@ashley35209 are you sure you’re supposed to be taking it orally? My progesterone is oral medicine, but I’m instructed to insert vaginally at night. Might want to confirm that’s not what you’re supposed to be doing.
@ashley35209 I think you should call your doctor and see if that’s what they intended. Every fertility doctor that I have gone to has had me insert Prometrium vaginally at night. The drug itself will say orally, but your doctors instructions may be different.
@ashley35209@mokay19 My doctor in STL had me do it orally and thought it was odd to do it vaginally. For my doctor here in Orlando it’s the exact opposite. 🤷🏼♀️ Give your doctor’s office a call and double check with them.
TTC History
Me: 38 DH: 52
Started trying June 2018
BFP Jan 2019 DD born October 2019
TTC July 2021 BFP, ended in MMC August 2021
TTC October 2021
BFP January 2022
MMC March 2022
Beginning May 2022 under the supervision of an RE - Benched while undergoing testing
@elle-0409 it’s so funny the differences between doctors! I’ve had RE’s in Florida, Washington, and Wisconsin and I’ve done vaginally with them all haha
The supplements I'm getting ready to start are vaginal, but the directions also say that.
Current pregnancy - First BFP on 1/4/22. Due date 9/13/22.
Four prior losses, no living children - 1 first trimester miscarriage, 1 blighted ovum, 1 chemical, and one extreme premature live birth daughter who died at 15 days old.
We booked an anniversary shoot when we’re in AZ next month so we’re going to refocus it as a pregnancy announcement shoot for social media and whatnot. and then we’ll also do a maternity shoot down the road!
where do you start showing from? I feel like I’m maybe starting to show but I also don’t know if it’s just from pregnancy constipation 🤔🥴 lol
@mk2022x Many first time moms (read: not all) will begin to show around 15 or 16 weeks. Those who are heavier or extremely fit may not truly show until later. Your height can also affect this. If you have a long torso, you may not show until later as well. There are so many variables.
@mk2022x also, something normal people don’t realize is if you have an actual outtie belly button, you look pregnant sooner because your belly button bloats! Yes, I am speaking from experience!
But really, it varies sooooo much per person that it’s hard to say when you’ll really show and when your belly could be a nice, round belly and not “did she just eat 4 burritos?” 😂
LOL yes 100%! Noted, I thought it was too early but I definitely have more consistent bloat than I did before. Baby bump watch 2022 😂 @mokay19@trapperkeeper87
@mk2022x I didn’t start showing until 30 weeks with my DD! I was not overweight or incredibly fit, it’s just how she was positioned. She was posterior so I never really had a round bump at all during my pregnancy. It’s definitely different for all mums ☺️
Has anyone had covid while pregnant? I tested positive this morning and I’m 8 weeks 3 days. I’m likely on day 5 of symptoms which I’ve been contributing to pregnancy fatigue as I got closer to 8 weeks. I’m wondering if you found any pregnancy safe treatment that was beneficial.
@costaricamom I tested positive at 7 weeks. My doctor immediately sent me for the infusion because I was pregnant. I went on day 2 or 3 of symptoms and I was completely back to normal by about day 5. They don't really treat you with anything (around here, anyways) for COVID other than a Z-pack sometimes. I would call your OB and let them know you tested positive and they should be able to tell you what's best for baby.
@costaricamom there is a lot of discussion about this on the 1st Trimester board that might be helpful. A lot of women noted their doctors had them start baby aspirin so that might be something to ask about, too.
If they drew a lot of blood, that could be related. Best solution if that's the case is plenty of hydration. Plus putting a little bit of something bland on your stomach - BRAT (banana, rice, applesauce, toast)
Current pregnancy - First BFP on 1/4/22. Due date 9/13/22.
Four prior losses, no living children - 1 first trimester miscarriage, 1 blighted ovum, 1 chemical, and one extreme premature live birth daughter who died at 15 days old.
@kboydbowman thanks! I’ve been hitting the water bottle thinking it might be related to blood volume. It’s helped a little. So frustrating since I’ve felt fairly decent since Sunday!
Has anyone experienced high mpv levels? My first blood results came back today and my mpv was slightly elevated at 12.9. The results said normal was around 10-12.7 so it doesn’t seem super elevated but I’m a little anxious about it. Everything else came back normal. I did just have Covid so not sure if that could impact it.
A high MPV means that platelets are larger than average. Larger platelets are more reactive. This is sometimes a sign that the body is producing too many platelets [17].
However, a high MPV on its own is not informative enough and must be looked at in conjunction with other tests to diagnose platelet-associated conditions.
Causes of High MPV
Causes shown below are commonly associated with high MPV. Work with your doctor or another health care professional to get an accurate diagnosis.
1. Vitamin D Deficiency
A study with 434 people found that lower blood vitamin D levels were associated with high MPV [18].
2. Obesity and Other Metabolic Disorders
A study of 100 obese and 100 non-obese people suggests that obesity may be associated with significantly higher MPV. The higher the BMI the higher the MPV was in the obese group [19].
Other metabolic disorders that have been associated with higher MPV include high cholesterol, diabetes, and insulin resistance [20, 21, 22].
3. Thyroid Disorders
Both underactive and overactive thyroid (hypo- or hyperthyroidism) have been linked to higher MPV [23, 24].
4. Idiopathic Thrombocytopenic Purpura
Idiopathic thrombocytopenic purpura (ITP) is an autoimmune disease in which antibodies attack platelets. It’s associated with higher PMV [25]
5. Cancer
Slow-growing blood cancers (myeloproliferative disorders) and various other cancers have been associated with higher MPV [14, 26, 27, 28].
In a meta-analysis of 18 studies and ~3.5k people, MPV was significantly higher in people with malignant tumors than in healthy people and decreased after treatment [29].
Chronic myeloid leukemia (CML) is a rare type of cancer of the blood cells. Platelet production in this disease is abnormal and results in giant platelets. In one study of 58 patients with CML, MPV was higher in people with normal or higher platelet counts.
6. Genetic Disorders
Some inherited genetic disorders can increase MPV. One of the most common such disorders is thalassemia, an inherited red blood cell disorder [14, 30, 31, 32, 33, 34]
7. Smoking
Several studies, each of a couple hundred people, suggest that smokers have higher MPV and that smoking cessation helps decrease it [35, 36, 37].
8. High Altitude
In a study of 401 people with a suddenly reduced heart blood flow (acute coronary syndrome), MPV on average was higher in people living at high altitudes [38].
Health Consequences of a High MPV
Under certain conditions, platelets can be harmful, causing blood clots to form where they are not needed. Sometimes, clots will form inside blood vessels, restricting the flow of blood to tissues. Parts of these clots can also break off and travel through the bloodstream, where they lodge in the lungs, heart, and brain, causing severe damage and even death [39, 40].
A factor in dangerous blood clot formation is platelet size. Research suggests that larger platelets are more active and form more blood clots. Several studies have linked higher mean platelet volume (MPV) to heart attacks and clots in the deep veins [41, 42].
A large study of almost 26k people in Norway found that people with a higher MPV (>or= 9.5 fL) at baseline had a higher risk of blood clots (venous thromboembolism) during the 10-year long follow-up, compared to people who had lower MPV (MPV < 8.5 fL) [43].
In addition, there are two meta-analyses showing an association between heart attacks and higher MPV. However, these studies compared platelet size between people with heart disease and people without [44, 45]. While a causal link between MPV and heart attacks is plausible, large-scale studies are needed to conclude whether a higher baseline MPV is linked to a higher future risk of heart attacks.
Short answer is that there appear to be a number of causes. Most likely would probably be vitamin D deficiency - most adults are vitamin D deficient unless they spend a ton of time outdoors or take supplements. But really you need to talk with your doctor. If the numbers are only slightly high, honestly it's probably not a big deal. They may do some additional tests to ascertain cause.
Current pregnancy - First BFP on 1/4/22. Due date 9/13/22.
Four prior losses, no living children - 1 first trimester miscarriage, 1 blighted ovum, 1 chemical, and one extreme premature live birth daughter who died at 15 days old.
I was just going to make a post about how I want to no-show to my labs and urine appointment tomorrow. I had a completely healthy pregnancy & baby 2 years ago and I don’t remember having to do this?? It also seems like I have an appointment every 4 weeks and it seems excessive to me? I am just so busy with our 2 year old / work / home that these extra appointments when I can’t get time off work are really stressing me out!!!
I'm all about all the appointments I can get!!! The urine is to make sure you don't have chlamydia, gonorrhea, or a UTI. The labs are to check your iron, your calcium, all those good kinds of things. Go!
Current pregnancy - First BFP on 1/4/22. Due date 9/13/22.
Four prior losses, no living children - 1 first trimester miscarriage, 1 blighted ovum, 1 chemical, and one extreme premature live birth daughter who died at 15 days old.
Agreed. I'll take all the appointments I can get. I'm going every 2 weeks right now between my OB and MFM. A pregnancy is healthy until it's not. I would hate to skip an appointment because it was inconvenient for me and then find out I miscarried again. I would blame myself forever.
Warning
No formatter is installed for the format bbhtml
@kboydbowman thanks so much!! I’ve read that high mpv alone isn’t cause for concern. Especially if it’s only slightly elevated. But I will definitely ask my dr on Monday! Vitamin d deficiency could definitely be the culprit, I’m in Vermont and the winter has been cold and dark LOL
@foreveronyourside I totally get how you feel. Last pregnancy, my experience was the appointment every 4 weeks was a complete waste of time. I would go in, they would weigh me, take my blood pressure and be like, do you have any questions? I would say no and they’d be like ok! See you in 4 weeks! Like if I had to take off of work for that or get childcare for that I would be super annoyed. I can understand how for those with a history of complications or loss it can be reassuring to have more appointments.
Has anyone had a fluid sack (I have two, one on each side of the uterus) next to their uterus during pregnant? My OB didn't seem to concerned but took measurements because of they start growing it could be an issue.
@laj0217 I was the same with minimal nausea since Monday last week, then it hit me like a truck on Thursday and I've barely been able to function. I've not had any bloods, so I can't say if yours is related to those or not but mine certainly isn't. Hang in there!
@foreveronyourside do you get a scan at every appointment? If so, lap it up!! If these are your first bloods I would definitely get them because as Kimberly said, they're quite important for finding baselines for your bloods & vitamin levels, and to make sure you don't have any STDs, a UTI or kidney function issues that could impact you and/or your pregnancy. I'd get those done then when you go to get the results I would ask your provider if it's absolutely necessary to come every 4 weeks and discuss an alternate plan with them if possible 😊
NBR - can you search within a thread or only within the entire board on here? I am only using desktop & mobile as bump app is not available in Australia. I can't seem to see a way at the moment but not sure if I'm just blind/baby brain 😅
Update regarding my previous post - I had an appt at the all-female practice, and the experience was SO much better. The OB took the time to discuss my mental health history, how pregnancy can affect it, and risks of PPD. Also, I have hypertension and had brought up my BP with the first OB I saw (138/83). I thought it was high, but he brushed it off as totally normal. The new OB (and my PCP) agreed that it's concerning - esp since it will likely rise throughout pregnancy. So she upped the dosage of my BP meds and is having me take baby aspirin to reduce the risk of preeclampsia. So glad I switched!!
PS - if anyone else here has high BP, would love to hear how your doctor is treating it!
I'm glad it went so well @bigworldlittleg! So I take it you're switching?
Current pregnancy - First BFP on 1/4/22. Due date 9/13/22.
Four prior losses, no living children - 1 first trimester miscarriage, 1 blighted ovum, 1 chemical, and one extreme premature live birth daughter who died at 15 days old.
@foreveronyourside I totally get how you feel. Last pregnancy, my experience was the appointment every 4 weeks was a complete waste of time. I would go in, they would weigh me, take my blood pressure and be like, do you have any questions? I would say no and they’d be like ok! See you in 4 weeks! Like if I had to take off of work for that or get childcare for that I would be super annoyed. I can understand how for those with a history of complications or loss it can be reassuring to have more appointments.
You nailed exactly what I was getting at. Now they have changed the model of care to less visits with provider (which was Doppler no US except at 8 and 20 weeks) and video visits as well. Kind of disappointing.
I also wouldn’t be able to forgive myself either if skipping an appointment resulted in something terrible happening. I think the stress is stemming off the fact that we have 180 staff members and not even #1 on PTO request calendar is getting even part day off. Yay healthcare
@bigworldlittleg hi! I have history of kidney disease and have been on blood pressure medicine for years. I am continuing to take them through pregnancy (for now). I saw a high risk doctor and my kidney doctor and they both said blood pressure actually drops in early pregnancy, and then starts to “rise back to baseline” towards end of 2nd trimester. I may actually have to get off my BP meds if it gets too low but they are monitoring it closely. I actually take my own BP everyday and submit it through this app my doctor monitors. They also had my start taking 2 baby aspirin a day because they said that decreases risk of preeclampsia by 50% which is their major concern for me as well. So far everything is good for me but I’m only 11 weeks. The blood pressure thing is scary but the baby aspirin are making me feel better for now.
@bigworldlittleg I agree! Def eases my mind. They also said even if I did still get it, the baby aspirin should help it develop later on which would be better of course because they can just deliver the baby. I have it in my head I’m likely delivering before my due date but we’ll see!
I am having a stupidly hard time getting a prenatal appointment scheduled (the reason why is a long story). I'm theoretically at 9 weeks, and everyone I talk with at Kaiser has different opinions about whether I'm high risk and should be seen ASAP or whether it can wait until they have room on the schedule. I will obviously keep bugging them, and of course this is no substitute for an actual doctor's appt, but has anyone done a US with any of the gimmicky ultrasound-only clinics aimed specifically at pregnant people? On the one hand the whole concept seems sketchy and I'm not sure I want to give them my money...on the other, I'd love to have the peace of mind of a US appt sooner rather than later. And one of the clinics near me has a bunch of positive reviews, which is encouraging. Would it be a terrible idea for me to book with one of those clinics in the meantime, if Kaiser tells me they can't see me for another few weeks?
First time mom-to-be, due 9/25/22
Some complicated chromosomal stuff going on - our fingers are crossed, but this may not go according to plan!
Has anyone found a good brand of maternity pantyhose that don't fall down? I typically wear the Leggs brand and really like them. I've bought a few random brand maternity nylons and for some reason the crotch on them is insistent on being near my knees🙄
@lilienne I assume you mean the 3D/4D ultrasound boutiques? If so, I used them multiple times with my last pregnancy and I loved them. I don't think they're sketchy at all, at least not where I live. People use them all of the time, but they're not going to give you any medical advice, measure your baby, etc. I would personally rather have a US with my doctor to make sure it's viable before going to someone who couldn't tell me anything.
@lilienne you may want to check the policies at the ultrasound boutique. All of the boutiques around me require you to have been seen by a Dr before they will see you. And they have a policy that if they see something wrong they call your Dr.
Warning
No formatter is installed for the format bbhtml
Re: The Great Big Queston Thread!
@elle-0409 it’s so funny the differences between doctors! I’ve had RE’s in Florida, Washington, and Wisconsin and I’ve done vaginally with them all haha
First BFP on 1/4/22. Due date 9/13/22.
where do you start showing from? I feel like I’m maybe starting to show but I also don’t know if it’s just from pregnancy constipation 🤔🥴 lol
@mokay19 @trapperkeeper87
First BFP on 1/4/22. Due date 9/13/22.
High MPV
A high MPV means that platelets are larger than average. Larger platelets are more reactive. This is sometimes a sign that the body is producing too many platelets [17].
However, a high MPV on its own is not informative enough and must be looked at in conjunction with other tests to diagnose platelet-associated conditions.
Causes of High MPV
Causes shown below are commonly associated with high MPV. Work with your doctor or another health care professional to get an accurate diagnosis.
1. Vitamin D Deficiency
A study with 434 people found that lower blood vitamin D levels were associated with high MPV [18].
2. Obesity and Other Metabolic Disorders
A study of 100 obese and 100 non-obese people suggests that obesity may be associated with significantly higher MPV. The higher the BMI the higher the MPV was in the obese group [19].
Other metabolic disorders that have been associated with higher MPV include high cholesterol, diabetes, and insulin resistance [20, 21, 22].
3. Thyroid Disorders
Both underactive and overactive thyroid (hypo- or hyperthyroidism) have been linked to higher MPV [23, 24].
4. Idiopathic Thrombocytopenic Purpura
Idiopathic thrombocytopenic purpura (ITP) is an autoimmune disease in which antibodies attack platelets. It’s associated with higher PMV [25]
5. Cancer
Slow-growing blood cancers (myeloproliferative disorders) and various other cancers have been associated with higher MPV [14, 26, 27, 28].
In a meta-analysis of 18 studies and ~3.5k people, MPV was significantly higher in people with malignant tumors than in healthy people and decreased after treatment [29].
Chronic myeloid leukemia (CML) is a rare type of cancer of the blood cells. Platelet production in this disease is abnormal and results in giant platelets. In one study of 58 patients with CML, MPV was higher in people with normal or higher platelet counts.
6. Genetic Disorders
Some inherited genetic disorders can increase MPV. One of the most common such disorders is thalassemia, an inherited red blood cell disorder [14, 30, 31, 32, 33, 34]
7. Smoking
Several studies, each of a couple hundred people, suggest that smokers have higher MPV and that smoking cessation helps decrease it [35, 36, 37].
8. High Altitude
In a study of 401 people with a suddenly reduced heart blood flow (acute coronary syndrome), MPV on average was higher in people living at high altitudes [38].
Health Consequences of a High MPV
Under certain conditions, platelets can be harmful, causing blood clots to form where they are not needed. Sometimes, clots will form inside blood vessels, restricting the flow of blood to tissues. Parts of these clots can also break off and travel through the bloodstream, where they lodge in the lungs, heart, and brain, causing severe damage and even death [39, 40].
A factor in dangerous blood clot formation is platelet size. Research suggests that larger platelets are more active and form more blood clots. Several studies have linked higher mean platelet volume (MPV) to heart attacks and clots in the deep veins [41, 42].
A large study of almost 26k people in Norway found that people with a higher MPV (>or= 9.5 fL) at baseline had a higher risk of blood clots (venous thromboembolism) during the 10-year long follow-up, compared to people who had lower MPV (MPV < 8.5 fL) [43].
In addition, there are two meta-analyses showing an association between heart attacks and higher MPV. However, these studies compared platelet size between people with heart disease and people without [44, 45]. While a causal link between MPV and heart attacks is plausible, large-scale studies are needed to conclude whether a higher baseline MPV is linked to a higher future risk of heart attacks.
Short answer is that there appear to be a number of causes. Most likely would probably be vitamin D deficiency - most adults are vitamin D deficient unless they spend a ton of time outdoors or take supplements. But really you need to talk with your doctor. If the numbers are only slightly high, honestly it's probably not a big deal. They may do some additional tests to ascertain cause.
First BFP on 1/4/22. Due date 9/13/22.
First BFP on 1/4/22. Due date 9/13/22.
@foreveronyourside do you get a scan at every appointment? If so, lap it up!! If these are your first bloods I would definitely get them because as Kimberly said, they're quite important for finding baselines for your bloods & vitamin levels, and to make sure you don't have any STDs, a UTI or kidney function issues that could impact you and/or your pregnancy. I'd get those done then when you go to get the results I would ask your provider if it's absolutely necessary to come every 4 weeks and discuss an alternate plan with them if possible 😊
NBR - can you search within a thread or only within the entire board on here? I am only using desktop & mobile as bump app is not available in Australia. I can't seem to see a way at the moment but not sure if I'm just blind/baby brain 😅
PS - if anyone else here has high BP, would love to hear how your doctor is treating it!
First BFP on 1/4/22. Due date 9/13/22.
I think the stress is stemming off the fact that we have 180 staff members and not even #1 on PTO request calendar is getting even part day off. Yay healthcare
Some complicated chromosomal stuff going on - our fingers are crossed, but this may not go according to plan!