3 micarriages, waiting to have tests and just had a BFP - any advice

[CL1982]

Ladies (and gents) I am in a slight conundrum. Bear with me while I tell you my tale.

I have had 3 early miscarriages. After the last one a few weeks ago I was referred to the Early Miscarriage Unit who couldn't see me until August 25th. Obviously I was a little worried that we'd get pregnant in the wait (justified) so used my work health insurance to see a consultant privately who has asked to run some tests which I'm having tomorrow and then a few more in a week or so's time. I was feeling a bit icky and clumsy (always a sign with me), took an early Frer and behold, i'm pregnant again.

I'm only 11DPO so we're talking pretty early (it may not even last past my period) but I've fallen in between the gaps a bit. NHS aren't sure until I've seen their consultant and although I've emailed the private consultant I'm not sure what advice he can give or even what I need to pay for now. So all said, a bit of a mess.

Does anyone have any advice? I have implantation issues according to the provate consultant so i'm wondering if it'll all end soon anyway. Started baby aspirin as i figured it can't hurt. Other than that am just sort of sitting her wondering if i should be doing something! I'm literally open to all suggestions. I'm in Oxfordshire so i need to be referred to the EPU I think.

[KellyMarieTunstall2]

Hi
Your private consultant may be able to prescribe an empirical treatment plan for this pregnancy. Also, have you kept the NHS appointment? If you have they may be able to see you within a few days if you are pregnant and start monitoring you.

[CL1982]

Ah that's a good idea. I have no idea how to contact them though. The whole unit is really hard to contact. I have kept it. I'll try ringing the secretary now.

The private consultant rang just after i posted this and is going to see me tomorrow. Not sure what he'll suggest as you can't do any of the tests when pregnant, even the teeny bit pregnant that i currently am.

The issue with an empirical plan is it could be quite a few things causing it which you don't really want to treat all at once. Tricky one. I guess anything is better than nothing at this stage though.

[KellyMarieTunstall2]

I'm glad your consultant has been in touch, that must be a relief you have an appointment.
I had all the tests which were negative so I had an empirical treatment plan which covered most bases just in case. It was successful in 2015 and again now, I'm currently 17 weeks.

[CL1982]

That is really interesting. So what would that include? I'm guessing Heparin, steroids and maybe prog supp?

[KellyMarieTunstall2]

Yes exactly that combo!

[Susiebabs]

Hello. I'm currently 7 weeks pregnant. I was in the midst of private recurrent mc testing whilst unknowingly pregnant. There were no ill effects.

I'm on heparin - consultant won't provide progesterone as he says evidence points to the fact it doesn't work and doesn't recommend taking steroids until I know for certain they might be needed.

I had an early scan yesterday and all was well, despite the fact I've been having bleeding. Maybe the heparin is working, maybe this one is meant to be, maybe things won't continue well.

I just wanted to say that I know how anxious you must be feeling. It's hard to feel anything other than impending doom after three mcs. But keep the faith!

[CL1982]

Thanks for that-we'll see what he says this pm :) I think I need to be relaxed about it as much as possible. Easier said than done!! I hope your pregnancy progresses well! What was you TSH level out of curiosity?

[Susiebabs]

I don't know - I only know that it was normal. The only abnormal result I had came from Thrombophilia screen (hence the heparin) and elevated androgen levels.
I had no symptoms or knowledge to suggest they'd be abnormal. Both are linked to mc, but they don't really know what the pathways are.

That's the one thing I took from rcm testing - they did find some issues, but not enough is known about how they impact upon rcm and how they might be treated. I didn't get any solutions. Unless it's a uterine abnormality, there appears to be very little that can be done to prevent mc. At least that was my experience of it.

I hope you get on ok today. Good luck, and thanks for your well wishes.