Category Archives: Miscarriage

Not the scan I was hoping for…

Unfortunately, there is no heartbeat. I’m so sad, but not surprised given my history. I should have been 8 + 3 but the baby was only measuring 7 + 1. This is the first time I have miscarried after seeing a heartbeat, which doesn’t make it suck any more or less than the other times…it just sucks.

My OB, as always, is amazing and I am still so incredibly thankful I switched to her. Super compassionate and willing to find answers and explore options for me. This time, I have again elected to use misoprostol (I am petrified of having a D&C). She recommends taking an antibiotic with it so I’m doing that as well. I will have a follow up appointment in two weeks to make sure everything has passed. She’s going to get in touch with the local RE to see if there is anything else we can do in the testing department (although I suspect not but I appreciate the gesture). She also entertained my request to try and get genetic testing on the baby. She called the lab and got instructions on what to do and then passed those on to me.

I have always wanted to do genetic testing but my last OB said there was no way to do it (which I now know is not true). I would like the closure of knowing if the baby was actually normal (meaning my uterus could be the problem) or if it’s chromosomal (which is the assumption based on the timing of my miscarriages and my egg quality lab results).

It’s time for me to go back to making all of the lifestyle changes I made in the past. I have actually continued to use green beauty products, soap/shampoo, and trying to avoid plastic, but my diet needs an overhaul. I’m not sure how crazy I will actually go but I know I need to cut out sugar. I’m sure I’ll blog more about this.

Thank you everyone for your positive thoughts. I truly appreciate having this community of wonderful ladies supporting me regardless of the outcome. Sending lots of love.

Now onto my date with misoprostol, ibuprofen, a warm pack, and possibly some Percocet.

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Ultrasound day…

I am so impressed with myself making it to today with minimal anxiety. Being busy has helped immensely, as has the random nausea I’ve been having most days. Still with no to hardly sore breasts and minimal cramping though, which makes me nervous. A very different pregnancy for sure.

Of course yesterday I had no pregnancy symptoms so now I am pretty scared for my appointment later this morning. Just wanted to put it out there for the world to send me some good thoughts. I know the results are out of my control but I hate the anxiety that comes with scans.

Update to come later today. Thank you for being here for me and I wish you all good things.

Wow, that was a long time ago…

I finally updated my about me section! Thank you for the prompting Trisha!

It’s really insane to think I’ve had this blog up for almost 4 years, and that I’ve endured so much throughout this time. At this time 4 years ago my husband and I were getting ready for an amazing trip to England, Ireland, and Scotland, and then we were going to try for a baby. We had no idea the road we would travel to get our miracle baby. 3 miscarriages, a DOR diagnosis, and the shocking news of a unicornuate uterus.

It’s so weird to think back on who I was and how naive I used to be. I am so sensitive to pregnancy announcements still, although it’s gotten better. I am hyper sensitive also to people in my life that show signs of maybe being pregnant (not drinking, not participating in x-ray procedures at work, no sushi, their baby is about 1 and I know they want more kids). It’s hard because my husband wants another and I am willing to try, but I just hate that I’m back in the rabbit hole and there is no end in site. I don’t want to get obsessive but that is just the way I am…no half-ass jobs. And I really don’t want to be sad every time my friends expand their families and I am unable to do it too.

It really sucks trying to conceive in crappy conditions. I likely can only get pregnant if I ovulate from the right ovary (although you read stores about people getting pregnant from an unconnected ovary…) and it bums me out so much when I feel my ovulation pain on the left. I felt it on the left these past 2 months which is even more frustrating. And then I am hopeful because I managed to have that chemical pregnancy back in December so that has to be a good sign, right? Or maybe just an indication that my eggs are even worse this time around and I can’t even make it to the missed miscarriage stage (I sound so cynical but it’s just frustration). I’m just going with ignorance is bliss for now and not asking for these fertility tests that will crush my dreams of a second child the “easy” way.

We discussed that we probably won’t do IVF because it’s too expensive and my likely worse than before numbers will likely make it unsuccessful. So if we can’t get pregnant that leaves us with adoption or donor eggs/embryos. Also expensive. We haven’t discussed these as a couple but I certainly think about them a lot and weigh the options. And I have no idea which way I would go, or even if I would say screw it, let’s be a one child family (my husband really doesn’t want an only child so I don’t know how that would go over).

So there you have it. A rambling update on what is in my brain. I hope everyone is doing well.

Another miscarriage.

Well, keeping with my TTC tradition I have had another miscarriage. We started trying again recently. I figured I’m not getting any younger and my eggs already suck so we had better get on it. I got a positive pregnancy test on 14dpo (after a negative on 12dpo). But the lines on my tests just got lighter. Today my temperature dropped on 18dpo and I started bleeding on my lunch break. So technically a chemical.

I had my first beta drawn yesterday and I also had her check my progesterone. It’ll be interesting to see the numbers. I did not supplement with progesterone this time bc I wanted to see what happened. I highly doubt it would have done anything but I asked for a prescription for next time (if there is a next time). I also started baby aspirin once I got the positive. Maybe I should start after I ovulate next time? I don’t know.

I had decided to give it until April before I go back to my RE and run my numbers but I may change my mind after this. Or maybe not.

At least we didn’t go through a traumatic ultrasound for a missed miscarriage. Those still haunt me, and especially haunt my husband. This journey sucks.

Thank you 

I don’t really follow Hollywood and I am notorious for not know who the heck xyz famous person is but I very much respect what Melissa Rauch (who I’ve never heard of although I am familiar with the Big Bang theory…go figure…so that’s her name) says in this article. 

Obviously I’ve had a miscarriage, three to be exact, and I am so grateful to be where I am today. But seriously people, I hope others can take her advice and stop asking when another female plans to procreate. You have no idea where someone may be (or has been) in the process and it’s really none of your business. She illustrates this point so eloquently. 

Thank you for this article Ms. Rauch. Wise words.

https://www.glamour.com/story/actress-melissa-rauch-announces-pregnancy-and-reflects-on-miscarriage

A Cause for the IUGR

I had my 6 week postpartum appointment yesterday. Baby A came with me and screamed a lot. I ended up breastfeeding her while walking into the appointment room and during my pelvic exam…surreal. Everything looks good on my end!

We discussed several things throughout the appointment. 

•I expressed to her that I do not wish to be on birth control. Firstly, I am not convinced that it didn’t contribute to our difficulties TTC. Secondly, we plan to try again (although I cannot imagine that right now…more on that in another post). Lastly, I have switched to all natural products and I am not interested in introducing hormones into my body at this point. 

•She said that since I had an uncomplicated vaginal delivery we could try again as early as 6 months (I think that’s crazy).

•When my cycle returns and is regular, she can order a follow up FSH, AMH, and E2 so I don’t have to go back to my HMO fertility clinic right away. I am relieved about that (even though I had a pretty great experience with our RE). I’m wondering how those numbers will have changed a year or so after having them drawn. I also hope it will give us an idea of what to expect. 

•And now the main point of this post. The results of my placental pathology. It was small (as we already knew from looking at it after delivery). This could have been due to the UU (meaning the smaller size of my uterus) or uteroplacental insufficiency. The placenta showed signs of chronic uteroplacental insufficiency. Basically this means that the blood flow from my uterus to the placenta was insufficient for a good chunk of the pregnancy. Thus the IUGR diagnosis. I have lots of thoughts about this. 

Firstly, the baby was in the 38th percentile at the 20 week anatomy scan. That is normal. Then, right before 30 weeks at our growth scan, she was less than 3rd percentile. So things went wrong somewhere between 20-30 weeks. I stopped taking the baby aspirin at 28 weeks (which I was taking to hypothetically increase blood flow to my uterus…who knows if it helped. I feel it did help). I don’t think that would have affected growth that drastically in 2 weeks but I can’t help but wonder if I had stayed on it (or restarted it) if her growth would have been less restricted. 

Secondly, I wonder if the less than ideal blood flow had anything to do with my 3 miscarriages. I did not take aspirin until before the 4th pregnancy (which actually worked). I do have signs of poor egg quality with high FSH and boarderline AMH. All the miscarriages were missed, with no growth each time past 6-6.5 weeks. Could that have been due to poor blood flow and not egg quality? My gut says its egg quality. I guess we will never know but I wish we could. Too bad we were unable to test the embryos that miscarried.  

Thirdly, I wonder if the pregnancy being successful is because the embryo implanted in an area of the uterus that had better blood flow and the majority of my uterus has poorer blood flow. Those with a unicornuate uterus can have poor blood flow due to the abnormal formation of the uterus. Am I doomed to have tons of miscarriages? That remains to be seen.

Lastly, I wonder if I am lucky enough to get pregnant for a second time (and not miscarry) if this will happen again. And if not, how much more will my uterus grow? Can I make a bigger baby in my half uterus? It obviously stretched a ton this time but not like a normal sized uterus did. 

I made my OB cookies and wrote her a thank you note because she was so incredibly kind and supportive throughout the entire pregnancy. I know I was a high needs patient (for good reasons I think) and I wanted to let her know how thankful I am for her care. I ended the card saying “I am so thankful for my beautiful baby”, and I teared up as I wrote that. The gratitude I feel toward having her is immense and I don’t think I could put it into words.