Should I consult a fertility specialist? WWYD? - Mothering Forums

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Old 02-04-2009, 08:42 AM - Thread Starter
 
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If this is better posted elsewhere, please feel free to move..

This is my story: I'm 38, have had 2 normal pregnancies, 4 m/c, all first trimester, 3 of those on progesterone supplementation. Work-up after first 2 m/c was negative. Luteal phase is short, 8-10 days. I use progesterone some cycles, but don't really believe it does anything. I use low dose aspirin, and Vitex. Last m/c was 9 months ago. At that time my ob didn't think I needed to see a specialist, since I have no trouble getting pregnant.
Well, that last part seems to have changed. Oh, and I do chart and all of that.
And I'm worried about getting older.
So, wwyd? Keep trying, or see a specialist?
What could they do?

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Old 02-04-2009, 10:19 AM
 
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I think it's probably a good idea. They say to see a specialist if you've had more than 3 miscarriages. Also, because of your age and luteal phase defect, I I would go see a specialist. Your doctor is wrong about the fact that getting pregnant means you don't need a specialist. That's only half the battle. If you can't stay pregnant, something is going on that needs to be looked into.

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Old 02-04-2009, 12:11 PM
 
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yes, to your age alone. Over 35 and more than 6 months of trying is normally a signal that a consult should be set up.

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Old 02-04-2009, 12:44 PM
 
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I'm sorry for your losses.

See the specialist, and ask your doctor to test you for genetic MTHFR mutations. Lots of women have these mutations, which cause excessive clotting, and can result in miscarriage (clot in placenta, for example - my sister has it and lost one due to that). It is typical if you have the mutation/s to have repeat miscarriages, though some women have several children in addition to the m/c. The test is a simple blood test. If you DO have it, the treatment is often Folgard Rx for folic acid and vits B (bc the mutation impedes proper absorption/use of them, so you need more) and sometimes blood thinners like heparin for TTC/pregnancy. Prenate Elite is a special prenatal vit that is also used for women with MTHFR mutations bc it contains a special form of folate that is more easily assimiliated into the body. It can be taken while TTC and pregnant - but requires a prescription.

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Old 02-04-2009, 07:06 PM - Thread Starter
 
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Thanks for your replies. I discussed it with dh again, and we're going to schedule an appointment. I hope I get some answers and an "action plan".

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