Testing for recurrent pregnancy loss?

posted 3 years ago in TTC
Post # 2
Member
755 posts
Busy bee
  • Wedding: August 2014

My understanding is that the saline sonogram does the same thing as the hsg? But I don’t know for sure. If so you might not need both. 

Regarding the tubes, it’s possible that one is blocked and causing problems. I had an hsg and was told I had a blocked tube and a hydrosalpinx (tube blocked at far end and filled with fluid) which could cause miscarriage due to fluid dripping back into the uterus. I had a repeat hsg (because the results were conflicting in different parts of the report and they wanted surgery, I wasn’t willing to do that without being sure) and they determined that I was fine (apparently sometimes the tubes can spasm and look blocked). Something like that could maybe form as scar tissue after pregnancy/a c section maybe?

Post # 4
Member
1078 posts
Bumble bee
  • Wedding: July 2016

Hi, im so sorry for your losses… a good friend was in a similar situation conceiving her 2nd and they went through the same testing as you outlined, and she conceived within the first cycle of fertility testing/monitoringher cycle with ultrasounds. They didnt find anything wrong, just really bad luck. She is tiny, and her first child was big, and her first delivery was traumatic. That is why they were concerned about something blocking the tubes.  Ive had a saline sonogram to diagnose a fibroid – could you see if that is an option before contrast dye/xray? I think radiation exposure is very low but I get your concern.

Post # 5
Member
218 posts
Helper bee
  • Wedding: October 2016

As i go through loss #5 this weekend, I can tell you what testing we’ve done recently. Saline ultrasound (no hsg, RE didn’t think both were necessary), AMH, FSH, antibodies for clotting factors and NK cells, environments including CO2, arsenic, heavy metals, karyotyping, vitamin levels, mthfr, and dna fragmentation for DH’s sperm. We were going to try a monitored cycle this cycle with hormone testing, femera, hcg trigger shot, hcg booster shot at 7dpo, progesterone, baby aspirin, and prednisone (😳). I’ve also had to add massive doses of B vitamins for some severe deficiencies. Unfortunately I got pregnant before we started the new protecol and lost that one this weekend as a chemical pregnancy at only 4.5 weeks. 

Post # 6
Member
199 posts
Blushing bee
  • Wedding: July 2019 - Vineyard in Italy

mandapanda1022 :  I totally second what you said. I do believe you need a prenatal genetic counseling session, the karyotyping should be ordered in that context and also your history/family history should be evaluated in that context to assess for need for potential additional testing. That is pretty much what I do for a living btw. If you need help with that feel free to PM me.

Post # 7
Member
199 posts
Blushing bee
  • Wedding: July 2019 - Vineyard in Italy

And yes, if the tubes were blocked you wouldn’t have losses after getting pregnant. You most likely would not conceive at all. 

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