1st Miscarriage

MrsDramaK · April 2016

So, DH and I found out we were pregnant 3/12 and we were so excited. Last week, I began having some spotting and I pretty much cramped continuously from O day until yesterday. They tested my levels when I was about 5 weeks and were concerned they were a little low. The following week they tested them again last Friday and they had dropped and my sac was dating behind on the ultrasound. They confirmed it was a miscarriage, but by the time the blood work came back Monday I already knew because I had begun bleeding. We were obviously devastated since this was our first pregnancy.

Yesterday the cramping and bleeding was so intense I was in tears. This morning there was a pool of blood when I woke up and the pain has subsided so hopefully the worst is over. I go back for follow up blood work tomorrow.

I am so sorry that we all find ourselves here.

virginiaham · April 2016

Oh @MrsDramaK I'm so sorry to see you here and that you're going through this. I wish I could say anything to make this any less painful for you, but we are (& I am by PM) here if you need to cry/vent. I'm so sorry for your loss.

MrsDramaK · April 2016

Thank you @virginiaham I am sorry to see you here as well. This is probably the most difficult thing I have ever experienced. The doctor says my body is likely not making enough of it's own progesterone and that is the cause of this miscarriage, since my levels were low from the get go.

He is going to test my levels this cycle and see if we can add a medication (possibly Clomid) to help us have a healthy pregnancy that we can maintain. Also my cousin has a clotting disorder that prevented her from getting pregnant for a time, so we will be looking into that. Right now the only thing getting me through this is having a plan to prevent this from happening again. It is the most awful thing and I wouldn't wish it upon my very worst enemy.

Wishilivedinflorida · April 2016

I'm so sorry for your loss and that you were in so much physical pain on top of the emotional pain. I'm glad your doc is proactive and looking into things for you. *Hugs*

lilylover27 · April 2016

I am so sorry for your loss, we just lost our first pregnancy as well. I hope you can put the physical part behind you and begin to heal. This is a great board with a lot of great women, reach out when you need to.

Spartanrd4 · April 2016

I am sorry to find you here, we also lost our first pregnancy. It has been 5 weeks and even though the physical part is behind me mostly- I think the emotional pain will last for some time. Take care of yourself. *Hugs*

roxgibbons · April 2016

I am so sorry for your loss and that you are going through so much physical pain. Be kind to yourself and please reach out when you need support. Hugs to you.

RiverSong15 · April 2016

I'm so sorry for your loss.

joyful08 · April 2016

I am so sorry for your loss. It is the most heartbreaking thing DH and I have ever had to deal with. We are all here for you.

SnobunnieMel · April 2016

I am so sorry you had to meet us all this way, but everyone here is a great group of women. Let us know if there are any questions or even just to vent.

BlondePeanut · April 2016

I'm sorry for your loss! I just experience a MC as well, first pregnancy. It is so hard. DH and I are hoping to be blessed with a "rainbow baby" sometime soon, and we are still trying to heal from this loss....hugs your way!

MrsDramaK · April 2016

Thank you all for your kind words. I am hoping the worst of the physical pain is over, I could barely stand last night the pain was so severe. I even asked the doctor to call me in a heavy duty pain killer and that didn't help take the edge off. It did however make me sleepy enough to sleep through the pain which I was thankful for.

The doctor wants me to wait a cycle and try clomid he thinks it will help my progesterone. I asked my MIL's opinion because she's a well renowned OB (albeit in a different state and I would probably never let her be my OB cause that's awkward) and she seemed to agree that clomid will help with progesterone. I've read mixed things on here about OB's perscribing Clomid and that it should be monitored by an RE, but both doctors said since I am able to get pregnant it means Clomid is a good option and we don't have to worry about a sperm analysis or tubal blockage.

I guess it's a decision DH and I have to make when the time comes.

BrightenMySky · April 2016

@MrsDramaK I am glad you seem to be through the worst of the physical pain, and I am sorry last night was so rough. Sorry for your loss.

I have some experience w/Clomid. I guess I would ask why your doctor thinks there is a progesterone issue and why not take progesterone supplements if there is. My understanding is that Clomid can increase the number of eggs released and help with ovulation (I use it because of MFI issues--we wanted to increase the chances that a normal sperm would make its way to an egg). And people respond differently, both in terms of follicles & side effects (like thinning your lining), so it can be a good idea to have some monitoring. Happy to answer questions if I can, and again so sorry for your loss.

MrsDramaK · April 2016

@BrightenMySky My OB thought it would give us a healthier egg and help me ovulate regularly (I have cycles anywhere from 4-8 weeks long) and my MIL agreed that it would help regulate my cycles and increase my chances at getting pregnant. She also said in cases where your body isn't producing enough progesterone, Clomid helps your body kick start into producing it's own natural progesterone. Apparently there's been success in Clomid and luteal phase defects (which again relates to the progesterone issue).

I know it can increase our chances of twins, but my MIL said only by about 1% on average. We wouldn't be opposed to twins anyway as long as it meant we had a healthy baby! (Twins run in my moms family, she herself is a twin!)

For us the saddest part was we told our parents Saturday we were expecting and Miscarried two days later, so essentially had to untell them.

RiverSong15 · April 2016

I would encourage you to ask a lot of questions about monitoring before you take Clomid from an OB. While I've seen some people on TB get adequate monitoring with an OB, most do not. If they aren't going to do regular ultrasounds, how will you know if you underresponded and didn't develop a follicle? How will you know if you over responded and ovulated 3+ eggs and are at risk for higher order multiples like Jon and Kate plus 8? It's not just an increased risk for twins. How will you know if Clomid is dangerously thinning your uterine lining - which can permanently impact your ability to ever carry a pregnancy? Clomid has a six cycle LIFETIME max for usage - I would strongly encourage you to only take it with adequate monitoring by an RE. Why would you waste a few cycles with bad monitoring? The extra cost is nothing compared to permanently damaging your fertility or raising higher order multiples.

ETA: I hope this post didn't come off as harsh. I've just seen a lot of women elsewhere on TB take risks with unmonitored Clomid, with bad results, and I'm honestly just trying to look out for your health. Best wishes.

BrightenMySky · April 2016

@MrsDramaK I guess I would just be hesitant for the reasons that @RiverSong15 elaborated on. It looks like (from your sig) you conceived fairly soon after you started TTC? If I understand that correctly, just seems odd to me to go to Clomid with no known difficulties conceiving. If your doc thinks the loss was related to low progesterone, why not progesterone supplements after you ovulate? I am someone who responds very well to Clomid and would welcome twins (my RE said Clomid chance is 4%, while general chance is 1%), and I will continue with 3 more Clomid cycles as needed, but I cannot imagine not working with my RE on them.

fmannino85 · April 2016

@MrsDramaK I'm so sorry for your loss! It truly is a heartbreaking experience, but know you have so much support here (as well as I'm sure from family and friends)! I've experienced two miscarriages, and I would definitely recommend seeing an RE if you're able to. I had low progesterone during my second pregnancy. My RE said low progesterone doesn't always mean you aren't producing enough. He said low progesterone also happens if there is a chromosome abnormality. I am in no way trying to scare you or make you think you are at risk for having a child with a chromosome abnormality. I just learned a lot through seeing an RE. I honestly wish I had gone to one after my first pregnancy. Regardless, hugs to you and I Hope you are still feeling better physically. The emotional part takes time. Hugs!

MrsDramaK · April 2016

@RiverSong15 @fmannino85 @BrightenMySky I know Clomid does need to be closely monitored and I would not even be considering it if I did not really trust my OB and my MIL. Both of them say while yes Clomid is generally for women who do not ovulate, if you are ovulating irregularly (like I am) it can increase the number of cycles you have to get pregnant (because having 8 week cycles means I only have 6 chances to get pregnant every year!). Also, it will help my body produce it's own natural progesterone which my MIL and doctor seem to think is better then taking a supplement.

I am going to the doctor today so I will be sure to ask a lot of questions and ensure I am going to be monitored properly if we go through with this. We were fortunate to get pregnant on our second cycle trying, but if I can do something to prevent DH and I from going through this again I have to strongly consider it.

fivetimesnoluck · April 2016

@MrsDramaK I am so sorry for your loss. It is devastating and life-changing.

I, like others here, have concerns about the jump from one loss to such a strong treatment. Low progesterone can be caused by many different things and it can be an indicator of many different things. There are a variety of treatments and protocols that doctors can use to try and prevent miscarriage, but first and foremost, I hope you will go through some basic testing before you decide on any course of treatment.

And with all due respect to your MIL and your own OB, specialists are specialists for a reason. My OB performed a lot of the tests on me she knew could contribute to RPL, but was honest about her limitations in giving advice regarding treatment. Delivering babies and handling (mostly) healthy pregnancies is a different specialty than treating the myriad causes of infertility. Reproductive endocrinologists are the experts when it comes to pregnancy loss.

I am sure you will, but please do consider all of the potential risks and rewards before making this important decision.

We all want the best for you!

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