Category Archives: Recurrent pregnancy loss

20 week ultrasound

So in my true blogging form I am late to the game once again. My 20 week ultrasound was a week and a half ago and I’m happy to report that everything looks within normal limits with the baby! He is measuring on track with dates so far, which is a huge relief. And we confirmed that he actually is a he.

My cervix is measuring 3.2cm which is still in the reassuring range, but of course I’m concerned that it’s been shortening every two weeks. I started in the 5cm range, down to 4cm and now closer to 3cm. I held steady around 4cm for my last pregnancy. Hopefully my cervix check this week will show no change and I can stop worrying about it (yeah right, I am a huge worrier).

Next up is my last cervix check at 22 weeks, and then I will have a growth scan around the 30 week mark. With baby A, the growth scan at 30 weeks was where the IUGR was diagnosed so I’m hoping that history doesn’t repeat itself.

I’ve been feeling movement since 15 weeks but over the last week it’s become very frequent and it’s getting stronger. I even saw a kick through my belly the other night. My husband has been able to feel him this past week as well, which has been great for bonding.

My Braxton hicks contractions have been increasing in frequency over the past week as well. I hate that I feel them so early. I’m always concerned they are going to turn into preterm labor. I’ve also had some period-like pain that I’ve been attributing to round ligament pain (this has been my norm for weeks). It’s been way worse this pregnancy but luckily it’s only severe for 10-15 mins before subsiding.

I finally started telling people at work, and it’s certainly time because I cannot hide I anymore. Hilariously enough I have a co-worker who is due 2 days before me! She also waited until the 20 week mark to say anything. I know she and her husband had a hard time conceiving (although I don’t know the details) so I am super ecstatic for her! Sadly, I have another co-worker who is currently experiencing her third miscarriage in a year. She had a late miscarriage at 18 weeks where her water just broke out of nowhere, followed by two first trimester miscarriages. I’m so sad for her and I did my best to offer her support yesterday when she told me (I disclosed my five miscarriages to her) but I’m still unsure how much support she wants from the pregnant girl so I’ll just keep checking in.

In other news, we are potty training A. She is still in diapers for naps and nights but she’s doing great otherwise. She still poops in her diaper but has also pooped in the potty several times as well. I initially didn’t want to bribe but my husband started giving her 3 chocolate chips if she poops in the potty and that has helped immensely. She doesn’t need any bribing for pee. We had one day this week where she peed herself FIVE times in an afternoon and I though we had completely regressed, but it’s now been almost 4 days and no accidents since then. She is also doing great at daycare using the potty. I hope it keeps going well.

Wishing everyone all the best in the new year!

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I had my blood drawn yesterday, almost exactly 1 week later to the minute! That was certainly not intentional but kind of cool, right? Afterward, I spent the morning doing everything I could to distract myself from checking my email obsessively every 5 minutes (which was no easy task). Luckily, the nurse was very quick this morning and I only waited 2.5 hours to find out my beta had risen to 5,558! So I’m still in the game. These betas are better than my last pregnancy, and similar to my only successful pregnancy, so I’m choosing to take that as a good sign.

My ultrasound is scheduled for Oct. 4th, the day after A’s birthday. Based on my BBT, I think I will be 7w2d. I could have had it on the 2nd but I decided I’d rather spend A’s birthday with her not knowing the outcome so I could focus on her and not another miscarriage (although I’m hoping everything looks good, but I’d rather be in the dark/nervous than upset/sad). I took the day off of work for her birthday so we could do something fun! Also, 7w2d is one day farther along than the size of my last missed miscarriage and I’m hoping if things look good it will help me relax a little (famous last words, I don’t know how to relax during early pregnancy because of my history, especially after my last miscarriage after seeing a heartbeat).

Our whole family came down with a horrific cold and so I’ve been feeling incredibly awful for the past week. I even had to call in sick be because I lost my voice! It was insane. Of course I am worried this illness will affect the pregnancy, even though I know logically it will not. I also think it’s masked any pregnancy symptoms that I may be having as I feel a little off this morning (in a pregnancy way) but I also still just feel like absolute crap (in an illness way)! Here’s to hoping we all get better soon.

In other exciting news, my husband and I signed papers to buy our first house yesterday! We are buying his Grandparents place from his siblings and Mom, and we’ve been living here since Nov. 2017. We moved in with his ailing grandfather, and he unfortunately passed away in Feb 2018, much more quickly than we all anticipated. His family is glad the house will stay on the family and we are glad to finally be homeowners.

So now we begin another two week wait for the ultrasound, ugh. It’s so weird to be here again. My husband commented that we are just approaching the danger zone so while he’s so glad the blood draws look good, we are in no way out of the woods. Hopefully the universe will prove us wrong and there is nothing to be worried about.

Thank you everyone for your support. I really appreciate it. Hope everyone is well.

Lucky number 7?

I will be talking about another P here so please do not read if you’re not in the right space.

One week ago, I noticed some serious abdominal pain, gas and bloating and I just knew I was pregnant. So last Friday I took a cheap internet test and got a squinter. I was pretty sure I saw the line so I shelled out for a better test and I was for sure pregnant. This was at 10dpo.

I had started taking vaginal progesterone twice a day from 3dpo, and I have been taking baby aspirin for months. With my only successful pregnancy I took the vaginal progesterone from 3dpo so I am officially doing everything the same this time around.

I actually waited until 14dpo ask my RE for blood work. I wanted to see some higher numbers this time. My progesterone came back at 49.1, beating out my last progesterone by 1, so I’m still going with the assumption that progesterone is not an issue for me. My first beta came back at 98, and the second (at 16dpo, just over 48 hours later) is 268, so it more than doubled in the correct timeframe. Thank goodness!

The next step is to get a repeat HCG in a week. If things still look good I schedule a viability ultrasound around 7 weeks. I wish 7 weeks wasn’t the week of my daughters 2nd birthday but I don’t want to wait until 8 weeks and fudging the dates will put me at 6 weeks 1 day. That’s way too early in my opinion, especially after seeing a heartbeat around 6 weeks and then miscarrying at 7 weeks 1 day. I’d rather wait a little longer. I have a trip planned that throws a wrench in the scheduling of an ultrasound later on in week 6. Maybe I’m getting ahead of myself here.

As for pregnancy symptoms, I have had a little gas, bloating and minimal light cramping. But that’s it. I know it’s super early (16DPO) but my mind seems to remember way more cramping this early.

All of this being said, I have been here several times before and it’s fallen through every time but once. I am anxious and scared. But I also feel relaxed a lot of the time because I know there is nothing I can do to change the outcome. I can only hope this embryo implanted in a cozy spot that has enough blood flow to get everything it needs until its birth at full term.

And thus begins the rollercoaster of emotions, anxiety, obsessing over pregnancy symptoms (or the lack thereof) and hope. Because I can’t help but have some hope, even if the odds are against me.

Saline sonogram 2.0

I had my saline sonogram yesterday on CD10. I found my last one in 2015 to be quite crampy and uncomfortable. It was (and still is) my most uncomfortable experience with fertility procedures. This time I took 300mg Motrin 1 hour before and what a difference! Although maybe it was the doctor’s technique that was better but I literally had no pain (although I was bracing myself for pain the entire time). (Edited to add that I apparently took 800mg of Motrin before my last procedure so it must have been my new doctor’s technique). It took less than 10 minutes.

Fortunately there is nothing in my uterus that shouldn’t be there. He also reiterated that if we didn’t know about my UU, he would never be able to tell based on ultrasound that I had one. Oddly enough I almost wished for a polyp so I could undergo another hysteroscopy. One of my theories is that baby A stuck around because of the hysteroscopy creating an area for her to burrow in deep, sort of like an endometrial scratch. Alas I will never know if that was the magic needed but it’s certainly possible.

I still have the same cyst on my left ovary so I hope it stays for several months so I can ovulate from my connected right ovary for awhile, hopefully increasing my chances to be pregnant for the 3rd time in a year…sigh. When we were on our journey toward baby A I had a cyst on my left ovary for a long time, around 6 months. Maybe that is a more cyst-y ovary, if that is even a thing.

I am so unsure that I will ever carry another pregnancy to term. While I now know my body is capable of doing it, I certainly have pretty terrible odds with pregnancy outcomes. What a weird and lonely journey to be on. Never in a million years would I have expected to have recurrent pregnancy loss. I didn’t even know this was a thing until after I had my first miscarriage. Oh to be blissfully ignorant again.

Meeting with the new RE

We had our meeting with our new RE this week, Dr. H2. Overall it went well, I liked him a lot. Kind, easy to talk with, organized and no bullshit. He had all my results and his recommendations typed up when we got into his office, and he reviewed everything with us from that sheet (and I got a copy of it)!

My FSH is up to 15.3 (from 13ish in Sept. 2015). So worse, but not by much. My AMH, however, is still 1.2 (I was 1.24 in Sept. 2015) so that is encouraging. Honestly I’m surprised (and thankful) it hasn’t changed more. All of my other labs are normal, and the clotting lab I was concerned about is not even elevated according to Dr. H2 so that’s good news. He did an ultrasound and my AFC is 8ish on CD 6 with 4 follicles one each side (and a huge cyst leftover from last month). So that hasn’t really changed either. He also said I can do a saline sonogram in my next cycle so I will be scheduling that in the near future.

As for his opinion on my most recent miscarriage, he thinks it was likely due to the fact that a unicornuate uterus has areas of poor blood flow. While one treatment for RPL is IVF with PGS, he does not recommend this in my case since they cannot control where that embryo will implant and I do make normal embryos so it likely won’t help. (It makes me think back to how we were gong to do IVF and then I got pregnant and it worked out. I wonder how that would have ended up.) He suggests baby aspirin and progesterone, both of which I’m already doing. I also asked if he thinks more of my miscarriages were normal embryos and he said most likely yes.

I don’t know why but I feel strangely validated by that bit of information. If I had to wager a guess, I would think that 4/6 of my pregnancies were actually normal, although I can only prove 2 (my live birth and my most recent miscarriage). I mean who really knows but finding out that the last one was normal really makes me question the poor eggs theory (although I still believe my egg quality is lower for my age given my AFC and FSH). He is also the first RE who said this to me. Everyone else said it was more likely my eggs (although I don’t blame them bc no one else had the chromosomally normal miscarriage as evidence). I guess I would have liked to hear this sooner but there was no way for that to happen.

Armed with this new information, I am really beginning to believe that it is a miracle that I have my beautiful, spunky, fabulous toddler and I feel even more lucky to have her.

As for now, the plan is to keep trying and hope the next embryo is normal AND implants in the right spot. But who knows if lightening will strike twice!

The next steps

Just a quick update to say I finally got my referral to the new RE and they had a cancelation so I’ll be meeting him next week. Most of the RPL labs I did last time were ordered and to my knowledge they look normal. Except for my beta 2 glycoprotein 1 came back positive. I did not have this drawn last time and from my research this can cause blood clotting during pregnancy contributing to miscarriages. Apparently to be considered an issue the test needs to be positive twice with 3 months in between tests. So it’ll be interesting to see what he has to say about that. I also asked for my FSH, E2, LH and AMH to be run for comparison.

Honestly I am mostly interested in a thorough uterine cavity evaluation looking for polyps or anything else that could cause issues. But if anything else can help us that would be great too!

I ovulated on CD 13 this month, which is unheard of for me. My earliest ovulation date is CD 17. Now I’m wondering if this in a one-off or if it’s an indication of my declining fertility. I guess only time will tell.

I have basically cut out all refined carbohydrates, sugar and alcohol. And I’m about to wean off the caffeine too! It’s been easier than I thought it would be so I’ll be keeping it up for as long as I can. I figure it can’t hurt, right?!

Emotionally I’m doing well. It took a little time but I have been going about my life and have been feeling pretty happy, all things considered. I hope we will be able to have another baby but if that is not in the cards, I think I’ll be ok. My husband said to me recently if I wanted to stop trying he is ok with that, even though he does want another child. It really helped to hear that. So we shall see.

Hope everyone else is doing well.