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Forum: Trying to Conceive after Loss


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April 2nd, 2013, 11:16 AM
Join Date: Oct 2012
Posts: 368
Hey. ladies! So I went on Friday for the follow up to all my tests, and got the red light for TTC right now
The good news is ultrasound, HSG, and most CD3 labs were normal - yay. However, my TSH is elevated - blah. I am going to see endocrine to hopefully adjust meds and check for Hashimoto's (which my sister unfortunately has). So that's one issue being addressed, but I am wondering about a few others and wanted your thoughts and opinions. Chromosomes are pending, but she feels since we have kids already, it is not likely something we are passing on, just bad luck.

History - I am 38, DH 44. We have 2 children together and have had 2 recent back-to-back blighted ovums.
1) Should DH get a semen analysis? I asked doc about it, and she felt that since we can get pregnant it was probably not an issue.
2) Should I ask for progesterone check after ovulation? I have read about checking it 7 days post-O, but not sure what it means?

I am seeing a regular OB/GYN at the moment and she has consulted with the high-risk OB and the RE for what else we could do so I feel comfortable with her care. She also seems open so that if i ask her to do something, she would at least consider it. I would just like to make sure we leave no stone unturned before we try again. Thanks for any advice and baby dust to all!!
me - D (39)
DH - T (45)

10/2012 (7weeks)
1/2013 (8 weeks)
10/2013 (11 weeks, trisomy 21)

My Ovulation Chart
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April 2nd, 2013, 11:31 AM
geogeek's Avatar Marsi's Mommy
Join Date: May 2009
Location: In yonder mountains
Posts: 9,339
I was told that high TSH and other thyroid issues can cause poor egg quality. With that and age, that might be a reason for the blighted ovum. I definitely think that getting your thyroid issues under control could make all the difference. I am sorry that you are having to deal with this.

Thank you *kiliki* for my beautiful siggy!

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April 2nd, 2013, 01:17 PM
smsturner's Avatar Mega Super Mommy
Join Date: Jul 2009
Location: Upstate, NY
Posts: 3,730
Hi there.
I'm so sorry about your recent losses. I hope you can get your thyroid issues under control. That's so hard.

About the things to check:

Progesterone - Checking progesterone after ovulation is useful for me, we do this alot. We check to make sure I ovulated. The other reason to check progesterone is because of multiple early losses. Many times the progesterone isn't high enough to sustain a pregnancy, and you will know if you need a progesterone supplement. I'm not positive, but I think it should not cause a blighted ovum. These would be good pregnancies that were only miscarried because of progesterone deficiency.

Sperm analysis - Yes. Test this. Both poor egg quality and poor sperm quality can cause blighted ova.

Since you said you did cd 3 testing, I'm guessing you had your fsh checked?

Do you ovulate late? Sometime late ovulation can cause the egg to deteriorate before fertilization.

I have a friend that ovulated late and was losing pregnancies, so they tried meds to get her to ovulate sooner. She's pregnant right now...

Good luck!!!
Susan, dh Tom, dd Megan (14), ds Marcus (12), Our new baby Dean

I never knew until that moment how badly it could hurt to lose something you never really had. - Missed Miscarriage at 10 weeks - 3/26
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April 2nd, 2013, 02:21 PM
momology's Avatar Platinum Supermommy
Join Date: Oct 2012
Location: Houston, Texas
Posts: 6,294
I dont really have any good advice on the subject but I think the other ladies had some great ideas. Sorry you got the red light on TTC I know how disappointing that can be! Fx you can start again soon!

Thank you *Kiliki* for the amazing siggy!!

Expecting our first baby August 25th, 2014!!!

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April 2nd, 2013, 03:24 PM
Ame C's Avatar Every breath is a gift.
Join Date: Mar 2012
Posts: 3,692
Nooo! I'm sorry.. that's so frustrating! I don't know much about that but just wanted you to know I'm thinking about you. I hope you get the green light real soon. LOTS and LOTS of lucky, sticky dust!! ((hugs))

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April 2nd, 2013, 04:06 PM
Just keep breathing.
Join Date: Sep 2012
Posts: 1,946
I am sorry for your losses I too echo the PP who suggested progesterone is for early losses- otherwise viable pregnancies that don't have enough progesterone to sustain them- but isn't generally connected to blighted ovums. If your doc is willing to check, and you have the insurance coverage, there's certainly no harm in doing so (other than the hassle of having to schedule it).
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April 3rd, 2013, 09:25 AM
Join Date: Oct 2012
Posts: 368
Thank you all for such kind and helpful responses. I am going to e-mail my doc and ask for the additional tests. I actually think I ovulated today, i got positive OPKs yesterday and felt some O pain around midnight. So I could get the post-O progesterone checked during the same cycle as the pre-O. My FSH was in the 7 range, which she said was good. I usually O mid-cycle (CD13-16), and have been back on track last month and now this month. i agree that it is unlikely that progesterone was a factor with the BOs, but if it is something to rule out, I would like to check it off the list.
So if all works out by the "new" plan, i will be O'ing and have the green light at the end of May when first due date was and now that I am thinking about it, it makes me sad. Trying again when I should be delivering, blah. Better get to making the plan! Thanks, ladies, i will keep you posted.
me - D (39)
DH - T (45)

10/2012 (7weeks)
1/2013 (8 weeks)
10/2013 (11 weeks, trisomy 21)

My Ovulation Chart
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