Looking for Answers for Four Miscarriages in 15 Months
Question
I am 29 years old and have had four miscarriages. I first got pregnant right off of the pill and carried until week 13.5 in April. In September I was pregnant again, on baby aspirin, and m/c at 7.5 weeks. In December I was pregnant again and m/c at five weeks. Then I had an hsg and everything was normal. All the babies were normal. I have seen a specialist who did every blood test including fasting insulin, thyroid, lupus, antiphospolid, etc. and I am normal. The specialist then put me on estridol and progesterone right when I ovulated and I was monitered the first week of pregnancy in June. I m/c again at 7.5 weeks in July.
Each time I miscarried I had a D&C. Why did I carry the first one so much longer than the other three? Was it due to coming off of birth control? Could I have a scarred uterus? The Dr. wants me on Heparin next time. Your suggestions and thoughts would be most appreciated.
Keri
Answer
Last Updated: January 18, 2022
It sounds like you have had a relatively complete evaluation. Heparin would be used if your doctor suspected the antiphospholipid syndrome.
In general, the antiphospholipid syndrome causes miscarriage after ten weeks of gestation. This and the fact that your blood tests are negative make it less likely a diagnosis in your case. It is important to note that the blood tests can be normal when a woman is not pregnant and be abnormal when she is pregnant.
I think you need further evaluation. You should see a doctor familiar with NaProTechnology. This provider can do a full cycle hormone evaluation. It may be that you have a luteal phase progesterone defect that could be treated before you conceive the next time. See www.naprotechnology.com for more information.
Another thing you might consider if you miscarry again is to avoid a D&C. Multiple D&Cs can lead to cervical damage which can lead to preterm births in subsequent pregnancies. Alternatives to D&C are expectant management and medical management with misoprostol.
Wishing you the best,
George Delgado, M.D., F.A.A.F.P. Culture of Life Family Health Care
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