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I was randomly thinking about my previous losses and then started researching more about it. The doctors didnt tell me why i had a missed miscarriage.. they didnt even look for an answer. Well i think it was the progesterone. I lost all pregnancy symptoms, my periods are irregular ..... but, ok, all that i have already understood, but whats bothering me is that when i was in Jan DDC then most of the girls were talking about the progesterone and hcg levels..but the doctor never ever tested mine. I didnt even know to ask back then, but why do i have to know such a thing?! Why are there doctors at all if i have to know whats wrong with me in the first place. I dont know i just feel angry and i dont know a lot about it. Only as much as i read from internet. I should visit the doctor and tell her that im planning again and i want these tests done next time??
Just a random worry-moment.
One of the hardest things dealing with a loss is the "whys" and "what ifs"....and I'll give you my perspective on progesterone as someone who has experienced both sides of it now.
Many OBs don't do beta testing or progesterone testing during pregnancy unless there appears to be a problem (bleeding, etc) and the logic is that generally speaking the vast majority of losses are related to normal (not genetic) issues with the baby not developing properly and loss is inevitable. My OB, for example, doesn't even do progesterone supplementation - primarily b/c there have been some studies that unless you start prog supplementation basically right at conception (so DPO3-10) adding it later doesn't improve odds for the pregnancy survival, and even then progesterone supplementation only helps if the cause of the loss is due to a progesterone deficiency in the mother, adding it doesn't help if the loss is due to other non-progesterone related reasons. Low progesterone can simply be indicative of a pregnancy destined to fail - meaning it's not the cause, it's merely a reflection of the baby's cells not splitting right, etc. and a loss starting to occur.
All of that said, OBs don't generally test for RPL issues until you've had 3 losses....so in my own situation, with my first loss we had no symptoms of any issues until we lost the hb after seeing a hb, so my progesterone was never tested and we don't know if it was low. With my 2nd loss, problems started early so betas & progesterone were tested and my progesterone was critically low (2.1 where they look for a 10 or greater)...my OB declined to treat with prog supplements for reasons I stated above and the loss eventually occurred. She did agree to run RPL tests after the 2nd loss, which turned up a gene mutation (blood clot related) and turned my over to an RE....interestingly, the RE began testing my body's ability to produce adequate levels of progesterone and subsequently diagnosed me with a recurring progesterone deficiency so now I take prog. supplements ever cycle (at DPO2). Even on prog supplements, my 3rd pregnancy resulted in an early loss despite a fine progesterone level.
All of this was a long way of saying....is it possible that my progesterone deficiency caused my 1st & 2nd loss? Maybe, but the odds are still more likely that other issues caused it...but knowing I have prog issue I can now treat proactively for future pregnancies. It's far more likely that your loss was random and you won't suffer another....but if you do, it's worth pushing OB to run more tests proactively just to make sure you don't have any RPL issues that are lurking which could be treated. You can certainly ask your OB to run betas & check progesterone levels when you get pregnant again to help put your mind at ease, but sometimes I think it just adds more worry esp. if there's nothing that can ultimately be done.
HUGS it is always hard to TTC after a loss, and everyone second guesses both themselves and their doctor a lot wishing things could have turned out differently or been prevented.
Remembered Forever with Love
10/13/2008 (@9w2d) 10/18/2011 (@8w5d) 2/12/2012 (@4w3d) 8/13/2012 (@10w3d)
TTC after loss is a very difficult and frustrating process. With my DS my doctor never ran any of the testing you just mentioned but now after 3 losses my doctor tests me for everything. It is not abnormal that your doctor did not tell you about these tests and if it would make you feel better for your next pregnancy then I would definitely ask for any testing that you would like. If this is your first loss then your doctor is not too worried about all of those things because miscarriages are so common. It's woman like myself with recurring miscarriages (3 or more) that make doctors begin to do more testing and blood work, etc.
Either way...it's your body and your baby and you can ask your doctor for any tests you would like to help get your mind at ease. Reading the internet can stress you out so just be mindful that you may be perfectly healthy and well on your way to your rainbow baby. In the meantime, we will all be here to offer advice, support and hope.
Ok, i had 2 missed miscarriages. First one was at 12 weeks but the hb stopped at 8 and second one should have been developed to at least 7 weeks but no hb and showed 5 weeks or a bit less even. I suddenly lost all pregnancy symptoms and the lines on the stick got lighter.
Also my AF is irregular. Mine started 9.05 this time..Last month it started 1.04
Isnt it low progesterone symptoms or hormonal problems?
And thanks for answers. I am really hoping forward to my BFP, but i also have some fears and i am hoping a little that maybe i could change something this time.