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Ilse Witch
June 14th 04, 08:32 PM
Sorry for the identical post, I just have no time whatsoever...

Due to a significant lack of time and still only 24 hours in a day in
spite of a request to increase this, I've not been around here as often as
I would like.

The short story: I'm sorta OK and we've started fertility testing. The
doctor was nice, and we're in for hormonal imbalance (low progesterone).

The long story: I'm still very tired since the last m/c and it's not quite
clear why. It could be an asymptomatic UTI, which I've had before. Last
time I felt like this was several years back, when I was adviced to
supplement zinc. Since that worked, I stocked up on zinc yesterday. Later
this week I should get the results from a urine culture on the UTI.

In the mean time, we saw a fertility specialist last week, and she was
great. First off, she also a choir singer. Second, she has had Graves'
disease, and took my word that I can feel it coming before the bloodwork
shows it. A first for me! The only negative point was that she fired a lot
of medical terminology at us, and I was glad to have read up on it. DH
however, was totally stunnend and had no clue what she was talking about.
Yes, I've told him several times there are such things as libraries and
internet, where he could find additional info. But if I don't drag it in
for him, put him on the couch and hand him the book, he'll not read it.

The specialist confirmed my suspicions that the m/c's could be related to
a hormonal imbalance, specifically a low progesterone production during my
cycle. I will ask her next time how such things arise, and why I never had
any symptoms before my first pregnancy. In the mean time, they started
bloodwork for a bunch of auto-immune disorders. As soon as my next full
cycle starts, we will do a complete tracing of hormonal values during the
cycle to see if it all works OK. That implies a lot of blood draws, a
bunch of ultrasounds and an endometrial biopsy.

We told her we'd "donate" two cycles to investigations, and if nothing is
found, we'd go back to normal and TTC again. She recommended that even in
that case, I'd take some progesterone supplements, which I was very glad
to hear. She also suggested hCG shots to boost ovulation, but I'm not sure
I would do that too, have to think about that option.

--
-- I
mommy to DS (July '02)
mommy to three tiny angels (28 Oct'03, 17 Feb'04 & 20 May'04)
guardian of DH (33)

Dagny
June 14th 04, 08:41 PM
"Ilse Witch" > wrote in message
...
> Sorry for the identical post, I just have no time whatsoever...
>
> Due to a significant lack of time and still only 24 hours in a day in
> spite of a request to increase this, I've not been around here as often as
> I would like.
>
> The short story: I'm sorta OK and we've started fertility testing. The
> doctor was nice, and we're in for hormonal imbalance (low progesterone).
>
> The long story: I'm still very tired since the last m/c and it's not quite
> clear why. It could be an asymptomatic UTI, which I've had before. Last
> time I felt like this was several years back, when I was adviced to
> supplement zinc. Since that worked, I stocked up on zinc yesterday. Later
> this week I should get the results from a urine culture on the UTI.
>
> In the mean time, we saw a fertility specialist last week, and she was
> great. First off, she also a choir singer. Second, she has had Graves'
> disease, and took my word that I can feel it coming before the bloodwork
> shows it. A first for me! The only negative point was that she fired a lot
> of medical terminology at us, and I was glad to have read up on it. DH
> however, was totally stunnend and had no clue what she was talking about.
> Yes, I've told him several times there are such things as libraries and
> internet, where he could find additional info. But if I don't drag it in
> for him, put him on the couch and hand him the book, he'll not read it.
>
> The specialist confirmed my suspicions that the m/c's could be related to
> a hormonal imbalance, specifically a low progesterone production during my
> cycle. I will ask her next time how such things arise, and why I never had
> any symptoms before my first pregnancy. In the mean time, they started
> bloodwork for a bunch of auto-immune disorders. As soon as my next full
> cycle starts, we will do a complete tracing of hormonal values during the
> cycle to see if it all works OK. That implies a lot of blood draws, a
> bunch of ultrasounds and an endometrial biopsy.
>
> We told her we'd "donate" two cycles to investigations, and if nothing is
> found, we'd go back to normal and TTC again. She recommended that even in
> that case, I'd take some progesterone supplements, which I was very glad
> to hear. She also suggested hCG shots to boost ovulation, but I'm not sure
> I would do that too, have to think about that option.
>
> --
>
I think one well known fertility doc in my town says luteal phase defect(low
progesterone) doesn't exist, except that some people don't have well
developed follicles naturally and so the corpus luteum doesn't perform well
in early pregnancy, but he says that the answer is clomid for a stronger
follicle not progesterone supplementation. I'm not suggesting he's right.
It just came to mind as a theory you might want to know.

DeliciousTruffles
June 14th 04, 09:02 PM
Ilse Witch wrote:

> In the mean time, they started
> bloodwork for a bunch of auto-immune disorders.

> She recommended that even in
> that case, I'd take some progesterone supplements, which I was very glad
> to hear.

You might also want to investigate Low-Dose Aspirin as well.

Have you checked out alt.infertility.secondary? Really nice bunch of
people there. Tons of experience. (Just use appropriate headers.)

--
Brigitte aa #2145
http://ca.geocities.com/bironmonger/
Please excuse the quality. It is under construction and I am still
learning. :-)

"To repeat what others have said, requires education; to challenge it,
requires brains."
~ Mary Pettibone Poole

Ilse Witch
June 15th 04, 07:37 PM
On Mon, 14 Jun 2004 15:41:36 -0400, Dagny wrote:

> I think one well known fertility doc in my town says luteal phase defect(low
> progesterone) doesn't exist, except that some people don't have well
> developed follicles naturally and so the corpus luteum doesn't perform well
> in early pregnancy, but he says that the answer is clomid for a stronger
> follicle not progesterone supplementation. I'm not suggesting he's right.
> It just came to mind as a theory you might want to know.

Thanks! Yes, I'm aware of this. I've read quite a lot over the weekend,
including a book by an OB/GYN who says the same thing. Problem is that
research on this point is still lacking. It is sure that progesterone
supplementing will not save an unviable pregnancy, but there are no
studies that have looked at this in the light of multiple m/c. Most
look at supplementing once low progesterone is diagnosed *during* the
pregnancy, when it is already too late. The effect of supplementing
during the cycle right after ovulation is less clear. What I understood is
that some big studies are on the way, but results will not be ready until
a year or so from now.

If someone more familiar with the medical literature has some good links
to these studies (I don't mind medical terminology), I'd love to hear.

Actually, the doctor recommended that if they don't find anything,
stimulating ovulation with hCG shots would be part of the "common" therapy
besides progesterone supplementing. The funny thing is that the one cycle
I took wild yam I got pregnant. Then when I weaned the wild yam, I
miscarried. Everything so far seems to point towards low progesterone, but
not necessarily weak ovulation. Ah well, guess I'll know more in about a
month from now.

--
-- I
mommy to DS (July '02)
mommy to three tiny angels (28 Oct'03, 17 Feb'04 & 20 May'04)
guardian of DH (33)

Ilse Witch
June 15th 04, 07:39 PM
On Mon, 14 Jun 2004 20:02:51 +0000, DeliciousTruffles wrote:

> You might also want to investigate Low-Dose Aspirin as well.

I've been told the same thing on AM. Why would that be beneficial? They
are testing for clotting disorders as we speak, could it be that small
deviations that are not detected can still affect pregnancy?

> Have you checked out alt.infertility.secondary? Really nice bunch of
> people there. Tons of experience. (Just use appropriate headers.)

Thanks, I'll have a look there!

--
-- I
mommy to DS (July '02)
mommy to three tiny angels (28 Oct'03, 17 Feb'04 & 20 May'04)
guardian of DH (33)