WOMENS-HEALTH Messages for February, 2008: Re: PREGNANCY: Pregnancy after D&C at 13 1/2 weeks

Re: PREGNANCY: Pregnancy after D&C at 13 1/2 weeks

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 23 Feb 2008 09:28:14 -0600 (CST)

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Sara

Very sorry for your loss.

Doubtful the endo will come back within 3 months. Second trimester losses are a little different than first trimester losses. More hormone, uterine growth etc leads us to suggest waiting a little longer to try conceiving. I think 3 cycles is a pretty good suggestion. I just had a patient that lost a baby to an anomaly at 19 weeks and I gave her this same suggestion...Dr. von Almen

At Sat, 23 Feb 2008, Sara wrote: >
>I miscarried at 13 1/2 weeks on Thursday and had a d&c on Friday. The
>baby measured at 13 weeks. We saw a heartbeat at my ob's office at 12
>weeks 4 days. I had my first peri appt on Thursday due to a history of
>severe preeclampsia and severe pih in two previous pregnancies, both
>resulted in premature births at 36 and 35 weeks.
>
>My question is how long does it take to ovulate after the d&c. Before
>getting pregnant, I had regular 28 day cycles. I do have have
>endometriosis but it has not affected my ability to concieve. Baby #1
>conceived on first try. Baby #2 conceived on 2nd try. Baby #3
>(miscarriage at 13 1/2 weeks) conceived on 1st try 1st cycle after
>taking continuous bcp for a year.
>
>My ob suggested waiting 3 months but I can't. I want to be pregnant
>again as soon as possible. For me that will be the only thing that will
>make it better. The only thing I have seen on the net is that the
>uterine lining is thinner and chance of miscarriage is .05%. I have
>also seen many many many stories from women that have had a D&C and
>conceived 2 weeks later and went on to have healthy babies. Another
>reason not to wait three months is because I am afraid the endo will
>come back even worse and do not wish to go through any horrendous
>periods.

-- 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, they will receive no response.

William F. von Almen, II, MD, FACOG Private Practice New Orleans, La.

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