PREGNANCY-BIRTH Messages for February, 1999: Re: second miscarriage and need help

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Re: second miscarriage and need help

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Sun, 21 Feb 1999 19:55:46 -0600 (CST)

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In reply to: lisa: "second miscarriage and need help"

At Sat, 20 Feb 1999, lisa wrote: >
>At 6 1/2 weeks LMP I had a sonogram to detect a gestational sac. There
>was a small black spot in my uterus. The doctor said that it was not
>how the gestational sac should have looked. There was some question
>about when I may have conceived because of a late period the month
>before so I had a blood test. My levels were lower than they were when
>I had blood tests done earlier in the pregnancy. I started bleeding the
>next day. My doctor wants to wait until next month and inject dye and
>x-ray my uterus and tubes. I don't understand why she questions my
>tubes. Didn't the sonogram show that the egg at least made it to the
>uterus? I had a pregnancy(fully visible embryo) that ended at 9 weeks
>two years ago. Because of my age I do not want to waste time doing
>tests that will be negative and that will delay trying another 2-3
>months. Do you have any suggestions? Thank you.
>
>--
>Lisa
>

I am sorry you have had to experience 2 losses; I, too, had 2 miscarriages before my successful pregnancy and beautiful daughter, so I know how devastating it can be.

Your doctor is probably looking for an abnormality within the uterine cavity, such as polyps or a fibroid, which may contribute to miscarriage. This can also be done (and with less discomfort) via a special ultrasound (saline infusion sonography, which entails introducing a small amount of sterile fluid into the uterine cavity while doing an ultrasound). Other aspects of the work-up for repeated miscarriage include genetic/chromosome testing of both partners; thyroid function; screening for antiphospholipid syndrome -- all blood tests.

Technically, repeated miscarriage is defined as 3 or more consecutive miscarriages, but I firmly believe (probably because I have been there myself), that testing should be offered after 2 miscarriages. Testing does not always reveal an answer and the tests are expensive, and treatment does not guarantee a baby in your arms. You, however, should be given the opportunity to decide whether or not to undergo the work-up. A reproductive endocrinologist, especially one with an interest in repeated miscarriage, is the best type of doc to orchestrate the investigation. Many general gynecologists are also interested in and knowledgeable about repeated miscarriage.

Best of luck to you. The road to parenthood can be rocky, but the baby at the end of it is more than worth it.

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

Replies are for educational purposes only and do not construe any doctor-patient relationship; they do not take the place of a face-to-face consultation with your own doctor. Sorry, but personal e-mails will not be answered, due to time constraits and the desire to spend as much free time as possible with my husband and baby daughter

Next message: Kelly Shanahan, MD: "Re: 7 weeks pregnant and 8 cm Cyst - Quick reply Pl!"
Previous message: Christopher: "Re: Transverse position"
In reply to: lisa: "second miscarriage and need help"

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