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Pregnancy (Expert Forum)
why does this keep happening?
Answered by
Elaine Brown, MD - Pregnancy, Gynecology
Elaine Brown, MD - BLOG
Billings - MT
This forum is for questions and support regarding Caesarean Section , Childbirth, Diabetes, Depression, Fetal Monitoring, Genetic Testing, Hormonal Changes, Labor, Lamaze, Morning Sickness , Nutrition, Parenting, Prenatal Care, Weight gain.
why does this keep happening?
by stickers, Nov 09, 2009 12:12PM
hi im 27yrs old and i first became pregnant 3 years ago resulting in a miscarriage, a year later i suffered an eptopic pregnancy which i had my fallopian tube urgently removed, i was lucky to be alive and now again i suffered another miscarriage, is there something wrong with me? my partner and i are desparate for me to have a normal pregnancy. and the baby we are longing for. can u please help ? is it my fault this is happening?
Doctor's Answer
by Elaine Brown, MD, Nov 11, 2009 01:30PM
, Nov 11, 2009 01:30PMTo: stickers
Hi!
It can be very devastating to have so many losses! It is not anything that you have or haven't done, and nothing that you can control. The very GOOD news is that your remaining tube seems to be working. Very often after a tubal pregnancy, one tube is removed and the other is damaged so there is no option except IVF. You are lucky in that regard.
If you were my patient, I would begin a work up for recurrent miscarriage, although you don't strictly meet the criteria yet. I would want to do a saline ultrasound or HSG (hysterosalpingogram) to be certain that your uterine cavity is normal. I would also do some blood work checking for conditions such as Lupus that could contribute to miscarriage.
I would probably check thyroid function and antibodies, anti-cardiolipin antibodies; lupus anticoagulant; ANA; and anti-beta2 glycoprotein1 antibodies. If all of these results were
normal, I would probably check for Factor V Leiden and prothrombin 20210 problems.
One thing that you can try on your own while waiting to see a doctor, is taking low dose aspirin--81mg per day.
Some other tests (pricey) to consider would be Karyotype of both partners and sperm DNA fragmentation analysis.
If you keep trying, you will probably have success. I would recommend working with a specialist in reproductive endocrinology though.
Good luck!
Dr B
It can be very devastating to have so many losses! It is not anything that you have or haven't done, and nothing that you can control. The very GOOD news is that your remaining tube seems to be working. Very often after a tubal pregnancy, one tube is removed and the other is damaged so there is no option except IVF. You are lucky in that regard.
If you were my patient, I would begin a work up for recurrent miscarriage, although you don't strictly meet the criteria yet. I would want to do a saline ultrasound or HSG (hysterosalpingogram) to be certain that your uterine cavity is normal. I would also do some blood work checking for conditions such as Lupus that could contribute to miscarriage.
I would probably check thyroid function and antibodies, anti-cardiolipin antibodies; lupus anticoagulant; ANA; and anti-beta2 glycoprotein1 antibodies. If all of these results were
normal, I would probably check for Factor V Leiden and prothrombin 20210 problems.
One thing that you can try on your own while waiting to see a doctor, is taking low dose aspirin--81mg per day.
Some other tests (pricey) to consider would be Karyotype of both partners and sperm DNA fragmentation analysis.
If you keep trying, you will probably have success. I would recommend working with a specialist in reproductive endocrinology though.
Good luck!
Dr B
Post Comment
i am very sorry for your losses and i know u and your partner is in gr8 pain and confused.
Yes u are very lucky to be alive and well and NO its not your fault for this happening to u,plz know u are not alone.. firstly did u use some kind of vitamin like folic acid?? and have u seen a doctor on any of your pregnancies?
plz let me know, i might have your answer.
did u go for a papsmear after every miscarrige?
invite me as a friend and this could be more private.