Family Forums
Parenting Forums
Pregnancy Forums
Adoption Forums
Fertility Forums

   


Register FAQ Members List Today's Posts Calendar Search Today's Posts Mark Forums Read
Forum Categories
User Name
Password

Reply
 
Thread Tools Search this Thread Display Modes
  #1 (permalink)  
Old 08-26-2009, 06:11 PM
Bothsidesnow Bothsidesnow is offline
Senior Member
 
Join Date: Jul 2009
Posts: 443
Question Advice on recent loss

At our 7 wk, 5 day u/s yesterday, the doctors confirmed that we had lost our little one. There was still no growth since our last appointment 5 days earlier, and the faint, slow heartbeat that was once present was no longer detectable.

We have been given the option of letting things pass naturally (or with the aid of medication) or to have a procedure done in the office, which is supposed to be gentler than the standard D&C. I am leaning towards going the natural route right now, though I know the waiting will be difficult.

However, if we went with the procedure, we would have the option of genetic testing. One doctor suggested that since it is our first miscarriage, she would not necessarily recommend the testing since most likely, it is some chromosomal abnormality that caused the loss. She said that she typically only recommends genetic karyotyping in the case of recurrent miscarriage. Another doctor suggested that we might want to do it anyway, as it could be useful for future reference... and just to know. It is a tough decision, and I do fear the small risk of infection or uterine scarring that could result from the procedure.

We are currently struggling with the decision and would like to ask for advice from others who have also gone through this or something similar. Thank you for any guidance you may be able to offer.
__________________
TTC since 2007
2 failed IUIs

IVF Cycle #1
(2009)
06/10 - OCP (20 days)
06/24 - Lupron 10U
07/04 - Gonal-F 150IU, Menopur 75IU, decrease Lupron to 5U
07/07 - E2 = 156
07/08 - Decrease Gonal-F to 75IU, Menopur 75IU, Lupron 5U
07/10 - E2 = 925, u/s 11 follies (leading 13 mm), lining 8 mm
07/12 - E2 = 1806, u/s 15 follies (leading 16 mm), lining 9 mm
07/13 - E2 = 2735, u/s 13 follies (leading 17mm), lining 8 mm
07/14 - E2 = 3418, u/s 19 follies (leading 21 mm), lining 10 mm
07/14 - Last dose of Lupron (5U); trigger w/ 10,000 hCG at 11 p.m.
07/16 - ER - 15 eggs; begin Medrol 16mg (5 days)
07/17 - 10 fertilized
07/18 - PIO IM
07/19 - Transfer - 2 eight cell (grade 1 = best); 8 snowbabies (All grade 2: 5-8 cell, 2-7 cell, 1-14 cell)
07/20 - Begin Estrace 2 mg - 2x daily
07/31 - BETA #1 = 160 (15 dpo)
08/03 - BETA #2 = 457 (18 dpo)
08/13 - 6 wk u/s - 1 yolk sac, too early for hb
08/20 - 7 wk u/s - slow hb & underdeveloped, little chance of survival
08/25 - 7 wk, 5 d u/s

Last edited by Bothsidesnow : 08-26-2009 at 06:14 PM.
Reply With Quote
  #2 (permalink)  
Old 08-27-2009, 11:14 AM
lovingwife's Avatar
lovingwife lovingwife is offline
Senior Member
 
Join Date: Oct 2007
Posts: 2,311
I'm so sorry to hear about your situation. My m/c was very similar. We saw a heartbeat. It wasn't as strong as it should have been and then a week later the heart had stopped beating. I opted for the D&C. I wanted to move on as quickly as possible and start the healing process. The surgery wasn't too bad and I don't know how different the recovery was from a natural m/c. My OB did the testing. I didn't even think to ask about it, he just did it. Like your doctor said, it's good to have for future reference. There was no way I could have carried on knowing my baby was still inside me with no heartbeat, it was just too sad. I didn't have any problems with scarring and was able to conceive again naturally after I had endo removed. My heart goes out to you and DH. It is a terrible experience, but you will recover emotionally and physically with time.
__________________
Me: 36 - stage 2 endo
DH: 37 - perfect

TTC 2 years

10/24/06 +hpt
11/29/06 missed m/c-D & C

10/25/07 first visit to RE
10/30/07 HSG-tubes are clear
3/4/08 lap-found and removed stage 2 endo
5/08-IUI w/clomid and injectables. Didn't need to--->
4/26/08- on hpt!!! Natural Cycle
4/28/08-1st Beta 15 dpo-516!
4/30/08-2nd Beta 17 dpo-1286! Grow baby grow!
5/14/08-1st U/S-one perfect heartbeat!
5/21/08-2nd U/S-baby measuring on schedule!
7/28/08-Level II ultrasound-It's a
GIRL!!!

TTC #2 since July '09 - naturally for now.






Reply With Quote
  #3 (permalink)  
Old 08-27-2009, 07:25 PM
kmp280 kmp280 is offline
Junior Member
 
Join Date: Mar 2009
Posts: 45
I am so sorry you have to go through this. I know how this feels. I have gone through 5m/c and it does not get any easier.

I lost my first one at 11th week and I was told the exact same thing that since it was our first m/c that they would not recommend genetic testing. Unfortunately for me the subsequent m/c were all at around 7-8 mark and I naturally m/c it over a span of couple of days once the spotting started. So after 10 years of TTC we had no clue if we had chromosomal issues.

As far as choosing between d&C or natural...that is a hard decision. There is a small chance of infection. But this is a rather routine procedure. With the natural m/c the waiting can be bothersome. But it really feels like a heavy period. However it is easier compared to recovering from D&C. They do say D&C helps with implantation in subsequent pregnancies.

If you are opting for D&C..I would surely leverage it to do the genetic testing. It can just be reassuring to know that there is no genetic issues. If there should be issues then there is always work around that. But I wish I did not listen to the advise I was given and had known earlier. With that knowledge I would have opted for IVF/PGD much sooner.
Hope it helps. Good luck with your decision. I hope you will get your BFP soon!!


Quote:
Originally Posted by Bothsidesnow
At our 7 wk, 5 day u/s yesterday, the doctors confirmed that we had lost our little one. There was still no growth since our last appointment 5 days earlier, and the faint, slow heartbeat that was once present was no longer detectable.

We have been given the option of letting things pass naturally (or with the aid of medication) or to have a procedure done in the office, which is supposed to be gentler than the standard D&C. I am leaning towards going the natural route right now, though I know the waiting will be difficult.

However, if we went with the procedure, we would have the option of genetic testing. One doctor suggested that since it is our first miscarriage, she would not necessarily recommend the testing since most likely, it is some chromosomal abnormality that caused the loss. She said that she typically only recommends genetic karyotyping in the case of recurrent miscarriage. Another doctor suggested that we might want to do it anyway, as it could be useful for future reference... and just to know. It is a tough decision, and I do fear the small risk of infection or uterine scarring that could result from the procedure.

We are currently struggling with the decision and would like to ask for advice from others who have also gone through this or something similar. Thank you for any guidance you may be able to offer.

Last edited by kmp280 : 08-27-2009 at 07:32 PM.
Reply With Quote
  #4 (permalink)  
Old 08-27-2009, 07:30 PM
Godiva4me's Avatar
Godiva4me Godiva4me is offline
Senior Member
 
Join Date: Feb 2009
Posts: 1,589
Bothsides- I am sorry for you loss. If you see my signature, you will see I m/c at 6 1/2 wks. My doctor gave me the same options, but I opted to go naturally because I have a uterine condition that I/we preferred not to mess with, plus I have had several surgeries to remove polyps, fibroids, etc. so my RE thought if I was ok with it, it was best to do a natural m/c. It was not bad at all, and there are several ladies on here that have done natural too. You can search 'natural miscarriage' on the search tab and read more of their stories. I didn't really have that heavy of bleeding, or lets say I expected it to be alot more. It did however take my body forever to get my hcg levels below 5. I have had D&C's for other things, and that isn't a hard procedure either, and very minimal pain following it.

Good luck with whatever you decide. You will make the best decision for yourself! There are also other sites on miscarriages that are helpful. If I can recall the names, I will make a post for you!

The website is: The Misdiagnosed Miscarriage Site go to the waiting to miscarry section for good info, but the whole site is pretty good.

Wishing you all the best!
__________________
Stephanie
*********
IVF #1
ER 4/14 (lucky 14, 14 eggs-all fertilized!)
ET 4/19 - 2 AA extended blastocyts & have 8 snowembies!!
HPT- 7dpt & 8dpt= BFP!!
Beta #1- 8dpt= 92! Beta #2 10dpt= 192!
u/s -5/14/09 due to bleeding(severe SCH)
5/22 M/C naturally process begins(lets get this over with!)
Beta HCG Checks: 5/29( down to 697), 6/5 ( down to 269),
6/12(down to 136), 6/18(down to 38) , 6/30(down to 12!), 7/7(down to 8), 7/13- FINALLY below 5!!! Yippee!

Cycle #2-FET:
8/28 After 6 wks on bcp, cycle postponed
9/30 1st mega shot of Lupron-Depot, 10/29 second shot
FET - on hold til 2010 !





Last edited by Godiva4me : 08-27-2009 at 07:36 PM.
Reply With Quote
  #5 (permalink)  
Old 08-27-2009, 10:29 PM
Bothsidesnow Bothsidesnow is offline
Senior Member
 
Join Date: Jul 2009
Posts: 443
Thank you all so much for sharing your own personal stories with me. It it is such a heartbreaking thing to go through, and I truly appreciate your honest opinions and advice.

I've been struggling with the decision for the past couple of days... As of today, I think we will try to pass things naturally. Mostly, I worry about the small risk of scarring/infection from the procedure... which I fear could affect my chances of getting pregnant again. I know that it is a minimal risk, but I feel that we have so much stacked against us already. If things do not happen naturally within 2-3 weeks (or if I can't mentally handle it anymore), we will opt for the procedure. I was told that if we waited too long, that could result in complications as well.

Thank you again for sharing your experiences with me and for the useful information. It will surely help me get through this painful time. I wish you all the best!
__________________
TTC since 2007
2 failed IUIs

IVF Cycle #1
(2009)
06/10 - OCP (20 days)
06/24 - Lupron 10U
07/04 - Gonal-F 150IU, Menopur 75IU, decrease Lupron to 5U
07/07 - E2 = 156
07/08 - Decrease Gonal-F to 75IU, Menopur 75IU, Lupron 5U
07/10 - E2 = 925, u/s 11 follies (leading 13 mm), lining 8 mm
07/12 - E2 = 1806, u/s 15 follies (leading 16 mm), lining 9 mm
07/13 - E2 = 2735, u/s 13 follies (leading 17mm), lining 8 mm
07/14 - E2 = 3418, u/s 19 follies (leading 21 mm), lining 10 mm
07/14 - Last dose of Lupron (5U); trigger w/ 10,000 hCG at 11 p.m.
07/16 - ER - 15 eggs; begin Medrol 16mg (5 days)
07/17 - 10 fertilized
07/18 - PIO IM
07/19 - Transfer - 2 eight cell (grade 1 = best); 8 snowbabies (All grade 2: 5-8 cell, 2-7 cell, 1-14 cell)
07/20 - Begin Estrace 2 mg - 2x daily
07/31 - BETA #1 = 160 (15 dpo)
08/03 - BETA #2 = 457 (18 dpo)
08/13 - 6 wk u/s - 1 yolk sac, too early for hb
08/20 - 7 wk u/s - slow hb & underdeveloped, little chance of survival
08/25 - 7 wk, 5 d u/s
Reply With Quote
  #6 (permalink)  
Old 08-28-2009, 12:37 PM
karenBFP's Avatar
karenBFP karenBFP is offline
I will have a baby bump
 
Join Date: Feb 2008
Posts: 22
Sorry to hear of yourr loss I had d+c with my losses as its possible that you can get infection due to remaining tissues being left over when you miscarray naturally also its very painfull and can take up to 1 week or more and waiting for it to happen is stress full its bad enough being told of your loss but waiting for it to happen is like rubbing egg in your face. With a d+c all remains of the pregnancy are gone you wont get a infection and you wont feel any pain and you can get on with dealing with your loss.

I know they say you can get scarring etc with a d+c but i have had 9 and i have been complete fine with all of mine and i would prefare to have a d+c than go natural i had a d+c 2mths ago with a 8wks gestation pregnancy and had cyto genetics fsh done and it would be helpfull for future reference. None of my losses was down to chromosome genetics so it just shows you that its possible that there could be no reason or a reason other than chromosome defects for your sad loss. They test from the tissue or babys placenta they can find small blood clots etc and could get to the bottom of why you did lose your baby. They do generally do this after your 3rd loss so your
right it is unsual to ask to do this for your 1st.But if your being offered this d+c cyto genetic test then i would go for it hun. Good luck in the future
__________________
Recurrent missed miscarraige patient @ 10wks & 8wks.
All unexplained 1 blood test confirmed blood clotting disorder APS.
Treated with Asprin & Fragmin when pg.
Asprin & Fragmin never worked
Starting prednisone steriods when next BFP
Praying for a sticky bfp


1997 MMC @10wks
1998 MMC @8WKS
1999 MMC @8WKS
2001 MMC @ 8WKS
2002 MMC @ 8WKS
2004 B OVUM
2005 MMC @8WKS
2006 MOLAR PG
2007 BLIGHTED OVUM
2007 CHEMICAL PG
2008 MMC TWINS @ 8WKS
2008 CHEMICAL PG
2009 CHEMICAL PG
2009 CHEMICAL PG
2009 MMC @ 8WKS

RIP little angels


Reply With Quote
  #7 (permalink)  
Old 09-03-2009, 12:58 PM
Bothsidesnow Bothsidesnow is offline
Senior Member
 
Join Date: Jul 2009
Posts: 443
Thank you, KarenBFP, for your advice. I am very sorry for your losses. I am trying to go the natural route, but it has been 9 days since the diagnosis, and I still show no signs of miscarriage. If things don't progress on their own in the next week or so, it was recommended that I either take Misoprostol to medically induce the miscarriage or have the procedure done. I am still agonizing over the decision, since both pose their own risks. I am so afraid of risking my chances of getting pregnant again. This was my first ever pregnancy... I am so afraid that it won't happen again for me.

Thank you for sharing your experiences with me.
__________________
TTC since 2007
2 failed IUIs

IVF Cycle #1
(2009)
06/10 - OCP (20 days)
06/24 - Lupron 10U
07/04 - Gonal-F 150IU, Menopur 75IU, decrease Lupron to 5U
07/07 - E2 = 156
07/08 - Decrease Gonal-F to 75IU, Menopur 75IU, Lupron 5U
07/10 - E2 = 925, u/s 11 follies (leading 13 mm), lining 8 mm
07/12 - E2 = 1806, u/s 15 follies (leading 16 mm), lining 9 mm
07/13 - E2 = 2735, u/s 13 follies (leading 17mm), lining 8 mm
07/14 - E2 = 3418, u/s 19 follies (leading 21 mm), lining 10 mm
07/14 - Last dose of Lupron (5U); trigger w/ 10,000 hCG at 11 p.m.
07/16 - ER - 15 eggs; begin Medrol 16mg (5 days)
07/17 - 10 fertilized
07/18 - PIO IM
07/19 - Transfer - 2 eight cell (grade 1 = best); 8 snowbabies (All grade 2: 5-8 cell, 2-7 cell, 1-14 cell)
07/20 - Begin Estrace 2 mg - 2x daily
07/31 - BETA #1 = 160 (15 dpo)
08/03 - BETA #2 = 457 (18 dpo)
08/13 - 6 wk u/s - 1 yolk sac, too early for hb
08/20 - 7 wk u/s - slow hb & underdeveloped, little chance of survival
08/25 - 7 wk, 5 d u/s
Reply With Quote
  #8 (permalink)  
Old 09-04-2009, 05:22 PM
robynanne robynanne is offline
Junior Member
 
Join Date: Aug 2009
Posts: 35
Bear with me... this is my first post in this section.

Just found out htis afternoon that my baby does not have a h/b and I was 7w5d. Baby only measured 5w4d and I have decided to stop the progesterone. I do have a follow up appt. next week with the RE.

It is so hard to describe how I feel right now. After 11 iui's, 1 IVF, amd 1 FEt, I finally get my only to have this happen.
__________________
Me: 27- PCOD
DH: 27- perfect

DS: 2 years

TTC #2 Since Feb. 08'

Feb. 08'-September 08' IUI-

November 08' IVF #1
transferred 3 3day embies -
December 08' FET#1 -
transferred 5 3 day embies

Feb. 09'- April 09' IUI-

IVF#2- July 09'
Transferred 2 blasts, 4AA and 4AB
1 frostie- 5AB

Beta #1 11dp5dt- 88
Beta #2 13dp5dt- 248
u/s 09/04 no h/b, 7w5d
d&c 09.25

FET#2- November 09'
1 5AB Blast
Reply With Quote
  #9 (permalink)  
Old 09-07-2009, 01:52 PM
Bothsidesnow Bothsidesnow is offline
Senior Member
 
Join Date: Jul 2009
Posts: 443
Robynanne - I am very sorry that this is happening to you also. Please know that you are not alone and that my heart goes out to you.
__________________
TTC since 2007
2 failed IUIs

IVF Cycle #1
(2009)
06/10 - OCP (20 days)
06/24 - Lupron 10U
07/04 - Gonal-F 150IU, Menopur 75IU, decrease Lupron to 5U
07/07 - E2 = 156
07/08 - Decrease Gonal-F to 75IU, Menopur 75IU, Lupron 5U
07/10 - E2 = 925, u/s 11 follies (leading 13 mm), lining 8 mm
07/12 - E2 = 1806, u/s 15 follies (leading 16 mm), lining 9 mm
07/13 - E2 = 2735, u/s 13 follies (leading 17mm), lining 8 mm
07/14 - E2 = 3418, u/s 19 follies (leading 21 mm), lining 10 mm
07/14 - Last dose of Lupron (5U); trigger w/ 10,000 hCG at 11 p.m.
07/16 - ER - 15 eggs; begin Medrol 16mg (5 days)
07/17 - 10 fertilized
07/18 - PIO IM
07/19 - Transfer - 2 eight cell (grade 1 = best); 8 snowbabies (All grade 2: 5-8 cell, 2-7 cell, 1-14 cell)
07/20 - Begin Estrace 2 mg - 2x daily
07/31 - BETA #1 = 160 (15 dpo)
08/03 - BETA #2 = 457 (18 dpo)
08/13 - 6 wk u/s - 1 yolk sac, too early for hb
08/20 - 7 wk u/s - slow hb & underdeveloped, little chance of survival
08/25 - 7 wk, 5 d u/s
Reply With Quote
  #10 (permalink)  
Old 09-08-2009, 08:09 AM
robynanne robynanne is offline
Junior Member
 
Join Date: Aug 2009
Posts: 35
Thank you and I am very sorry about your loss too.

I go to the RE on Thursday and hopefully things will have progressed by then.
__________________
Me: 27- PCOD
DH: 27- perfect

DS: 2 years

TTC #2 Since Feb. 08'

Feb. 08'-September 08' IUI-

November 08' IVF #1
transferred 3 3day embies -
December 08' FET#1 -
transferred 5 3 day embies

Feb. 09'- April 09' IUI-

IVF#2- July 09'
Transferred 2 blasts, 4AA and 4AB
1 frostie- 5AB

Beta #1 11dp5dt- 88
Beta #2 13dp5dt- 248
u/s 09/04 no h/b, 7w5d
d&c 09.25

FET#2- November 09'
1 5AB Blast
Reply With Quote
   
Reply


Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
 
Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

vB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are On


All times are GMT -7. The time now is 10:44 AM.


Powered by vBulletin Version 3.5.4
Copyright ©2000 - 2009, Jelsoft Enterprises Ltd.
Search Engine Friendly URLs by vBSEO 3.0.0 RC4