Thursday, December 11, 2008

Clomid after recurrent pregnancy loss?

We've decided to keep trying to have a baby - or at least give it one more go. That's what feels right, mostly. There is certainly a part of me that says we should just call it a day, given that I have already given birth to four healthy children. But considering how much older H (17), J (13) and E (10) are, and the fact that they spend half their time with their father, giving up would mean that 16 month old C would mostly grow up in an only-child-like household. And while I have no issue with other parents who decide a singleton kid is the right choice for their own family, I don't want that for her. She already misses her big brothers and her sister when they are away every other week, and I know that will only become more pronounced as they get older.

Even before this last pregnancy ended in miscarriage, I'd been carefully charting my fertility for the past several years, using the great info in this book, and I've also been doing a lot of research into the causes of recurrent pregnancy loss. Many healthy women experience one or two miscarriages in their lives, and the reasons are random and generally unknown. But when someone miscarries over and over and over, as I have in recent years, there is generally a specific cause - or several specific causes - behind the problem.

After the first several losses, I had some genetic testing done, and it was discovered that I have a fairly common genetic thrombophilia condition that CAN be the cause of recurrent losses. Because of this condition, I am taking what my perinatologist believes are the appropriate preventive medications, but I want to have some discussion with him when we next see him in about 10 days about stepping up the medication protocol to the next level, something he told me I did NOT need to do in this past pregnancy.

But one other issue I've discovered in charting my fertility is that I likely have what is known as a luteal phase defect. This means that I ovulate less than 10 days before my next period starts, while an optimal cycle (for fertility purposes anyway) has ovulation occurring 14 days or more before the next cycle begins. During a cycle where that ovulation becomes a pregnancy, the short "luteal phase" makes for a less favorable hormonal environment for the pregnancy to progress. My doctor has been treating this by giving me progesterone supplements after pregnancy is confirmed, but some doctors feel like a better way to treat the issue is to use Clomid to stimulate ovulation earlier in the cycle in order to force a longer luteal phase.

So I am going to point this luteal phase issue out to my doctor, and I am going to ask him to prescribe Clomid. I am more than a little nervous about the higher risk of multiples with the use of Clomid, but I think it's a risk I'm willing to take at this point. I also know that for me, Clomid is as far as I am willing to go in the way of fertility treatments. If it works, great. If not, I'll be really disappointed, but I am at peace with the fact that you really don't always get everything you want in life just because you want it. I want to remain very conscious that I don't let this baby quest get in the way of enjoying what I am lucky enough to already have: children, husband, work, family, health... It has to remain secondary.

So we'll give this pregnancy thing at least one more try. Maybe two - max. And that's a scary thought. I know that if we manage to get knocked up again, this time I really won't tell anyone at all until I am at least five months pregnant (of course, by that time, it would be completely obvious to anyone with eyeballs). And I will have to assume a mindset that expects the pregnancy to end badly. That's the only way to handle it, I think, and it will be somewhat mentally torturous. But my heart tells me there is one more baby coming to our family.

I hope I am not just delusional ;-)

9 comments:

  1. How did you get on? xxxx

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  2. I had some problem with my first pregnancy, i wanted to be pregnant and have my first baby, buy my husband had erectil dysfunction problem, so we decided to buy viagra and after that he turned very strong and could get powerful erection after this medical treatment. Thank to this i have two litle and beautiful girls.

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  3. After my First child, I have had four miscarriage over the years, I never thought I will fine the cure, until I got a contact of a Doctor, I make him understand my problem, then he sent me the medication which I took, after one month, I became pregnant again, I had no miscarriage, and I gave birth to a lovely son, which my husband is proud of, My son is two years old now, and he is my joy after many years of childlessness.
    Any one with such Issues, can mail him on drsteve833@gmail.com, God has used him to solve my problem.

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  4. I havea Miscarriages over the years, and I have not been happy, I search for solution every where all to no avail, My condition became very complex to an extent of me having Miscarriage every five month. Until I got the contact of a doctor from the testimony of Others on the internet. I contacted him made him understand all I have passed through over the years, and he gave me his medication which I too for two month, and now am a mother of three month old Baby name John. If you have such problem, contact the doctor through his email at drsteve833@gmail.com
    Am happy now.

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  5. My wife have lost her pregnancy six times, before I found the solution from a Doctor who live in USA,
    She always get miscarriage any time she is four month pregnant, we have used different medication, but there was no solution, so I had to contact Dr Steve, and he sent me a herbal medication which my wife used for one month, and the next month she was pregnant again and she gave birth to a beautiful girl. am very happy to be a father, so I now believe there is a cure to miscarriage. and I promise DR Steve that I will help him promote his product once my wife can give birth. so any one with such issues can contact him on drsteve833@gmail.com

    ReplyDelete
  6. My wife have lost her pregnancy six times, before I found the solution from a Doctor who live in USA,
    She always get miscarriage any time she is four month pregnant, we have used different medication, but there was no solution, so I had to contact Dr Steve, and he sent me a herbal medication which my wife used for one month, and the next month she was pregnant again and she gave birth to a beautiful girl. am very happy to be a father, so I now believe there is a cure to miscarriage. and I promise DR Steve that I will help him promote his product once my wife can give birth. so any one with such issues can contact him on drsteve833@gmail.com

    ReplyDelete
  7. This testimony may help anyone who have also suffered from the issue of miscarriage, I have had three miscarriage over the years, after every 12 week I was also having fibroid which the doctor says was the cause of my miscarriages,the tumor makes my cervix to get weak which can not hold the pregnancy, After years of treatment, using numerous Western medicine without any improvement. I found a better medicine that work effectively in all cases of Fibroid, The medicine is liquid and herbal made. It melt down the tumors and does not have any negative effect, now am on my second pregnancy which is eight month, Do not be discourage, there is still hope. Contact Dr.Steve for an order drsteve833@gmail.com

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