Dr. Abassi at cfa is known as an RE who treats recurrent pregnancy loss. (Though I Did not use her personally) Some people prefer certain out of town re's for this. If you search for recurrent loss on the infertility board you will find lots of info and opinions. After two early losses i ended up doing ivf to Pgs test the embryos, got no real answers but did get pregnant and am at 9 weeks now. Sorry for your losses & Good luck.

I would also suggest getting tested for blood clotting disorders. I saw dr. King at reiter, hill, Johnson, and murphy who tested after one MMC in the first trimester. The original OB I saw didn't recommend it, but he did it to ease my mind and turns out I had APS. Switched to dr. Macri at GW for next pregnancy and they did additional testing (resulted in healthy baby). Good luck!

I would see an RE with a specialization in recurrent pregnancy losses.

I had a few early losses and was put on progesterone
Ob said there is no true test and it did help me wit a subsequent pregnancy
She said it couldn't hurt and she had a hunch it was my issue

Anonymous wrote:Thanks PPs. I have had two miscarriages. At people's advice I made an appt with an RE to get tested and see if anything is amiss. But would it be better for me to see an MFM specialist? (Getting pregnant isn't the problem for me.)

The thing is, RE's are better equipped to follow the pregnancy in the first several weeks; an MFM will meet you beforehand and then see you at 8 weeks, just like most every other OB. They just tend to have more specialized knowledge and will see you more frequently during pregnancy.

In general an RE is better equipped to diagnose/treat a luteal phase defect, or lining issue, or a progesterone issue, or a thyroid issue. (though for the latter you may still get referred to a regular endocrinologist.) For example, while my first MFM thought my TSH of 4.2 was fine, the RE was very clear it was not fine. I also was able to come in for betas to show that my pregnancy was progressing normally, progesterone levels for the same, and weekly ultrasounds until I was released to my MFM at 8 weeks.

My later miscarriage was determined to be a chromosome issue at 9.5 weeks.

Anonymous wrote:Thanks PPs. I have had two miscarriages. At people's advice I made an appt with an RE to get tested and see if anything is amiss. But would it be better for me to see an MFM specialist? (Getting pregnant isn't the problem for me.)

If you can get pregnant then it's more likely you need an MFM.

Thanks PPs. I have had two miscarriages. At people's advice I made an appt with an RE to get tested and see if anything is amiss. But would it be better for me to see an MFM specialist? (Getting pregnant isn't the problem for me.)

I had an early mc followed by a chemical pregnancy last year. Saw the MFM doctors at Sibley who co-managed my next pregnancy with my OB. Was put on progesterone for the first 14 weeks and one baby aspirin per day until 37 weeks -- it worked and we now have a two week old!

Anonymous wrote:What is the difference between a MFM and an RE? Thanks!

An MFM is an OB that specializes in pregnancies where there are complications, frequently due to pre-existing conditions with the mother (advanced age, genetic issues, diabetes, hypertension, hypothyroid, etc). They will frequently do pre-pregnancy consults and run tests to identify and try to resolve some of the issues that might negatively affect a pregnancy, but most of their practice will be actually pregnant mothers with complications.

An RE specifically is in the business of trying to get people pregnant; a few weeks after you get pregnant you get released to an OB. They will also run tests and will try to identify and resolve the issues that might be preventing you from getting pregnant. Sometimes the type of tests will overlap with what a MFM will do. But the common denominator for RE patients is infertility, while the common denominator for MFM patients are complications.

What is the difference between a MFM and an RE? Thanks!

Go to an MFM and they will run a miscarriage panel. My ob ran one after 2 mc since he said why wait for a third.
I can reccomend maternal fetal of Maryland.
http://www.mfmofmd.com/

They are very aggressive with testing and the doc I saw pretty much specializes in early miscarriages. I ended up not pursuing care with them for other reasons but if you want the whole nine testing and work up they're a good place for that.

If your insurance will let you see a specialist without a referral, I would just make an appointment with an RE. Then transfer to your OB after you are pregnant (I think the transfer usually happens at 8 weeks). That's what I am doing after 2 miscarriages (and an OB who says I don't need more testing). Good luck. I am sorry for your losses.

You probably need to see an RE(reproductive endocrinologist)

An OB, not object!

I have had 3 chemical pregnancies and one early loss at 7 weeks. My Dr doesn't think testing is necessary. Any recommendations for an ob who is more willing to test my hormones, etc... Thank you!