Thursday, May 28, 2009

But at least I have coffee

Thankfully, I didn't lose the taste for coffee this pregnancy, so I am drinking a large cup of the full-caffeine variety, which I had to pick up on the way home from dropping off LG, since I dutifully went off even decaf as soon as I found out I was pregnant. Knowing that this will not result in a baby in January, here are my new hopes:

1. This thing ends quickly, with minimal intervention. I haven't talked to my RE, but I'm hoping if I don't start bleeding in the next few days that cytotec/misoprostol (sp?) might be in my future. Miscarriage #1 involved (a) weeks of waiting with rising beta, (b) a shot of methotrexate, (c) eventual D&C, and (d) three cycles off. I can't go through any of that again.

2. My RE agrees to (re)test me for recurrent miscarriage issues and/or sticks me on Lovenox regardless. The good thing about miscarriage #1 was that it gave me information and a plan. Yes, it involved lots of shots, but I had a full term, healthy baby. Maybe that's coincidence, but I don't think so. Question: does anyone know if my mother's pregnancy history might have any bearing on my own (my mom never miscarried, but I was a preemie [33 weeks] and my sister was low birth weight, both suggestive of IUGR)?

3. And, most obviously, that I manage to conceive on my next cycle. Pregnancy #1 took 6, pregnancy #2 took an additional 4, pregnancy #3 took 5. Now I know, in the whole scheme of things, that's not even really enough to give me an "infertility" diagnosis (which Dr. Evil continually reminded me) but could the universe cut me a break?

7 comments:

  1. Good luck!!! Fingers crossed.

    BTW, I'm not sure if your RE has said anything, but our RE would have a fit if I drank a cup of full caffeine anything! That is one of the "rules" she has. It's been so long since I've had a non-decaf coffee. Hubby, sweetie that he is, found a great organic decaf espresso, but I havent been able to drink it this pregnancy. The smell makes me sick!

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  2. Well, under most circumstances I am the ideal patient. I eat well, I don't drink, I don't have caffeine, I take all my vitamin supplements. I don't think a cup of coffee in the midst of a miscarriage is going to hurt anything :)

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  3. *herefrom LFCA* I'm so sorry about your miscarriage. I'm holding you close to my heart and sending you lots of hugs and love.
    *HUGS*

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  4. just came here from LFCA... i am hoping and praying for you - ending quickly, getting information you need, and getting on and a BFP with your next cycle!

    my heart goes out to you..

    oh funny -- my word verification was poascru - i think it's a good sign for next cycle!

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  5. Hi I came over from LFCA. I am so sorry to hear of your loss and that you are going through this.

    I might be able to weigh in on the question you asked about your mother's history?

    Now, I've only read a few of your posts so I don't know your whole history, but I would suggest a genetic thrombophilia, such as MTHFR or Factor V Leiden which can put mothers at risk for pre-eclampsia, IUGR, etc.

    I see from your history you've already had one baby born on heparin...so I am thinking you might have already been diagnosed with one of these?

    Sorry if I am going over old ground - just thought it might help. Let us know what shows up with your immune testing.

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  6. Hi, Andie. I don't believe I was ever tested for any of those. When I had an autoimmune panel done (in 2003), I was diagnosed with APA (thus the heparin). I was retested a few months ago and *that* at least is negative. But I wouldn't be surprised if there's something else going on that I've inherited from my mom's side of the family...

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  7. HI Gwinne,

    A-ha, now i understand. Make sure you get Factor V Leiden, MTHFR, anti-thrombin something?? (Sorry memory fails) and PA-1. Get a karyotype. As I said in the other post, you need an NK test as it is common in people with APA. Also get anti-nuclear antibodies and lupus anti-coagulant. There are a long list of tests I have done but I can't remember them all right now - the thrombophilias are the main ones that are likely to be genetic.

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