Re: 2 miscarriages

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• In reply to: Elinor: "2 miscarriages"

My condolences on your losses -- I had infertility and 2 miscarriages before having a successful pregnancy and, now, a beautiful, healthy, wonderful daughter so I know how you feel.

I strongly believe that all couples should be offered the wor up for repeated miscarriage after 2 in a row. In addition to tyroid tests and an HSG, both you and your husband should be offered chromosome testing and you should have screening for antiphospholipid syndrome. A reproductive endocrinologist may be the best bet to do this work up, especially as you have some trouble conceiving too.

and also i am wondering if now with 2 miscarriages is >there a higher chance for a third?

Yes, but not terribly high. About 20% of known pregnancies end in miscarriage (it's about 40 -50% of all conceptions). After 2 miscarriages, hte risk of a third is in the 20 - 30% range. Most women will go on to have a child without any intervention at all.

The work up for miscarriage may not yield an answer, it it may be expensive, but I believe it should be offered. I know for me, it helped, at least emotionally. I don't know whether the treatment I had for a very mild abnormality on testing is the reason I am holding my daughter as I type this, but if it was, then I'm sure glad I found out before suffering another loss. And even if I had miscarried despite treatmetn, I would have felt I had done everything in my power -- you should have the opportunity to make those sort of decisions for yourself, too.

Best of luck in your quest to have a child. The road can be long and full of bumps, but if you can have a child, it is more than worth it.

--
Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.
Sorry, but private e-mails will not be answered -- especially now that I have a new baby to take care of!!

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