TTC After a Loss

Did you go against medical advice?

I had a two week post partum follow up at the OB today.  (I went into preterm labor and delivered my babies at 22 weeks, 3 days, they were too young to survive).

I get there and no one knows why the L&D nurse told me to schedule one at two weeks, not the normal 6 week appointment, but whatever.  They fit me in with a nurse practitioner, not the MFM doctors I normally see.

I asked when it was ok to TTC again.  She said " well, you're not going to like this, but we tell everyone 6-12 months",  I said " no, not going to happen - why so long?"  She said it's to let your body return to normal before getting pg again to reduce the risk of early miscarriage.

 I think I'm going to call my RE and see what they feel comfortable with.  It seems like most girl's doctors say 1-3 cycles, which I'm ok with. 

Anyone else go against their doctor and start trying earlier than recommended?

Re: Did you go against medical advice?

  • I never had a MD tell me to wait that long, but my M/Cs were very early, I was told to wait one full cycle.
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  • I'm so sorry about your losses. 

    I think that maybe they say that because it can take awhile before AF shows up again.  I don't really know though.  I would say call your RE.  You will need to wait until your hormone levels return to normal, and that may take while as well.  I hope that you get some answers from your RE, and that you get the answers you want!

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  • I am so sorry - I can't imagine what you're going through.  My situation is different, but I did go against medical advice and it did not turn out well.  I was told to wait 2 cycle after my m/c at 12 weeks.  We waited for one AF and got pg again - I miscarried at 6 weeks.  To this day, I wish I had waited like she said.
  • I'd go see your RE and go with the RE's opinion.  I would consider an RE to be the expert.
  • Ask your doctor how many cycles they feel you need to physically heal (most will say good to go after one).  How many you need to emotionally heal enough to be ready to do this again is very different person to person.  In my case my body had its own ideas about how long to wait, so we can't always control these things anyway.
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  • Thanks ladies.

    Part of the reason for my impatience is that my insurance is going to change in January and I don't know if I'll have any infertility coverage after this year.  So I was hoping to at least get a cycle or two in before the end of December.   I have seen girls with second trimester losses similar to mine only be told 3 months off, so I guess I was shocked that they recommended 6-12 months for me.  I don't have any other issues, had a natural delivery with no tearing, no cysts or fibroids to watch out for.  My fertility issues are due to PCOS, I don't ovulate w/o injectible meds.

  • imageHolanchi:

    Thanks ladies.

    Part of the reason for my impatience is that my insurance is going to change in January and I don't know if I'll have any infertility coverage after this year.  So I was hoping to at least get a cycle or two in before the end of December.   I have seen girls with second trimester losses similar to mine only be told 3 months off, so I guess I was shocked that they recommended 6-12 months for me.  I don't have any other issues, had a natural delivery with no tearing, no cysts or fibroids to watch out for.  My fertility issues are due to PCOS, I don't ovulate w/o injectible meds.

    Im so sorry for your loss.

    Maybe they told you longer bc you lost twins 3 cycles for each??? Im sorry I dont have any real answers for you both of my mc have been in the first tri. I hope you are able to get better answers from a RE.

  • First, I am so sorry for you loss.  They discovered an ectopic around 6-7 weeks...They told me to wait 3 cycles and I didn't wait quite that long.  I would talk with your MD and see why they are telling you to wait that long.  I would set an appt with your regular OB/GYN and see what he/she says about it.  They may advise waiting longer due to your advanced pregnancy (meaning 22 weeks pregnant)--and taking longer for your body to heal.  Good luck 

    TTC #1 since November 2007 Dx-Unexplained Infertility 10/08 Clomid and TI #1=BFN 11/08 Clomid and TI#2=BFP...Twins, MC due to ectopic 5/09 Clomid and TI#3=BFN 6/09 IUI and clomid #1=BFN 8/09 Lap=No Endo 10/09 IUI + Repronex + Pregnyl = BFN 09/10 IVF #1. Repronex, ganorelix and pregnyl=BFP!! Beta #1 10/1/10 450 Beta #2 10/7/10 over 5,000 Baby Birthday Ticker Ticker
  • imagemandybr:

    The other part would be emotional.  What would it do to your emotional state if you were to turn around and m/c again?  

    Insurance is great but if it means going into a depressive state or have a breakdown then it really isn't worth it.

    I know.  I've been thinking about this as well. I'm probably being naive, but I think in a couple of months from now I'll be ok to start trying again. I feel like I'm dealing with the loss pretty well now but I know that would be ridiculous to try again quite this soon.  If I were to get pg right away and lose that one, then I would have to stop and re-evaluate.

    I think it would just make me feel better to get a second opinion and have some sort of plan in place. 

  • oh my gosh, I'm so terribly sorry.

     

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  • I can understand trying again early, but maybe they told you to wait because of the emotions you might feel toward the loss. They might be thinking you need time to grieve the loss. I am so sorry for your loss and I wish you nothing but luck trying again no matter what time you try.
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