Need Advice (m/c mentioned)

ilovefh · #1 October 21st, 2009, 07:57 AM

I just had my second miscarriage and at this point my Dr. is going to refer me for testing to find out what is going on. Anyone who has had testing done what kinds of things can I maybe expect? I know some things may be different but I am looking for a general idea. Did your insurance cover it? My Dr. said they might not because even though the new rule is testing after 2 losses, some companies still go by the old testing after three losses.

Thanks for any and all advice!!

stargatemommy · #2 October 21st, 2009, 08:04 AM

I am so sorry for your loss...

I had a bunch of blood tests... I had a uterine biopsy and and I was supposed to have an HSG, but I am allergic to iodine...

TeresaSuperMama · #3 October 21st, 2009, 08:30 AM

I have never had any testing done so I am not totally sure what they check for. I am glad your doctor is being proactive.

farasha · #4 October 21st, 2009, 09:11 AM

I'm sorry for your losses. You can check out the recurrent pregnancy loss board too, and there's some documents there with all the testing that can be done. Briefly, I've had HSGs, Blood work for thyroid, PCOS, prolactin, blood clotting and immune disorders, and genetic testing (chromosomal analysis) after my first two losses.

In my case, my insurance covered everything. I called them to verify before hand. You'll need the codes that the Dr.s office will bill you with. To get that, I called the Dr,'s office (that was not an easy task.. I had to find someone to look them up!). You can sometimes also find the codes online (blood work company websites have some of them) for the blood tests (I had to do that for some of them because the Dr. was not helpful!). You then call up the insurance company and tell them the codes, and they tell you if they cover it or not. It's a huge pain in the butt run around, but it will let you know. These tests cost anywhere from a few hundred to a few thousand each, if you don't have coverage.

HUGS. I hope you find the answers you're seeking to lead you to a healthy baby!

Kary♥RN · #5 October 21st, 2009, 02:38 PM

I am so sorry for you losses... HUGS...

This is what has been done for me so far...

So far the Blood Tests I have had done are:
Heparin Neutralization
Thrombin Time
Reptilase-R Time
Plt Neutralization
Lupus Anticoag PT
Lupus Anticoag PTT
LA PTT Mix/Correction
dRVVT Mix
dRVVT Baseline
dRVVT Confirm Ratio
Hex Phospholip Neutrl
Lupus Anticoag Interp
ANA Screen
Anti-Cardiolpin IgG Ab
Anti-Cardiolipin IgA Ab
Anti-Cardiolipin IgM Ab
MTHFR A1298C Mutation
MTHFR C677T Mutation
MTHFR Interpretation
Chromosome Analysis
T3, T4, TSH and Free T4
Factor V(Leiden)Mutation Analysis W/Reflex To Hr2 mutation
Antithrombin lii Activity
Protein C, Activity
Protein S, Free
Prothrombin (Factor li) 20210g> A Mutation Analysis
Trombophilia Screen li, inherited
Homocystein, Cardiovascular
Cystic Fibrosis Carrier Screen
Hemoglobinopathy Evaluation
Hepatitis B Surface Antigen W/Refl Confirm
Prolactin
Rubella Immune Status
Varicella-Zoster Virus Igg Ab
CBC W/Diff
Cytomegalovirus Antibodies (Igg,Igm)
Abo Group And Rh Type
Hepatitis C Antibodies
Chlamydia/N. Gonorrhoeae Dna, Sda
Hiv Ab, Hiv 1/2 Eia, W/Refexes
Rpr (DX) W/Refl Titer and Confirmatory Testing
Htlv l/li Antibody, Eia W/Refl To Western Blot
Hepatitis B Core Ab Total W/Refl lgm
Chlamydia Trachomatis Ab (lga,lgm)

DH Had Blood tests done Also
He still Needs the SA with Morphlogy

After CD 1 I need to go in for Baseline U/S and Bloodwork on CD 2 or 3
At that time I will have a (CCCT) Clomid Challenge Test- Blood will be drawn and than I will have to take 2 clomid a day for CD's 5-9.. Than Have blood Drawn on CD10.

I also need to have a Hysteroscopy done between CD 6-11 (I should have had it done last week... but didn't)

And finally I need to HSG (Hysterosalpingogram)... again done between CD 6-11

And if all that comes back ok... they did talk about IVF, But I do not have that coverage.. so they did give us a price list.. Ala Cart...

The first set of bloods were done by my OB, The second set was done by the RE.. Hope this helps....

.:Shortcake:. · #6 October 21st, 2009, 04:36 PM

I am so sorry for your losses. I have had tons of BT done, ultrasounds at different points in my cycle and DH has had BT.

ilovefh · #7 October 21st, 2009, 05:41 PM

Thanks everyone! This whole thing is so nerve wracking! It is a double edged sword where I feel like I want to know...but I also am scared to find out bad news!

HopefulMommy81 · #8 October 21st, 2009, 06:22 PM

I actually just went through this and met with my OB today to discuss the lab results. For me, he tested my thyroid and did a thrombophelia panel (blood clot disorder). I apparently have a mutation and he said the only recommendation he had was high-dose (4 mg) of folic acid, which I have already been on because I have spina bifida. I am researching however if I should also be taking a baby aspirin. I'm so glad your doctor is being proactive and you get your answers and a sticky bean soon!

.:Shortcake:. · #9 October 22nd, 2009, 04:29 AM

I was feeling the same way but alot of it can be corrected with medication.

Trish36 · #10 October 22nd, 2009, 06:03 AM

I'm so sorry you have to go through this again. THis just isn't fair!

I've also done all sorts of bt...about 12 vials at my RE's office and another 3 vials at another lab. Also I was going in for my cycle for u/s and bt on cd3, cd9, cd11, cd21 ...just to see how my body is handling the cycle and if I'm ovulating. Good luck. I know it's scary, but I think it's better to know what is going on, so it can be addressed.
HUGS!