Here We Go Again….Spotting and Cramping
Question
I’m 32 years old and appear to be having my fourth miscarriage in a row. I do have a three year old. With my first child my ob found low progesterone on a fluke and I was placed on Prometrium. Uneventful full term pregnancy.
I had my first miscarriage 14 months ago at nine weeks. Since I have had periods of between 30-34 days with spotting. LPD was not found on biopsy. Hysteroscopy was normal. I conceived on Clomid this month, the RE’s theory was to “build” a better egg. HCG and progesterone numbers were initially very good, and development of sack normal. Though here I am slightly over five weeks pregnant with spotting and mild cramping. I am getting very frustrated and will be taking a break from all this for a while but would like to have any other new suggestions on what to do or where to go next.
Thanks so much for your time.
Karen
Answer
Last Updated: March 12, 2024
Dear Karen,
You do not mention your studies of estrogen levels, thickness of your uterine lining, thyroid, chromosomes on the fetus, mycoplasma-ureaplasma studies, your weight and other hormonal studies. It is possible these factors played a role in your miscarriage, or your miscarriage may have been a random act.
Physicians trained at the Pope Paul VI institute would obtain at least three estrogen and progesterone levels in the luteal phase, as well as ultrasound measuring the uterine lining, to be sure the hormones in the latter part of your cycle were adequate. I would encourage you to seek care with a practitioner trained in this method.
Mary Davenport, M.D
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