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TTC after recurrent miscarriage

984 replies

LisaSimpsonsbff · 10/09/2017 11:48

Hi, just wondering if anyone else was in a similar place to me and wanted to chat about it? I'm 30, TTC my first and have had three miscarriages, all early (two natural MCs at five weeks, then a MMC where a scan at 6+5 revealed development had again stopped at 5 weeks). I've had RMC tests and am just waiting on the results of that but hoping to be able to TTC again from my next period, which should come any day now. I've found throughout the whole thing (have been TTC just over a year now) that it's really helped me to chat with people in similar positions, so if anyone wants to be TTC buddies please let me know!

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MogScratch · 05/10/2017 08:38

Hello Chocolate and Salt. I am about 6 weeks and still on this thread. This is the 3rd time I've been pregnant this year, so not really believing it will be successful and assume I'll be back to ttc next month. Chocolate I saw your post in pregnancy and it's shocking you have not had tests after 5 miscarriages. Salt sorry to hear another story of unhelpful insensitive comments. My experience at the hospitals have been fantastic, so there are some doctors who can get it right.

I'm not sure how I'm feeling. I don't normally have pregnancy or miscarriage symptoms, so not expecting those, but that makes it hard to feel reassured or panicked. Feeling fed up of early pregnancy for nothing, missing out on fun things to avoid drinking and my body bloating and clothes looking rubbish. Feels like my body has been through a lot of strain this year.

Lisa - to have ups and downs through the process is understandable and not something to feel guilty over.

BertieBotts · 05/10/2017 08:09

Wha, Salt, that isn't even true, there is no cause of miscarriage which causes future pregnancies to be less likely! I bet that she meant the more miscarriages you have the more likely it is you have more serious problems, but jeez. Talk about insensitive and misleading!!

SaltK · 05/10/2017 07:46

Thank you Lisa, the pregnant after miscarriage board is probably better. Just had a little read back through a few posts, and wanted to say sorry for your awful appointment. I once waited an hour for an appt after my 4th miscarriage, only to be in literally 6 minutes and told "there's nothing we can really do, I'll refer you on to another trust, but your odds of a successful pregnancy will go down each time this happens". When I asked for statistics, she just shrugged. She thought I was still pregnant and when I told her I'd miscarried she didn't even say "I'm sorry" or anything, just wrote it down. After that appt, I was so devastated, it really set me back. I can empathize with how upset you've been feeling, and I think feeding back to professionals that deal with women like us is really important and valid for future women with RM. Good luck with the future, this seems like a lovely thread, hope you ladies all get the babies you deserve xx

LisaSimpsonsbff · 04/10/2017 23:12

Thanks keepon. It's both sad and comforting at the same time to know that other people feel the same. And thank you for your previous post, which I missed because it was on previous page. It was really helpful to hear from a doctor's perspective, and good to know that you think feedback could be helpful not harmful. In my job (I'm a lecturer) feedback is sort of a fraught thing, because I'd argue that you need feedback to be any good at it but on the other hand student feedback is a really important part of how we're assessed so getting anything less than universally glowing is quite crushing and, early in your career, potentially disastrous.

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keeponrunning85 · 04/10/2017 22:33

You're not nuts Lisa. I have similar spirals of thoughts myself about my losses. And every so often someone comes along, be it a friend, relative or healthcare professional who manages to say something which just feeds into those thoughts and emotions.

LisaSimpsonsbff · 04/10/2017 21:25

Hi to the new people - so sorry for both your losses. You are both very, very welcome here but just to let you know in case you don't, there is also a pregnant after miscarriage thread on the pregnancy board. How are you feeling? Your anxiety is completely understandable but I hope you can find some calm soon - we're all here for hand-holding if you need it.

How are you doing, mog? Yes, I think that was part of it, so much waiting for such an off-hand appointment. I also just found the dismissiveness upsetting. I know I have this unhelpful psychological cycle where I feel anxious and depressed about the miscarriages, but then I get angry at myself for overreacting because and being ridiculous and self-indulgent about pregnancies that didn't even really make it off the starting blocks, then that makes me feel worse/self-loathing, etc. At every stage I've had this massive fear that doctors will tell me to stop being stupid and before this everyone had actually been very kind and taken my losses seriously and it set off a lot of stuff in me when it felt like she didn't. I know now I'm feeling a bit more rational today that that's more about me (I know I'm nuts and I'm having counselling!) than about what she said and not her fault.

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SaltK · 04/10/2017 19:36

I'll jump on the bandwagon as well, of that's okay, although not sure if this thread is just for ladies TTC, coz I'm actually pregnant not, but like ilovechocolate I've had 5 miscarriages and no children yet, so very very nervous.

Ilovechocolate111 · 04/10/2017 18:34

Can i join please.
Just found out I'm pregnant after 5mc's
Panicking like mad and trying to keep calm x

MogScratch · 04/10/2017 18:22

Scary duck hello. Sorry you have to be here. Sounds even more stressful knowing you have a reason miscarriage may be more likely. I hope the next time works for you even if the chances seem slim.

Lisa - your phrasing seems much better than unlucky and sounds a good letter to send. Is part of your frustration the delay and not ttc for months while waiting for the tests? I think having such a limp answer when you have waited and held hope on finding a solution would knock me hard emotionally too.

BertieBotts · 04/10/2017 18:05

I think that is a good idea and I agree that unexplained or seemingly unconnected would be better ways to phrase it than "unlucky".

But it is quite personal so I don't know. But medically unexplained is more accurate than bad luck. It could be that there's a cause they don't know about.

keeponrunning85 · 04/10/2017 17:03

Sorry, bit of a waffly post.

keeponrunning85 · 04/10/2017 17:03

Lisa I think if you feel the care you have received is below what should be expected than yes, contact PALS. Maybe write it out today, sleep on it and then read it again before sending it to make sure you're happy with it?

I shall fess up to being a doctor for this bit. I know there will be countless things I've said to patients and relatives over the years that they will have felt have been insensitive or could have been said in a kinder way. We need feedback to know what we can do differently in the future. I now mainly work with people who have brain injuries, often very severe, and no matter how much I've been taught about empathy, I'm never going to come close to understanding what it is like to be in their position. I think the same applies to a lot of the doctors we have encountered because of recurrent miscarriage but some are probably better at acknowledging that than others. As a doctor I sometimes worry that saying platitudes will come across as patronising or they may just seem like empty words.

There's certainly some things I am planning on feeding back to my hospital. Same as you, not a complaint, more feedback. Such as one of the nurses at my EPU speaks incredibly quietly, bordering on whispering, which isn't great when you're trying to work if she said there is or isn't a heartbeat. But she probably thinks that that is being sensitive. I've decided to wait until the end of the journey so to speak to do this though.

LisaSimpsonsbff · 04/10/2017 13:47

Am considering sending an email to PALS at the hospital, very clearly saying that this is feedback not a formal complaint - I absolutely don't want to make a formal complaint - saying that I think there are things they could do better. For instance, just the very fact that the previous doctor I saw started our appointment by saying 'I'm really sorry for what you've been through and that you've been having such a difficult time' made a huge difference to how I felt about the rest of the appointment. I really do think that most women in this situation would also find the phrase 'bad luck' (a. luck is not a medical concept, b. bad luck is when you find the bus is pulling away as you get to the stop, or when you want a cheese sandwich but there's only ham left. It isn't losing three pregnancies) trivialising and upsetting. I would have much preferred something like 'three random and unconnected occurrences' to make the same point. I also think it wasn't great that she didn't say anything comforting - she could, for instance, have pointed out that my odds of success in my next pregnancy are good, but she didn't - and nor did she offer me any follow-up care until I specifically told her that I knew I was supposed to get this. I just think a bit of guidance on this could make it a lot better - I know they don't get a lot of recurrent miscarriage patients because it's not a specialist centre (everyone else in the waiting room bar one couple were women over 60; it's a general gynaecology department) but I'm not literally the only one so she will have to do it again in future!

What do we think? Wasting my time? Mean (again, she wasn't awful, just not great so I don't want to be vindicative)?

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LisaSimpsonsbff · 04/10/2017 12:45

Thanks so much for the kind messages, and particularly for the support last night, bertie. I'm still feeling a bit wobbly today but much better, and I'm sure I'll be ok soon. I have to start shoving progesterone up my bum from tomorrow, so perhaps that will distract me! I was really surprised by how upset I got - I'd been feeling so much more even recently.

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keeponrunning85 · 04/10/2017 08:21

Welcome ScaryDuck. Sorry to hear of your losses. I'm a fan of the running/wine coping strategies too and can second the wine sometimes winning!

Lisa I'm sorry your appointment was rubbish. It is crap when you go with all this hope of this person being able to offer something to help you and getting nothing. It feels to me that unless you go to one of the big RMC hospitals it is very much a side line. I certainly don't feel like my consultant is hugely interested in it, more that it is just something she has to do as part of her job. Also, I think ultimately they just don't get the emotional toll, and think that people can go through an unlimited number of losses.

BertieBotts · 04/10/2017 00:25

Ah yes that's right, sorry, I'm so bad with names. It's so late, are you trying to sleep? I would get up and do something different. Run a bath or have a shower if it won't disturb your neighbours. Go and sit outside if it's safe and possible. I used to smoke - don't now obv but sometimes it's just being in the cool still silent night air and breathing and looking at the stars which helps you feel a bit more grounded.

Don't spend loads of time online because it will feed the awake/ruminating cycle, but you could watch something silly with def no mention of pregnancy and/or read an old favourite book or do something meditative like colouring, drawing. Drink some water or make yourself a tea - decaf if you like.

Hope you feel better soon x

LisaSimpsonsbff · 03/10/2017 23:49

I think that may have been Flynn? She had a horrible appointment recently I think. Head is whirling at the moment - I'm really shocked at how much this has affected me, I feel like I'm back in that hopeless place I was right after the last miscarriage. Hoping I'll feel better in the morning. I know I'm reacting disproportionately but just keep crying.

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BertieBotts · 03/10/2017 23:44

Yes defo agree. Sorry I thought you had a previous bad experience but perhaps I was getting you mixed up with another poster.

LisaSimpsonsbff · 03/10/2017 23:13

No, the doctor I saw before was nice! I've done nothing but think about it all and one level I was unreasonable - there's nothing they can do to help me, she can't change that - but on another level I am so angry and upset at the way she treated it. There were 100 better ways to deliver the same core message.

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BertieBotts · 03/10/2017 22:56

Ah Lisa glad Coventry were nicer. Was that the same doctor as before?

Anne no don't worry about dips as it's about the overall pattern, not anomalies of a day or two here and there. In terms of knowing whether or not you're pregnant, it won't affect temps until well after implantation anyway as it's progesterone rising again which pushes them up further. That happens around the time you'd get a BFP or your period.

Scary I was thinking about what you said earlier about planning for getting over a MC before Christmas and I realised I've been doing this too Blush I know I've miscarried before at about 5-6 weeks so I do tend to look ahead to things and think about when it will be in terms of fertile/pregnant/period/potential miscarriage. I'm going away in November and I've twigged it will be almost exactly, BFP or AF time. So I'll be drinking heavily or celebrating. Don't know how DH will feel about me being away! But it's so unlikely we'll cross that bridge when we get to it. I would probably be fine until I got home anyway.

The nice thing about Germany I must admit is that they have ultrasound scanners in the gynecologist's office so you get scanned all the time. And blood tests constantly which I used to find really annoying because I hate needles, but I've got used to it now and I appreciate getting concrete numbers of whether my hCG is increasing. I got a picture of the weeny sac with the first one even though it wasn't meant to be. And she showed me both times the deflated/empty sac which helped me process it I think. I didn't notice the first one pass at all so it was helpful to have something concrete like that.

ScaryDuck · 03/10/2017 18:44

Sorry to hear about the rubbish doctor Lisa. I think ultimately they really don't know much about miscarriage at all - the consultant I saw at the RMC basically said as much, he'd written off my test results before even doing the tests. It is SO unhelpful to be told it's just "bad luck". Glad that Coventry were more helpful!

Anne there is nothing much to do for future pregnancies - I can have as many early scans as I want but I find them really stressful and it seems a bit pointless, it's either fine or it's not. Next time I will go for a scan at 8 weeks (as they usually die at 7) then a CVS if I make it that far. Can't really picture that now though.

Pilates sounds good, might give that a go!

LisaSimpsonsbff · 03/10/2017 18:15

So, a pretty mixed afternoon. Went to the hospital for my test results - an hour after my appointment time I went to ask someone about it and it emerged they had forgotten us. We then saw a doctor who told us all my tests have come back normal, that I've 'just been unlucky' and 'been quite unfortunate'. I snapped at her about that, saying that I didn't think it was the best way to say it (so unlike me - I normally have a deep cultural deference to doctors - but I got cross) and then she looked like she was going to cry. So that was great. Their advice is that there's nothing wrong with me but that next time I miscarry I should do it into a pot so they can test it. When I specifically prompted her she said I could have 'an' early scan 'if you want it', which isn't what I was led to believe, and which also definitely isn't what's recommended as best treatment. So that upset me, as it's clearly also going to be a battle to get anything out of them when I'm next pregnant.

However, I then had my follow-up phone consultation with Coventry (by complete coincidence they were on the same day) and thank God I did. That was warm, sympathetic, and she said she didn't believe that three miscarriages at 30, however early, was just bad luck. My test results from there were also all normal, but they're going to put me on the progesterone regime for three months, and then, assuming I'm not pregnant by then, I'll have another consultation.

Obviously I know there's not much they can do for me if my tests are normal, but I just found the doctor's attitude so upsetting and dismissive. I burst into floods of tears in the hospital corridor, which wasn't great as it was a bit of a spectacle. I just felt so hopeless, like this is never going to work for me and that no one even cares. As I said, though, Coventry cheered me up a bit, really by just being nice about it.

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AnneLovesGilbert · 03/10/2017 18:14

What can be done to help with future pregnancies scary?

My god but Chinese medicine is doing well out of us lot! Grin

I think whatever makes you feel better, more in control of it all, like you're looking after yourself, is to be commended. Pilates is making me appreciate what's good, strong and capable about my body. I've had moments of utter despair at my failures to make and keep a baby, so focussing on getting it healthy and celebrating what it CAN do is positive. I do tue occasional jog but I never last long! Wine is great Wine

Also gin. And becks blue which I got into when pregnant. So few calories it's basically flavoured water!

I need to shift a few lbs and I feel relatively motivated to do it.

But the rest is as important. Long baths, good books, nice potions and lotions, quality time with DH, seeing friends when I want to, staying in when I don't.

Nice to have you with us and I obviously hope you're not here too long x

ScaryDuck · 03/10/2017 17:33

Hi Lisa and Anne and thanks!
Yes, I did find out about the translocation after the TFMR. My first pregnancy was a MMC, and I was told it was just a one off and everything would be fine. Sure you all heard that too! Then the next pregnancy was obviously anxiety filled but i had 3 perfect scans before they discovered fatal abnormalities. So TFMR and the baby tested for unbalanced chromosomes - was told nothing to worry about, just a random occurrence but they'd test us both anyway. And of course, it was positive. Think I was in shock and denial and got pg straight away, somehow though it might be different but MMC again. I feel pretty hopeless now. Conservative and pessimistic sums me up Bertie!

I do acupuncture as well Anne, I don't know if I actually believe in it but it's really relaxing and I love my acupuncturist. The other things that help me are wine and running, more wine than running though tbh...

AnneLovesGilbert · 03/10/2017 12:49

Lisa, you've been through so much, the last thing you need to do is berate yourself for what other people might think about it. I do know what you mean, I worried on threads before that I'm a symbol of what I struggle with sometimes - how many more losses before I get my baby! But what can we do? Pat ourselves on the back for still standing and feel gratitude that other people can have the easy, optimistic, straight forward pregnancies we sadly haven't had. The shittest thing is having the chance of a stress free naive pregnancy taken away forever. And while you're dealing with that, don't add to it by feeling bad about how your friends might feel x

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