Recurrent Miscarriages - Dr Recs

[Anonymous]

I'm currently going through a miscarriage, the second in six months both at 6-7 weeks. No problems getting pregnant - both pregancies occurred during first ovulation cycle of trying. I realize that having one or even two miscarriages is not uncommon, but this would be our first child and given that I'm in my mid-thirties I'm not a huge fan of waiting until my third miscarriage for testing to determine if there are underlying problems. I'm perfectly happy with Reiter Hill as my general OBGYN, but does anyone have experience with how they treat recurrent miscarriages? Do they take a wait and see approach or are they more proactive?

Any other recommendations for doctors would be very much appreciated.

Thanks.

[Anonymous]

I highly recommend the book "Coming to Term" by Jon Cohen. I was in your position, went on to have 2 healthy children. Most likely you're the victim of bad luck. I went to Shady Grove but frankly they told me it was bad luck and didn't do much testing.

[Anonymous]

While you were pregnant, did they check your progesterone level? I know quite a few people who miscarry b/c they do not have enough progesterone to support pregnancy. In that case, it's easy to fix it, your doctor can just give you a progesterone supplement as soon as you find out that you are pregnant. Also, you might want to do an HSG to see if there is a fibroid or polyp or some other thing in your uterus that might be causing the miscarriages. Also, quit caffeine since that increases your risk of miscarriage.

[Anonymous]

so sorry for your losses.

don't know anything about reiter hill but my reproductive endocrinologist was dr. sacks at columbia fertility, he treats recurrent miscarriages. perhaps it may at least be worth an interview to see what's up. i absolutely love him. i had one miscarriage and he took very good care of me afterward, and didn't blow my concerns about low progesterone off, which seemed to be the problem ... my prog was really low with this one and i almost lost him too, but thanks to dr sacks i'm now 23 weeks with a healthy active baby boy

[Anonymous]

OP here - haven't had progesterone levels checked. Will ask about that. Also, can the PP tell anything more about "almost" losing the second pregnancy?

[Anonymous]

I would also recommend getting blood tests to tests for blood clotting disorders- Factor II, Factor V, MTHFR, etc. I was diagnosed with two blood clotting disorders during by pregnancy, and only after diagnosis did I realize from my research that many women don't discover the problems until after several miscarriages (in fact, my delivery nurses all said "oh, you have these disorders? so you must have had a few miscarriages first, huh?")

I worked with a perinatologist, Dr. Pinkert, in Silver Spring, who ran my blood work and diagnosed/treated the problem. Obv. I am not a doctor, just a suggestion.,

[Anonymous]

could also be due to poor egg quality?

[Anonymous]

Dr. McClaren-he's located at Virginia Hospital Center. I also go to Reiter and Hill, am very happy but was over 40 and having m/c after m/c. I also saw Dr. Gordon at Dominion Fertility. I eventually had my baby.

You can email me for Dr. McClaren's office info at [e-mail]. I don't have it sitting in front of me

[Anonymous]

I agree with 18:38, in addition to your progesterone level being too low, it could also be due to poor egg quality. Do you ovulate late? Usually, poor egg quality is due to late ovulation (after cycle day 18 or so). In that case, your doctor can prescribe Clomid to improve egg quality. Do you chart? Usually, women who have low progesterone levels also have low temperatures during their luteal phase. Progesterone is the "warming hormone" that makes your body temperature rise during your luteal phase, if your temperatures do not rise much, you probably have low progesterone.