PREGNANCY-BIRTH Messages for November, 1998: Re: fourth miscarriage, need help!

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Re: fourth miscarriage, need help!

From: William F. von Almen, II, MD (anonymous@obgyn.net)
Tue, 10 Nov 1998 15:01:47 -0600 (CST)

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Previous message: Vivian: "Low-lying placenta & travel"
In reply to: Andrea: "fourth miscarriage, need help!"

At Sun, 8 Nov 1998, Andrea wrote: >
>I just had my fourth miscarriage out of five pregnancies. One went to
>term. I've had all of the genetic testing done, nothing abnormal. I've
>tried using progesterone and it might have helped once (my only
>pregnancy to go to term). I had 2 before my daughter, and 2 since.
>Here's my concern: My ob says there is nothing else he can do for me,
>and just to keep trying. Is there anything else I can do or take to
>help my chances of having just one more full term pregnancy? I
>miscarried very early in all lost pregnancies (10, 7, 7, 5.5 weeks).
>Luteal Phase Deficiency is suspected, but I have tried progesterone in
>the last two attempts. Any suggestions or advice would truly be
>appreciated. By the way, I am very healthy and active and 26 years old.
>
>--
>Andrea
>

Andrea; I am so sorry to hear of your loss. Supplementary progesterone (can now use a prescription drug-Prometrium, 100 mg 3x a day) starting 2-3 days post ovulation is helpful. Also ask your ob to check for antiphospholipid syndrome. This is often a cause for early miscarriage. Testing for hypothyroisism is also called for (just a simple TSH level). It may not be a bad idea to have a hysterosalpingogram done to be sure there is no uterine defect. Good Luck.

-- William F. von Almen, II, MD, FACOG Editorial Board, OB/GYN.NET Pregnancy and Birth New Orleans, La.

The above comments are for educational purposes only.

Next message: William F. von Almen, II, MD: "Re: Possible problem in early pg..."
Previous message: Vivian: "Low-lying placenta & travel"
In reply to: Andrea: "fourth miscarriage, need help!"

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