TTC After a Loss

19 DPO, No AF, Not KU - Chart Help

I cannot make heads or tails of my cycle right now.
8/4 - MMC
4 doses of Misoprostol
9/12 - D&C - RPOC removed
9/18 - Ovulation detected via BBT (while benched from D&C)

Today I'm 19 DPO, my temps are for sure down below coverline and AF has not yet shown up!
My HCG was 35 today (down from 46 a week and a half ago).

Anyone have any idea what's going on?! I don't know what to do and I'm growing increasingly frustrated with my body.


*TW*

TTC#1 - 6.3.16
BFP#1 - 7.1.16, (mo-di twins + singleton) due 3.15.17
MC singleton - 7.13.16 - 5w
MMC identical twins - 8.5.16 - 8w+2d
Misoprostol 4x
D&C - 9.12.16
Hysteroscopy - 11.21.16 - Retained tissue filling half of uterus removed, blocked left tube, benched for 2 cycles, on estrogen/progesterone for 30 days
HSG - 2.7.17 - Asherman's Syndrome. Both tubes open.
Hysteroscopy 2.13.17 - Incomplete adhesiolysis for Asherman's, benched & on estrogen/progesterone for 30 days. At least two more surgeries needed...
Hysteroscopy 3.21.17 - Adhesiolysis for Asherman's, benched & on estrogen/progesterone for 30 days.
TTCAL #1: 4.24.17
Hysteroscopy 5.23.17 - Scars reformed. Adhesiolysis. Unsure what to do next...
Fertility acupuncture - started 6.13.17

Re: 19 DPO, No AF, Not KU - Chart Help

  • Did you have a progesterone test done? That's the only way to be sure you ovulated. The only other thing I can think of is that maybe your body didn't have any lining to shed after your D&C. I swear I was getting AF about 37 days after my D&C. I literally had a drop of blood and that was it. Twenty days later when AF hadn't shown up, I had a progesterone test to show that I had recently ovulated and AF finally showed up 15 days later. That was a 72 day cycle and drove me insane. I honestly think my lining didn't build up enough for a normal AF until my 3rd AF post- MC. Either way, I'd call your Dr.
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  • That's very insightful! I literally had the slightest spotting the past 4 days, which started when AF was supposed to arrive. I was expecting more, so I've been concerned now being at 19DPO. I had considered that my lining hadn't built up enough, but had nothing to base that on - but now that you're chiming in, I guess I really do have to consider that, especially since I had 4 doses of misoprostol and then a D&C - I may have been wiped clean!
    *TW*

    TTC#1 - 6.3.16
    BFP#1 - 7.1.16, (mo-di twins + singleton) due 3.15.17
    MC singleton - 7.13.16 - 5w
    MMC identical twins - 8.5.16 - 8w+2d
    Misoprostol 4x
    D&C - 9.12.16
    Hysteroscopy - 11.21.16 - Retained tissue filling half of uterus removed, blocked left tube, benched for 2 cycles, on estrogen/progesterone for 30 days
    HSG - 2.7.17 - Asherman's Syndrome. Both tubes open.
    Hysteroscopy 2.13.17 - Incomplete adhesiolysis for Asherman's, benched & on estrogen/progesterone for 30 days. At least two more surgeries needed...
    Hysteroscopy 3.21.17 - Adhesiolysis for Asherman's, benched & on estrogen/progesterone for 30 days.
    TTCAL #1: 4.24.17
    Hysteroscopy 5.23.17 - Scars reformed. Adhesiolysis. Unsure what to do next...
    Fertility acupuncture - started 6.13.17
  • I'm in the same boat. My doctor told me if I don't get my period by November that she'll have to give me a pill to Kickstart it. My hcg level was less than 5 over a month ago as well and it was a natural miscarriage so I think my body just hates me. Typical.
  • Honestly I wouldn't expect your body to ovulate 6 days after a d&c for RPOC, your hormones would still be too high from that. 

    I personally didnt ovulate until until after my hcg was under 10 
    BFP #1: 1.22.16                 MMC: 2.29.16 ( tetrasomy 11, partial deletion 1, XXX) D&C: 3.2.16
    BFP #2: 4.14.16                 CP: 4.17.16
    BFP #3: 6.10.2016             CP: 6.17.16
    RE appt: 6.27.2016- saline sono all clear
    Progenity: + carrier Tay-Sachs, Gaucher's, hemachromatosis. DH: carrier Alpha 1 anti-trypsin
    PCOS, hypothyroid, MTHFR, hx of LEEP in 2006
    Clomid + TI Cycle #1: 50mg Trigger 8.24.2016- BFN
    Clomid 75mg + IUI#1 9.25.2016- BFP #4 10/6
    Beta #1 15   Beta #2 38    Beta #3- 71     beta #4 171   Beta # 5- 21  Natural MC 10/21
    HSG- clear
    IVF Jan 2017
    Egg Retrieval 1.22.17: 32 eggs retrieved,29 mature, 24 fertilized, 14 to blastocyst for biopsy
    PGS results: 4 PGS normal 2 XX, 2 XY
    FET: 3.13.2017 for 2 PGS embryos
    Beta#1: 3.24.2017......... 78; Beta # 2 241; Beta #3 4198
    Baby BOY due 11.29.2017






  • Agree with @DungeonTrollMel. The take away here is that the body can take a long time to get back to normal after D&C. I wouldn't expect your body to act normally for a few months, particularly if you still have HCG in your system. Some Drs will swear you can't ovulate until your HCG is under 10. 
  • I agree with @DungeonTrollMel that I think you may just have to keep on waiting and you probably did not ovulate only a few days after the D&C. I had a D&C for RPOC as well and had my next period 35 days later...
    **** TW - kids and loss mentioned ****
    ~~ married 8.11.07
    ~~ DD1 1.16.11 ~~ DD2 1.3.14 ~~
    ~~ BFP3 12.22.15 MMC 2.29.16 @ 13 weeks ~~
    ~~ 2 D&Cs (3.1.16 and 3.10.16) for MMC
    ~~ BFP4 10.27.16  MMC 1.23.17 @ 16 weeks ~~ D&E 1.26.17 ~~
  • I got my first AF almost exactly 4 weeks after my natural MC. Ultrasound confirmed all tissue had passed. While I did continue to get regular cycles, I'm fairly certain I did not ovulate the first 2 cycles after AF, possibly the third.
    Even if the Dr. says you can try again immediately, sometimes your body just isn't doing what it's supposed to yet.
  • @weareturtles I read that sometimes the period after AF is very light almost non existing as the lining is too thin. So, might be that your spotting was AF.
    Me 29, DH 32
    Married: 03/2014
    BFP: 08/20/16, Blighted ovum 9/26/16 (8 weeks 4 days), D&C 9/28/16 (8 weeks 6 days)
    BFP: 12/16/16  => DD born 08/27/2017
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