
Reply: William F. von Almen, II, MD: "Re: Possible problem in early pg..."
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