Questions for OBGYN post MC, TTC for 1 year

posted 3 years ago in TTC
Post # 3
Hostess
3787 posts
Honey bee
  • Wedding: June 2011

I wish I could be more help, but it sounds like you’re off to a good start. Here’s a bump though!

Post # 4
Member
3718 posts
Sugar bee
  • Wedding: August 2013

How is your LP? Maybe ask for levels of progesterone and such?

Post # 6
Member
1238 posts
Bumble bee
  • Wedding: September 2011

@phoebephoebo: You might ask to have your thyroid level (TSH) checked. I recently found out that although my level is technically considered “normal” at 3.2, for getting pregnant my RE said it needs to be between 1 and 2. Any higher and it can be difficult to get/stay pregnant. So he put me on a low dose thyroid medication a couple of days ago and we will see if it helps me this cycle. Hopefully your levels are fine, but it might be good to make sure. GL hun!

Post # 8
Member
1849 posts
Buzzing bee
  • Wedding: August 2013 - backyard in the woods

I’d ask for an internal ultrasound to see if your anatomy looks okay. Based on your heavy, clotty, painful periods, endometriosis is a possibility. I’d personally suggest lap, they’re not that bad, but it’s your decision. With the ultrasound you may be able to determine suspected endometriosis, if it’s bad enough to have pulled your organs out of place, though with out a lap it’s not confirmable. You could also see other uterine abnormalities or cysts that may be issues. You could also test for antiphospholipid antibodies or NK (natural killer) cells, these are inflammatory  responses which may be present if you have endo or recurrent miscarriages.

 

Post # 10
Member
1691 posts
Bumble bee
  • Wedding: November 2013

@MrsMonty11:  +1. They checked my TSH and it was 2.88. I started synthroid and it was 1.something. I’m supposed to keep taking it indefinitely.

Post # 11
Member
1849 posts
Buzzing bee
  • Wedding: August 2013 - backyard in the woods

I think they would have seen any abnormalities when you were pregnant, but if they only zoomed in on the uterus they may have missed some? I’ve never been pregnant so I don’t know where they look in those ones. Mild to moderate endometriosis won’t show up on an ultrasound, and can still cause issues with conception (implantation issues). Good luck!

Post # 12
Member
1238 posts
Bumble bee
  • Wedding: September 2011

@phoebephoebo: Oh good, I’m glad you’re already aware. I think it sounds like a good idea to ask about upping the dose. I hope everything goes well with your appointment!

@GrannyPantiesRock: Do you mind if I ask how long it was between tests when your levels went down? And what dose of synthroid you’re on? I started taking mine 2 days ago and am curious as to how long it takes to go into affect.

Post # 13
Member
1691 posts
Bumble bee
  • Wedding: November 2013

@MrsMonty11:  My dose is 25 mcg, which is the smallest dose and the most common to start on. I was taking it for 2 weeks when I got my follow up blood draw. The test was actually ordered only 1 week after I started, but I didn’t get around to going. I think the effect of the drug is pretty instant.

Post # 14
Member
3378 posts
Sugar bee
  • Wedding: October 2010

I 2nd what Glasgowbound says about progesterone. It took me ages to get it checked (annoying drs), but once we did, we found it to be deficient despite beautiful looking LP’s on paper (14-15 days long) and it tends to tank during pregnancy for me as well. Even with a great looking LP, it’s worth checking! Oh and for what it’s worth, my progesterone is usually hovering around 0.41 prior to O. After, I pretty much consider anything over 1 to be an indication of O. With my current pregnancy, I did a prog test at what I believed to be 4dpo and got a result of 2.75. I still don’t know what my true O date was, but obviously I O’d even though it was a lot less than the 5 that they like to see.

MrsMonty11 makes a great point about thyroid. Definitely have that checked, but if you can get them to, have them also check for at least tpo antibodies and antithyroglobulin antibodies and maybe even free t3 and free t4. Everything I’ve heard recommends a level between 1-2 for ttc as well.

I think a lap is a great suggestion by Aqualov. I was also wondering about Endo though I’ve never had it myself. Having painful periods is often a sign of it. I’ve *heard* that u/s are not that great for showing it, but I suspect that it truly depends on how good of an u/s machine it is.

 

Post # 15
Member
1238 posts
Bumble bee
  • Wedding: September 2011

@GrannyPantiesRock: That is the dose that I’m on as well. I’m glad to hear that it starts to work so quickly. I will have my levels re-tested in 4 weeks, either when I get my BFP or before I start another round of Femara. Thanks for the info!

@phoebephoebo: Sorry to thread jack! You have gotten some really great advice here!

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