Assisted conception after recurrent miscarriage part 6

[Arianrhod]

Part 5 here : www.mumsnet.com/Talk/infertility/a1852840-Assisted-conception-after-recurrent-miscarriage-part-5

Brown I read somewhere (can't remember where, sorry) that letrozole is helpfull for ladies with endometriosis. No idea why

Brown that's fascinating - and encouraging. Thanks for passing that on. Hope you are feeling OK. One more day lay less till your scan.

Thanks village. Only 5 days to go. How are you doing?
There's a new book out on Amazon, It Starts with the Egg, with all the latest research on egg quality. I don't know whether it's an error, but you seem to be able to read most, if not all, of the pdf.
www.amazon.co.uk/It-Starts-Egg-Naturally-Miscarriage/dp/0991126904
Most of it we know already, by the look of it, but it has reminded me of the need to avoid BPA and also to take myo-inositol in future.

Ari, where do you get your myo-inositol and are they vegetarian?

brown I don't take myo-inositol; after much research way back when I decided it wasn't relevant for me. Lots of luck for your scan!

village So sorry to hear of your chemical, but fingers crossed that you find that elusive good egg very soon now!!

/waves to everyone, caught up in conf calls today so reading and running.

brown what's BPA? I'll certainly take a look... Awful day. Painters are in, stripping and painting our windows, carpenter is putting in a new back door; got DS to school this morning and must now take DD to nursery; have to be cheery and efficient and jolly everyone along and all I want to do is cry.

Thanks, Ari. Yes, I wonder whether it is relevant for me too. On one hand it's meant to be good for egg quality, but on the other it's particularly good for ladies with PCOS, and helps to reduce the various androgens, etc, but I wonder that would be working in the opposite direction to the one I want, seeing as I want DHEA to increase them (to a degree). I've just ordered some anyway. That's how much faith I have in my scan next week!
I know, Village. It's amazing how a few days ago I could look at baby-related paraphenalia with pleasure and now just the usual bitter-sweetness!
BPA is bisphenol A, found in clear plastics and tins, polishes, white fillings, etc. It's an endocrine disruptor and is almost certainly causing infertility and miscarriages in the modern world. It's the thing they removed from babies' bottles a few years ago. The difficulty is, how to avoid it! Apparently if a plastic carton has a recycling number of 7 on the bottom, it's almost certainly BPA. You can get BPA-free drinking bottles but often they have other endocrine-disrupting chemicals instead!

Drink tea, lots of tea - no BPA then :)

hugs village, we all know exactly how you feel and sympathise hugely. It always pd me off after a miscarriage when my OH would say "well you're just so strong" and I'd think, well how else can you bl*dy be, I've got a DD to get to school, take places, see to etc, and work day-in, day-out. No opportunity to just hide under the duvet and fall apart, which is what you'd really like to do. And because you do just keep on going - because you have to - everyone says how marvellously strong you are. It's not strength, it's necessity!

Ah brown, it will work in a reverse-psychological fashion then ... because you've ordered it, so now you won't need it!

Hello everyone,
I am considering getting a flu vaccine this year. Did anyone have it when TTC or in early pregnancy? Is it safe?
Brown take inositol - started about 4 weeks ago. I don't have PCOS but was told that it can help with egg quality/insulin resistance ( and if I lost some weight while taking it I wouldn't mind either) they put it in pregnacare conceive so can't do any harm. The stuff I am taking has 2grams a day (one dose in sachets which need to be dissolved in water, tastes quite OK actually)

I was thinking of having a flu jab at a walk-in clinic on 11th. I was going to investigate the pros and cons/safety too but haven't got round to it yet. I'd be happier getting it done before getting pregnant than while pregnant to be honest, although I don't know how easily they'll give you one if you're not in an at-risk group. I do always worry about getting ill while pregnant so I think it would be a good idea to have it done beforehand.
I just think that inositol is the one thing I haven't tried yet. Always on the hunt for a magic bullet!

Brown I will let you know how it is going with that inositol. From what you read how much are you supposed to take? And are you supposed to carry on with it once pregnant? When I started it last cycle I was just ovulating so didn't see any difference. This cycle though I feel like I am going to pop at least duck's egg! And am only on day 11 and still only 1 line on ovulation test. Feel like if I was doing DIY SO this month.
Re the flu vaccine the GP was happy to give it to me last Fri but as I just had intralipids for the first time I didn't want to have the vaccine at the same time. I think he agreed to it as he was looking at my treatment plan and saw steroids/intralipids on it which suppress immune system so that kind of put me in at-risk group.

That sounds excellent, Nanny! I just want to hurry up and get this over with now and start again. Only 4 days to go. I'm kind of hoping it will happen naturally. I didn't use Cyclogest last night in the hope that that might bring it on. My reasoning being that if it were a healthy prgnancy I wouldn't really need it but if not it's just delaying things.

brown careful - even natural pregnancies sometimes need extra progesterone, especially in those of us who are a bit older (that's me, really, not you!) since that's one of the things that decline as you get a bit older. I wouldn't stop the cyclogest until you know for sure it's not viable - what makes you think this one isn't, by the way??

Because I know exactly when I ovulated and so being 4 days behind on the scan isn't good. I had a heart beat with my DS at 5+6 but there was only a gestational sac this time. Tests are lighter, I don't feel as tired. (Except for being up at 4.45 again, that is.)
Also, the numbers don't add up. At 5 weeks I had 3+ on the Clear Blue. That means hCG of over 2000. The yolk sac should apear by 4000-7000 and a heart beat by 10000. By 5+6 at least the yolk sac should have been visible, if not the heart beat.

But I may well pop in a Cyclogest now, thanks ...

brown does it really matter if it delays things by a few days if its not viable. You are still pupo - I was convinced I would miscarry with this pregnancy and I was wrong. You would kick yourself if you stopped the cyclogest and the scan showed a viable pregnancy.

Thanks ladies for all your kind words. Feeling surprisingly ok again today, and just waiting for bleeding to start.

Brown you are in my thoughts. I wouldn't give up on this one yet, based on a single scan!! There is just no way of knowing till Monday and it's still entirely feasible that all is well! I'm so hoping it will be. xx

Thank you all for talking some sense into me. I will continue with the treatment. I did another Clear Blue which still says 3+. I expected it to say 1-2 or 2-3 now so that's as good as it can get currently.
Nanny, the myoinositol I ordered says 750mg. I won't take them while pupo though. They are part of my recovery plan for when I hear bad news on Monday. That and a crate of wine. Talking of which, I weighed myself today and I've lost 3lb since being pregnant - despite the steroids. Probably more to do with the wine I'm not imbibing nightly. And the tedious gluten-free diet.
Village, hopefully you will have rebound fertility the cycle after this pregnancy. And absolutely devastating though it is, I still always think of a cycle where I conceived as better than one where I didn't - just that little bit closer, and reassuring to know that things still work. How has your DH been about it?
How are you, Sue and Ari?

brown now step away from the tests!! :)

Well my consultant says she feels we should deliver by c-section, which is what I was expecting her to say, so that's booked for 17th Nov when I'll be 38 weeks. She wanted to do it a week earlier, I asked if we could wait a week, I just don't feel happy at them being born at 37 weeks. She agreed but said I have to go in for monitoring every couple of days between 37 and 38 weeks. Nice way to spend your annual leave!!

Yes, it's tricky, isn't it? Are they both of a good size? My DS was born at 38 and he was quite small and I always wish I could have baked him a little longer, but on the other hand you don't want to risk things getting a bit squashed in there.

They're 4lb 4oz each at 31+4, which according to a chart I've seen is slightly big for their dates. The sonographer told me on average they put on half a pound a week ... god I hope not, if that's true then they'll both be over 7lb when they're born! I assume growth slows down as space gets increasingly tight in there ...

Good job you're having a caesarian then, is all I can say! :)

You're not wrong there brown!

I am banging my head against a brick wall here ... would anyone mind my having a quick rant about my OH? Ok, so here we are with just over 6 weeks to go, and in casual conversation I say to him that I just came across a website written by Dads of twins, for Dads of twins. I mention that I assume he (OH) has his own source(s) of info though, since he's not mentioned needing any. His reply? "oh, am I supposed to have info?". And he's not kidding - he apparently has not read anything, found out any information, knows basically nothing about what to do with one baby let alone two. Nothing. And thinks this is ok?

I just didn't know what to say, I thought he was kidding me but he assured me he wasn't.

Am I completely wrong to expect the father-to-be of two babies to actually want to know what to do with them??

Rant away. I think my OH would be the same; leave it until the last possible minute and get some golf in until labour actually begins, would be his motto. Although your OH may regret not using the leisure he has currently for perusing websites and any other form of useful preparatory behaviour.
Do you know anyone with twins? A friend of mine has two sets of non-identical twins, two girls then two boys, 2 years apart. She always tells me she coped very well with two at a time (assuming this isn't retrospective denial), which is good to know as she's as neurotic as they come. (And it takes one to know one, believe me.) Maybe she just didn't have time for worry.

Ari how fantastic to have a delivery date!

brown Monday is so close now - and I absolutely believe things could still be just fine. If it were me I would be apprehensive but hopeful.

I totally agree with you about conceiving being better than not conceiving at all. DH has been completely supportive as always. He will do, try or swallow anything to make this work. Like me he was heartbroken at this latest miscarriage. I keep wondering if these two chemicals were simply age-related chromosomal failures, or if I might have some scarring after all the ERPCs I've had which is making implantation difficult. When I conceived DD I'd only had 3 ERPCs, but I've had a further two since. A saline scan I had in October last year seemed to show that my uterus is in an OK state, but I'd like a second opinion. So - we've bitten the bullet and booked an appointment plus hysteroscopy at Serum for the end of this month. Ari, I know you've had a hysteroscopy there and that other ladies have too... Any tips on where to stay or what to expect - any tips at all, in fact - would be HUGELY appreciated!!