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[quote=Anonymous][quote=Anonymous]13:50 -- that sounds awful.  I'm a little surprised that the midwife waited until three miscarriages to suggest testing progesterone.  How awful that your marriage has ended.  I hope you're doing okay.

To answer your questions, I do not have a history of fertility issues.  This marks 7 months off birth control and 4 TTC.  As far as I know, I've never had a miscarriage.  I have been tracking my cycles -- the first three months using OPK's and most recently temping and observing CM (although I'm not very good at that part yet).  A generous DC Urban Mom user gave me her fertility monitor, so going to start using that this month.  Based on both OPK's and temping, my luteal phases have only been 9 days for all of the last four cycles, assuming AF comes today.  That gives me concern.  And although I know that four months isn't that long, some other posters have said that it might take 2-3 months to get an appointment with an RE, so I thought maybe I should go ahead and start that process if it seemed like that's where I should go.

Thanks for all your responses.  Haven't really decided what I should do now.[/quote]

Hi, it's me, the PP. I apologize for checking out. Busy few days!

Re: GW midwives' management of miscarriage and their personalities, people do not say this often, but I actually REALLY liked Marsha. She helped me through the second miscarriage, which was pretty scary. Many on here do not like her as much as the others, but I thought she was great. Whitney was actually fairly cold and I didn't get a great vibe from her. I spoke with Nora on the phone a bunch during #3 and that was okay too. The first spontaneous miscarriage was frightening, but it was pretty clear that there wasn't much they could "do" for me other than see me when the process was complete, check my hormone levels and make sure I was doing okay psychologically, which they did. The second one was a little more confusing and I came in for an ultrasound to confirm that the pregnancy was actually ending. I was given misoprostol to complete it at home, which was awful and I do not recommend. #3 was more like #1 and didn't require management. Nora and Marsha were both really great about responding to my phone calls or messages in the online system. Marsha in particular was also great at INITIATING contact, which I found unusual and super reassuring.

We were sort of taking the approach that 3 miscarriages (at 7 weeks, 9 weeks and 6 weeks, respectively) is not outside the range of "bad luck". They didn't suggest testing anything until the second one. I asked for the autoimmune stuff because I was concerned that maybe I had the same illness my mother does. Everything came back normal. After the second miscarriage, my husband and I put the brakes on and the third pregnancy was not really "planned" - I wasn't on BC but we also were not having sex regularly and literally only one time during my fertile window. When that pregnancy ended, we both realized that we were kind of relieved and separated. We (and our older child) are all doing great in our new lives.

I am a little concerned about how to approach TTC if I have another child. I am remarried and we have talked about having another child, but not for a couple of years. I am young enough that by that point, I will only just be bumping up against the AMA line, but given my history of miscarriages, my inclination is actually to go straight to a RE and then transfer back to the midwives once I'm actually pregnant.

In your case, OP, I think it would make sense to schedule appointments with the RE, provided that you can afford it or it's covered by your insurance, while you continue to try the way you have been. If you get pregnant, you can always cancel the appointment.[/quote]

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