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Recurrent Chemical Pregnancies, anyone seen a GP?

63 replies

Moominmiss · 11/06/2020 19:54

Hey everyone,

So I’m 37, ttc for 9 months now, about to start 10th cycle.

I had a mc at 9 weeks in January of this year, followed by a chemical in March, and have just experienced another chemical this month. So 3 early losses within the past 6 months.

It would seem getting pregnant isn’t so much of an issue as my body being able to keep hold of it.

I’ve got a telephone appointment with a dr next week but wondering if there are certain tests I need to be trying to push for?

I’m not going to be wanting to go down full on fertility treatment routes like ivf etc. Just wondering what they might suggest doing, or what I can suggest. Baring in mind they may not do anything as I already have children from a previous relationship.

So far my thinking is that it could be an egg quality issue, low progesterone, or perhaps a rubbish lining (I’ve had previous c sections so scar tissue could be a problem). What else could be causing the pregnancy not to stick other than just bad luck?

I want to have my appointment armed with as much knowledge as possible.

Thanks 😊

OP posts:
NoCallerID · 01/03/2021 11:06

@MgW1 have they referred you locally or to Tommy's? Ok with Tommy's and it seems phone appointments are picking up again and it's approx 8 weeks from referral to the consultation. I had my bloods taken the next day. (But I'm local to the clinic so could organise myself quickly.)

It's completely up to and whether you could go through another potential loss. We were at the point where we said we've got nothing to lose in trying again whilst we are waiting to see what the tests come back with.... It's all been a long process for us but we're very positive to have found the cause, hopefully resolved it and are excited to start trying again.

MgW1 · 01/03/2021 10:51

@NoCallerID
Yes i have had 3 and been referred. We dont know whether to give it 3 months now and has another try or wait to be seen .... G.P had no idea how long the wait time is.

NoCallerID · 01/03/2021 10:33

@MgW1 not sure on the original thread but have you been referred to a recurrent miscarriage clinic yet? You do qualify with 2/3 losses and a RMC can run more tests than a GP so if I was you this would be my next step.

MgW1 · 27/02/2021 14:49

@Moominmiss
I know this is an old thread but wondered how you got on with things? Im 37 and had 3 mc's in a row too.

Diorissimo1985 · 14/06/2020 22:34

Thanks @2020wish 💕

2020wish · 14/06/2020 09:29

@Diorissimo1985 it’s all so stressful isn’t it? Being able to conceive easily but not keeping it :( hope you get answers at your appt tomorrow

Diorissimo1985 · 13/06/2020 16:44

Hi ladies, really interesting reading through all the posts here. I’m in a similar situation with consecutive early miscarriages - no problem conceiving but can’t hang on to them. My GP thinks there might be an autoimmune issue as I had rheumatoid arthritis. Some googling suggests a link with natural killer cells so I’m freaking out a bit.
I am seeing gynaecologist on Monday so I will ask about all these tests and if aspirin would be a good idea next time.
Fx for all of you Flowers

2020wish · 12/06/2020 17:42

Ok thank you :)

LisaSimpsonsbff · 12/06/2020 17:25

No, that was just what they had in Tesco the other day. I don't still have the letter to double-check but I'm sure the doctor didn't specify either way when I was told to take it.

2020wish · 12/06/2020 17:24

@lisasimpsonsbff does it have to be dispersible? I only have normal ones

LisaSimpsonsbff · 12/06/2020 17:20

By the way, when I said 'my local recurrent miscarriage clinic' it was just the gynecology department at my local hospital where the tests were run. I remember being worried that it would be upsettingly fully of pregnant women but it turned out that gynaecology and obstetrics were totally separated in the hospital so it was nowhere near the antenatal clinics. They were going to refer me on the specialist clinic at St Mary's in London if I had a fourth loss - and as I mentioned upthread I referred myself to the Tommy's clinic at Coventry where I had extra tests done

LisaSimpsonsbff · 12/06/2020 17:17

This is what the low dose looks like (and what it is officially for, if you can make it out on the back). The 300mg is for pain relief - 75mg wouldn't do much if you had a headache - though not many people seem to take aspirin rather than paracetamol or ibuprofen any more.

I was asked what it was for literally every time I bought it, though perhaps that was unlucky! DH wasn't.

I was told to take it from a positive pregnancy test and that's what I did. I remember that someone on the MN TTC after recurrent miscarriage thread I was on (I don't know whether that's still going but it was such a huge support for me at the time) took it all the time, on her doctor's advice, but stopped not because it did any harm but because it made her periods worse, I think because it's a blood thinner.

Recurrent Chemical Pregnancies, anyone seen a GP?
Recurrent Chemical Pregnancies, anyone seen a GP?
CurbsideProphet · 12/06/2020 13:17

@Moominmiss I'm sorry about your miscarriages. I've had 2 very early losses (under 5 weeks). My GP has said that after 1 more loss she will be able to refer me to the recurrent miscarriage clinic. Hoping I don't get to that stage, but at least I know what will happen.

2020wish · 12/06/2020 11:15

Btw I got my antiphospolipid blood tests done today! Just back after requesting it yesterday so I’ll get my results on monday. I’ve started taking aspirin today tho

2020wish · 12/06/2020 11:14

I would ask your doctor to refer you and then ask them where is it based just for your own information. As far as the aspirin goes I still believe you can purchase the 75mg in the likes of boots or Superdrug. But yes if you are going to a chemist if they ask what it’s for just say for your dad. I doubt this will ask tho unless you look obviously pregnant. I wouldn’t take it throughout your cycle, maybe just a few days after ovulation or around the time you would expect an early positive test. Then stop taking it if your tests are definitely negative when AF is due

Moominmiss · 12/06/2020 10:46

@2020wish thank you, all that information is really helpful. I feel like If I can have my appointment armed with As much knowledge as possible then I stand the best chance of being taken seriously.

How can you find out where your nearest recurrent miscarriage clinic is? I will make sure to ask to be referred and for tests in the wait time.

@LisaSimpsonsbff so what is the normal aspirin you can just walk in and buy? Some I’ve seen in tescos are like 300mg tablets, which would be too difficult to try and split down to 75mg. So from what you’ve said you can buy 75mg tablets but they don’t like giving them out? If I asked for them I’m assuming they’re likely to ask why I want those specifically? And I guess if I said it was because I’m trying to get pregnant they wouldn’t give them. I could try saying they’re for my dad who I shop for.

I know you aren’t going to advise to take them or not, and I understand and appreciate that. I will most likely wait to speak with my doctor next week before making a decision but it’s so good to feel I know more now than I did.

If I am going to take it I guess I need to decide at what point do I start. Do I take it only once I know I’ve ovulated, or throughout my whole cycle. It helps blood flow to the uterus in theory making for a better lining, so that would suggest you need to be taking it in advance of ovulating so that the lining is ready and waiting for an egg?

OP posts:
2020wish · 12/06/2020 09:35

@LisaSimpsonsbff I know it was 75mg. I can’t 100% advise 150mg but that’s just what I’ve been told on this forum plus a uk Facebook one by ladies being prescribed it at present x

2020wish · 12/06/2020 09:33

@semele5069 like you I can’t advise fully myself as I’m taking it on my own accord until I get seen at the RMC clinic. But other ladies that have had it prescribed in the uk this year have told me it’s now 150mg per day and I’m getting a mix of info on starting is after ovulation or on day of pregnancy test. I don’t see any harm many starting it a few days before a possible pregnancy test but I can’t comment further. My doctor is aware I’m taking it and advised she does know it’s known to work and is a treatment but that she can’t prescribe it herself until my bloods come back

LisaSimpsonsbff · 12/06/2020 09:09

I was told to take 75mg and that's what I'm taking this time - but maybe this has changed in three years?

It's behind the counter, normally, and they won't sell it to you if you tell them you're pregnant - I had a letter from the consultant that I showed them so they would. This time I just sent DH to get it and no one asked him any questions (again, I am not recommending this)

Semele5069 · 12/06/2020 09:06

Oh @LisaSimpsonsbff you've just answered the question I posted at the same time! What dose were you advised?

Semele5069 · 12/06/2020 09:04

@2020wish That's interesting about the dosage guidance for aspirin increasing. I had a search for the 75mg ones and couldn't find them anywhere!

Do you just start it when pregnant and keep going till the first trimester now over?

LisaSimpsonsbff · 12/06/2020 08:58

On the aspirin thing - they did prescribe it to me even though I didn't have any signs of a blood clotting problem (and I don't think that's uncommon) obviously they had seen my test results, my general history and health so I guess could also make a judgement on whether there was any reason aspirin would be a bad idea for me, so I don't feel comfortable telling you it's definitely fine because they gave it to me if that makes sense? I am taking it of my own accord in this pregnancy (the direction I was given was to start taking it from a positive pregnancy test) but I guess I feel a bit more confident doing that because I have previously been told to take it, albeit three years ago.

2020wish · 12/06/2020 07:54

If you are in the uk then yes you have every right. You need to tell them you have had 3 recurring pregnancy loses and you want referred to the recurrent miscarriage clinic (not a fertility clinic as you have no issue falling pregnant ) and you want the blood tests done through your GP while you wait on your referral. Because you have had 3 losses in a row you are entitled and fit the guidelines . If your doctor tries to fob you off with them being chemical pregnancies then tell them the current guidelines and Tommy’s recurrent miscarriage association advises that they are seen as losses. You can search Tommy’s on google(I believe they are the top RM charity in midland uk) You shouldn’t have a problem having the tests done. Guidelines also state that to get tested for the anti phospoliqid blood tests you need to have 3 recurrent loses which you have. Plus because you are over 35 then that is also a factor for your doctor to have you referred. This has all been nerve wrecking for me also so I feel your anxiety when pushing a doctor but you shouldn’t have a problem getting the care you need x

Moominmiss · 12/06/2020 07:41

@Livingmagicallyagain that’s interesting. Did you have any symptoms of a thyroid issue before having the tests done? Or were they just done as standard and then the results came as a surprise?

@2020wish that’s what I worry about, having to push for tests etc. How do you even go about pushing for things? Like if I talk to the doctor and explain I feel something isn’t right do I have to literally come out and ask for certain tests to be carried out? Do I even have the right to ask for tests to be carried out? If they say no then what? Is it literally game over? Other than going privately?

Hmm, I might try to do some research into the aspirin thing then.

Thank you both!

OP posts:
2020wish · 12/06/2020 07:11

@Mooninmiss tbh I had to push my doctors a bit after the 3rd. And then for blood clotting test I had to make them aware I wanted it done and they agreed they would as it is a standard test once you get referred to the recurrent miscarriage clinic. So just be a bit pushy.

Low dose aspirin dosage I believe depends on where you are based. US is 81mg per day after ovulation until about 37 weeks. The uk was originally 75mg but I hear that the guidelines have increased it to 150mg per day for recurrent miscarriage

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