Dr Shehata advice

[Wolfemum]

Hello, I am currently experiencing my 3rd consecutive miscarriage and my 2nd MMC. I have been told I will now be referred to the RMC unit but due to my age (42) i think I need to go privately and I was wondering what your opinions are on Dr Shehata? I've heard he has a brilliant reputation but is quite focused on NK cells and less on other things. Can anyone share their thoughts, opinions experiences?
My first pregnancy was healthy and resulted in my 6 year old boy but the last 2 MMC we saw a heartbeat at 6 weeks but then no growth or heartbeat at 7/8 weeks.
Many thanks for reading

@MeganBistram I am feeling ok. I dont know where this anxiety comes from. Sometimes I question whether or not I am still pregnant. It scares me thinking about missed miscarriages. The lack of symptoms is not helping. I know I should not and just relax but I keep questioning my luck. What if the baby is not ok and I won't know until my next scan. I know it's crazy to even think about going to epu without any real concerns than just anxiety. I thought I was doing ok but all these thoughts come out of nowhere.

@whatsgoingon22 I hope you are well hun and your scan goes well today. Thinking of you xx. I hope they manage to do something about the spottings/bleeding also. I am sure it is nothing to worry about but it causes so much stress every time it appears

@KatyTTC @Hope646 @JandL2020 and @MeganBistram thank you all for your positive vibes and cheering me on even when I was doubting everything 🙈super happy to report that everything was good today at the scan ❤️🙏🏻couldn’t quite believe it😃- I honestly think I go through each of these weeks in a mix of shock and anxiety!!! Bubs was facing towards my back and being a bit stubborn so couldn’t get a full view but measurements and heart beat were all good and risk factors were low and surprisingly my Papp-A was fine this time 😃they can still see the clot, and I think it’s got bigger by the measurements but still considered ‘small’. Don’t find the nhs scans as thorough as CRP so I will ask lots of questions when I go there on Monday! Have caught up a day also. Not planning on telling anyone for a while still as just really struggle with telling people and then taking it back like has has happened so many times in the past. @MeganBistram how the hell did you do 4 weeks without a scan for this next stage? 😨🙈

love to you all and hope you’re all doing okay and have a nice weekend ❤️❤️what a week it’s been xxx

@whatsgoingon22 amazing news. Sorry the clot is still there…maybe crp may put you on fragmin if you are not on that already? I’ve not had an nhs scan yet but found scan at crp very personal and thorough. You get what you pay for basically 🤣
I don’t blame you for not wanting to tell anyone yet. I don’t want to until I’m 20 weeks although mindful I will obviously show before this and everyone at work will guess. I don’t plan to tell my sister until I’m 20 weeks as our relationship has been strained although I suspect my mum will just tell her. Anyway getting too far ahead of myself!! Xx

@whatsgoingon22 amazing news :) the CRP ones are really thorough until after the 12 week one.. then they are just a quick oh yes all good and off you pop and here’s the £280 bill haha. I guess once they deem you out of the “danger zone” they are not so detailed.

Honestly the only way has been the Doppler.. every couple of days I check the heart beat and it keeps the anxiety at bay.

I am telling work and friends next week. My family I told at 13 weeks and we didn’t tell a sole before then. I would say I could disguise mine so far except for the size of my boobs and when I was on steroids the size of my face haha.

I like you couldnt deal with retracting it if things went wrong again.

xx

@whatsgoingon22 thats amazing news. Soo happy for you. It must be a big relief. Are you still taking the aspirin? After the clot that I bled earlier this week, spotting has stopped for the last 2 days. So hopefully yours will be out too. But I am so happy the baby is doing well.
how is the pregnancy symptoms for you? For me sometimes I feel breast pain.. sometimes nothing at all. It worries me so much. There is really no symptoms except bloating that everyone is noticing and wondering what’s going on.

@Hope646 that’s good news the bleed/spotting has stopped now. I’ve really been taking it easy apart from one long dog walk in the mornings. And enjoying zoe Coates pregnancy after loss book, it is more of a journal but she touches upon pregnancy symptoms and that they come and go and that every pregnancy is different. I had strong symptoms a few days ago but felt fine yesterday and got in a bit of a panic, but her advice is helping me stay calm. I also have a massive bloat. I think I look pregnant already although I am a big girl anyway (14 stone size 16 but everyone says I don’t look it cos I have a tiny waist but I carry it all on my legs hips and now lot of my belly) xx

Morning ladies xx thanks for the love @Hope646 @MeganBistram and @JandL2020
I’ve had some red bleeding this morning 😩out of nowhere, went to toilet first thing nothing -an hour later, wiped red. Had a smaller amount on the third trip. Have a little bit of back pain and back in bed lying down now. Trying not to panic and just hoping it’s that clot only ❤️🙏🏻. I have a scan again the morning but seriously if I didn’t have that I think I’d be freaking out even more. I’ve had spotting/bleeding since 6weeks 😩
@Hope646 i do think the drugs mask the symptoms. I had nausea for about 2weeks only, bloat is ridiculous, boobs are a little sore but don’t seem to have gotten that much bigger. Tiredness was the main thing I had up until the last few days. I haven’t gone back on the aspirin since I came off at 6 weeks.
does anyone know if the progesterone only causes spotting/bleeding if it’s inserted vaginally or can it still cause bleeding if inserted rectally?
@JandL2020 whats fragmin for again? Sorry the relationship with your sister is strained😔that doesn’t help when you could do with support.
@MeganBistram did you have Dr Ganapathy for the 12week crp? What was he like? Feeling nervous again now after this morning 😩

xxx

@whatsgoingon22 oh no 😩 I really hope everything is okay on scan tomorrow and it’s just that collection. Fragmin is to prevent blood clots and increase blood flow (so similar to aspirin - it’s included in the complex plan at crp and pretty standard in ivf although I have no blood clotting issues. I’ve not gone back on aspirin yet. I’m a bit afraid too as I’ve had no more spotting but it’s not even a week yet since I stopped it. I’ll speak to ivf clinic on Tuesday for advice. Feels like a lifetime until my next scan at crp. My mum asked me when I was going to tell my sister when I was pregnant. I made it clear I was going to be the one to tell her.
the pessaries would only cause irritation to cervix if inserted Vaginally. However hormonal changes caused my progesterone etc can also the blood vessels to burst. That’s what I think happened in my case.I’m going to ask ivf clinic to check my progesterone on Tuesday. Hopefully they will not object. I know they think I am OTT and probably can’t wait to see back of me. Is dr ganapathy the ivf doctor? I think I have a scan with him next time. I really liked dr edge.
I was off out for a roast dinner this afternoon with some friends but had to cancel cos the weather. So now off to another pub that doesn’t just serve roast dinner.
I really want a prawn mayo salad…I can eat that right???
xx

@whatsgoingon22 arghhh that’s stressful. I had similar cases few times and I panicked a lot and it turned out to be nothing. After red bleeding, the clot was out next day and since then spotting has reduced a lot. How are you feeling now? I hope it has stopped. With me, after seeing the blood I feel the pain straightaway. Sometimes I question it whether I would have actually felt anything if I didn’t see the blood. Well done for taking a rest and it’s great you have your scan is tomorrow. I have got everything crossed for you. Relax as much as you can and I am praying everything goes well for you ❤️❤️❤️

@JandL2020 girl I have stopped looking at myself in the mirror and when I do I realise how much my eyebrows and facial hair have grown and how much I need self care but I don’t notice it because I really don’t look at myself anymore. My face has gone so puffy. Ahh that sounds like a good read and something that helps our state of mind right now. I might get it. Hope you are doing well ❤️ prawn salad mayo sounds soo good for this weather. But double check. From what I have read, prawns needs to be well cooked.

@Hope646 i ended up having fish finger baguette with chips, shared starter with bread and olives and a had a bit of my friends ice cream and cheesecake. Feel so bloated it’s ridiculous. Obviously can’t eat too much on this progesterone it’s harder on digestion and it’s literally just sitting on my stomach now. I feel disgusting 😂 xx

@whatsgoingon22 wishing you all the good luck today darling. Blood is always going to be a trigger, everytime I think I am good I get a cramp or pain and boom I’m back to square one. Yes with the fetal medicine doctor G. He is nice, quiet about the baby and scan rather than being so bedside manner driven. Don’t get many nice pics with him haha.

@JandL2020 i find so dependable on what I eat.. some days I have no bloating and then I will eat something and feel 9 months pregnant. Since stopping all the drugs I have remained the same weight since week 12 to now which is more like my last pregnancy and still manage runs (only 3k lol)

@Hope646 when is your scan this week lovely? Xx

@MeganBistram thats really good. I feel a bit better this morning. Plan to eat healthy today, I can feel my diet getting out of control I really need to do a proper food shop. My other half did nothing all day yesterday could have at least done some shopping whilst I was out. Grr
I’m definitely going to scan on my own tomorrow now…it’s a firm “no I’m not coming” from OH
@whatsgoingon22 best of luck today ❤️❤️❤️

@whatsgoingon22 good luck today. Thinking of you so much ❤️. Xxx

@Lara8 how are you? My test was negative too 😔 xxx

@MeganBistram it's this Friday. I honestly feel really nervous and scared every moment especially with lack of symptoms. Been having dreams about other people's babies and me bleeding.
Wow!! welldone for keeping up with the workout. I feel so lost. Everything I eat, I feel so bloated. Really need to improve my diet.

@JandL2020 that sounds like a lovely treat especially the cheesecake. I do like more bread, chips and olives even though bread gives me more heartburn and makes me bloated. Good luck for your scan tomorrow. I am sure everything will well. Keep us posted xx

@whatsgoingon22 I hope you are well lovely and the scan went well. Been thinking of you so much today xx

@KatyTTC sorry to hear about the negative. What day are you PO? Was this your first month on SO?

@Hope646 this is my 2nd month on SO. I’m on day 13 now I think. I think im
due on tomorrow so i might test again if it doesn’t arrive but I’m feeling v bloated and a bit crampy so I think it will. Tomorrow is our wedding anniversary… great timing 😂🙈!! Xxx

@Hope646 Thinking of you so much this week leading up to Friday. Hoping you
can keep distracted as much as poss.

@JandL2020 sending you all the luck for tomorrow.

@whatsgoingon22 also thinking of you so much today. Xxx

Hey ladies! How are you all doing today? Hope you’re all okay and well as can be ❤️

Had my Crp scan today with Dr Ganapathy, he is reallllly nice and appeared very knowledgeable. Thankfully little buddy is doing good even after yesterday’s scare ❤️🙏🏻. He couldn’t see the haematoma so maybe that was it coming out yesterday, let’s see I guess. He was happy with everything but he said to go on 150mg aspirin when the spotting stops (due to slightly increased risk of pre-eclampsia)(interesting as Nhs scan didn’t pick that up!) and told me to come off the nifedipine now. I am still in shock. This has not hit me at all, I’m literally living minute by minute, hour by hour and the thought of this actually being a reality is so alien to me that I can’t quite believe it 🙈next scan is 3 weeks time!

@MeganBistram oh dammit I hadn’t seen your message until now so thank you but I’m glad you also thought Dr G was nice! He had to say to me ‘this is good news’ twice 😂because I was in shock 🙈well done on the workouts that’s impressive. Some days like yesterday I am a couch potato and others I’m happy to get up and out for long dog walks!

@KatyTTC thank you for your message and for thinking of me in the middle of all you’re going through - you’re very kind. I pray that next month things will go your way. Don’t give up lovely❤️😘

@JandL2020 thank you and all the best for tomorrow too darling. I see lots of people going to the scans on their own at Crp and I’m sure all will be well tomorrow ❤️ate badly this weekend too, sometimes the steroids really do make me eat like a cave woman!

@Hope646 I’m the same re: diet,some good days some bad. Bloat doesn’t appear quite as bad in the last two weeks but still has its moments. Please don’t panic about the dreams! I’ve looked into this cos mine are super vivid!! Apparently we’re more likely to recall dreams when pregnant and women who have bad dreams/nightmares are less likely to have postnatal depression apparently!!!!!! I read this yesterday as I had a paranormal activity dream and woke up screaming!!
so glad you mentioned about the facial hair 🙈tweezers has never seen so much action.

love and thanks to you all for your support! Only person I’ve told is the psychic I went to see in June who told me I’d text her with good news in September!!!!! Crazy I know! ❤️

@whatsgoingon22 fantastic news. Did he say why you are increased risk of pre-eclampsia? You’ve reminded me that I need to re start aspirin but I need to check first with the nurses. That is so spooky. My friend went to one a few years ago and she said that my friend has a friend who was struggling to get into pregnant but that my time will come.. I thought that was weird! ❤️
@Hope646 thanks hun. Got everything crossed for your scan on Friday. ❤️
@KatyTTC best of luck this month ❤️

xx

@whatsgoingon22 lovely to hear your scan went well. ❤️

@KatyTTC thanks for checking in. Sorry it wasn’t your month either. Let’s hope for this next cycle!! My period is late because of the drugs. 100% not pregnant and feel crampy so hopefully tomorrow! It’s nice to have a break from the steroids as they were making me anxious very hyper. My thoughts were faster and my heart faster. I felt wired and it impacted my sleep! Much more chilled now!

Hi ladies.
good news from scan. Heart beat again and measuring 134bpm so increase from last Thursday
I also thought there looked like clear growth with more defined image but nurse said was measuring 6 weeks 6 days…panic set in and I started crying as I should be 7 weeks 1/2 days She said don’t panic when it’s this early can be a few days behind/in front “it’s fine” She didn’t really take any measurements and didn’t seem as detailed as crp one. But the images were super clear which is lovely.
now I don’t know whether to beg midwife at booking appointment for a scan on 18th September, don’t know if I can wait until 10 days xx

Hi all, hope you are all doing well! Huge congrats on the wonderful scan updates @JandL2020 @MeganBistram @whatsgoingon22 @Hope646 , it's very exciting and encouraging to hear!

I've had a bit of a rough time the past few weeks from this chemical, which continued to be an emotional rollercoaster. As you might remember, CRP told me to stop taking the meds as my tests at 13DPO seemed far lighter than what you would expect. So I stopped but then didn't start my period so at 15DPO and 17DPO I tested again and the lines had got quite a lot darker. CRP then told me to start taking the meds again and asked if I could fly back from Italy for intralipids (!) which I wasn't able to. So then we had our hopes up, but at 20DPO the line had not progressed any further, and then started bleeding 3 days later (at 5 weeks 2 days pregnant). It was so typical that this happened for us during a holiday that we had booked to relax after all our fertility / miscarriage stresses this year!

Anyway after 9 days of bleeding it's finally stopped and I'm going to see Dr S tomorrow to review. I think he might put me on hydroxychloroquine which I'm not super keen about because you have to take it for 6 weeks before TTC again, and I've heard it involves major hair loss. Is anyone here on hydroxy and have you noticed those side effects?

Another potential option would be to increase my prednisolone from 15mg to 25mg and see if that makes a difference. We're also thinking of maybe trying IVF with genetic testing later in the year incase it's an issue with egg quality. @JandL2020 did you do genetic testing with your IVF round / has anyone else tried that for recurrent loss?

@KatyTTC and @Lara8 so sorry about your negative tests, it's so rough - the anxiety leading up to the testing and then the result making you feel so upset and demoralised. Hope you are doing okay, sending a big hug. Xx

@Lily1990 oh hun what an emotional rollercoaster. Encouraging line got darker but what an absolute headf**k…mine never got darker when I had a chemical. I can’t believe they wanted you to fly back from your holiday 😦
I hope your review appointment goes well tomorrow. I don’t think your meds appear to be optimised…and one thing that crp are not good at is testing progesterone levels either and the timing of taking progesterone.
also I would have your hcg levels done next time you fall pregnant and have it repeated 48 hours later and then test a third day. It takes some of the stress away from pregnancy tests. You can’t argue with a blood test. And it gives you reassurance either way regarding viability of a pregnancy. Again CRP don’t “offer” this and yet happily charge for an intralipid infusion…for me if I knew my pregnancy was non viable from the blood results I would have cancelled it.
im glad your bleeding has stopped now too. I think @MeganBistram is on that medication hopefully she’ll be able to shed some light.
my ivf round was in 2020 (I was 33 then with unexplained infertility) so we just did standard ivf and did not have genetic testing.
if this pregnancy ends in miscarriage again then I’ll know it’s something genetically wrong and we could then need to do a fresh round and we would have them all genetically tested.I’ll be 37 next year and other half 40 so at that age. I would recommend generic reading with ivf. In fact dr edge asked at my scan if we had them tested.
I didn’t have my frozen ones tested I was offered but thought it was too risky to thaw re freeze etc and even ones that come back normal can still miscarry.
sometimes it just comes down to luck with ivf.we have not had a smooth journey although on paper we look “perfect”. I know other people on other mumsnet groups who have done genetic testing plus immune protocol and have been successful after recurrent ivf attempts/miscarriage.
all the best tomorrow xx

@Lily1990 what an absolute head fuck. Deffo sounds more like a “miscarriage” than a chemical as I don't think chemicals get darker?
I am hydroxy and have been since Feb I seriously don’t think I have had a single side effect from them.. I really hated the steroids and the progesterone just made bloated and my boobs enormous so out of all of them if you can do such a thing as recommend a drug., I would go with hydroxy :)

@whatsgoingon22 amazing news on the scan.. I know it’s a big milestone for you over the 13 week point so try and keep positive and yes 3 weeks is hard.. and not made easier by symptoms starting to drop.. however you just have to keep telling yourself there is nothing to say this baby is not ok and if you need a top up scan then go for a private in between ❤️

@Hope646 best of luck for Friday

@JandL2020 amazing news there was a heartbeat.. I would not be worried about the measurement as it’s literally mm at this stage and varies so much depending on the scanner xx

@MeganBistram thank you. That’s what I keep telling myself. Now to keep my positive pants on 🩲

@whatsgoingon22 @JandL2020 such incredible news!! Huge congratulations to you both. Im so happy it was all positive.

@Lily1990 i just can’t bear the fact you had to go through this and on your holiday.
Im so sorry. I wonder what the clinic will suggest. When are you going on? Sending you a huge hug and lots of love. You poor thing 😢.

@Lara8 im exactly the same on the steroids. Totally hyper all the time,
anxious and stressed about the most ridiculous things and a jittery mess. I take phenergan when I’m on them for sleep and that sorts it out. CRP approved. You can buy it over the counter. It’s an antihistamine that makes you very drowsy hence why they don’t usually prescribe it for hayfever etc!! I take it at 8pm and by 9:30/10 I can’t keep
my eyes open! Brilliant stuff!! Xxx