Reply to When/how did you decide it was time for a RE?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]The recurrent loss panel is typically recommended after 3 losses in a row. I do not know however, if there is a minimum number of weeks for the losses to have occurred that the doctor's are looking for before running these tests. [/quote]

It shouldn't matter the gestation.  Some doctors will discount early losses, but CPs are supposed to count.[/quote]

Actually, the most recent committee opinion (2012) of the American Society for Reproductive Medicine define Recurrent Pregnancy Loss defines RPL as two or more failed clinical pregnancies, which means they were verified by ultrasound. In other words, by their definition, chemical pregnancies don't count. Here's a link for the full document: https://www.fertstert.org/article/S0015-0282(12)00701-7/fulltext

I became very familiar with this document earlier this year when I was reeling after my losses and was searching for answers. I had 2 chemicals and a m/c at 7 weeks while TTC our first at age 38. My 2nd chemical and the m/c were in back-to-back cycles. We had been working with an RE for awhile by then because we had otherwise only had the first chemical in many months of trying Despite the definition of RPL in the guidelines, my RE counted my CPs as losses and offered me RPL testing. However, she was strictly adherent to the guidelines with regard to what tests she would order. In part this meant that, because I didn't have a personal or family history of blood clots, she didn't run the entire thrombophilia panel to rule out Factor V Leiden, MTHFR, and other inherited thrombophilias (she only tested me for antiphospholipid antibodies). The same RE was also fine with my TSH being >2.5 after my anti-TPO antibody test was negative (there seems to be a lot of contention in the literature over where TSH level should be when TTC). I ended up having additional testing by my hematologist (who I was already seeing for a different issue) and an endocrinologist, and took my results from all 3 doctors to a maternal-fetal medicine specialist to get her opinion because MFMs also treat RPL.

OP--I'm sorry for what you've been going through with the CPs. I agree with many other posters who have suggested trying a few more cycles, because the most likely reason for CPs is genetics. If you do decide to see an RE sooner or later, and if you're like me and want tests run to rule basically everything out, then I would recommend going somewhere other than GW's IVF clinic. You could even ask your OB or midwife if they would check your TSH, anti-TPO Ab, and order the RPL panel (both Quest and LabCorp have a whole panel of tests, mainly the whole gamut of clotting factors--you can google it) for you before moving on to an RE.[/quote]

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