In desperate need of advice

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In desperate need of advice

Postby m.r2014 » Tue Mar 25, 2014 7:32 pm

Hi ladies,
Any advice would be GREATLY appreciated!!!

Here is a little background....
In January my AF was 7 days late and was really clotty, so when I went for my annual physical I told the doctor about it. She said that it was a "spontaneous abortion" but I never got a positive HPT. On February 20th I got a positive HPT so I ran to the doctors and had them perform a pregnancy test. The 21st I woke up in excruciating pain and bleeding like crazy. When I went for the results 4 days later the beta was 26 so the doctor repeated the blood work and referred me to a fertility specialist for RPL (Recurrent Pregnancy Loss).
You would think that since it was a chemical there would not be much to worry about.... WRONG!
I bled for 22 days and my beta levels were as follows:
26 day of +
70 a week later
42 two weeks ago
19 last Thursday
4.84 today, which is "not pregnant" levels.

I had my fertility specialist appointment today, which was nothing like what I was expecting!! I was told it was just a "meet & greet". I am 25 years old and we have only been trying for 6 months. I had a pelvic ultrasound 2 weeks ago and there were no abnormalities.
We didn't even meet with the specialist. I have to complete testing before I can even see her.
Today, DH and I had to get blood done for Infectious Screening.
The following are the tests that they want me to do:
- Pelvic Ultrasound (AGAIN!)
- Saline Sonohysterogram (HSG was not required but was on the list)
- Cycle monitoring from CD2 until O
- Keryotype blood work
- Recurrent Pregnancy loss blood work (to check my clotting tendencies)
To top it off... We have to use condoms until May. Are you FREAKINGGGG kidding me?!?!?!? All because of 1 confirmed and 1 suspected miscarriage???? I really don't think I had a miscarriage in January, I genuinely believe that my AF was a week late and that is it! This seems too excessive to me. We have only been trying for 6 months. Obviously, I am completely torn at the moment. I want to make sure that everything is okay but at the same time I feel like this is jumping the gun.
DH does not want me to go through with this.
The family doctor gave us the go ahead to continue trying as soon as the hormone level is down. Now the fertility clinic is saying to stop until May when all the testing is completed.
I was completely flabbergasted when the first doctor started talking that I didn't get to ask any questions!! With the second doctor, I was able to collect my thoughts and ask questions...the biggest question, "Is this completely necessary?".
Sorry for the VERYYY long post.
I guess what I am asking, is if I am alone in thinking that this is not the route to be going this early in the game? Any thoughts?

Thank you!
Baby dust xoxo
Me(Melissa): 25
DH: 30

TTC #1, Cycle #11
Suspected miscarriage (no positive)- 1/19
Chemical pregnancy - 2/21 (betas -26, 70, 42, 19, 4.84)
- U/S - normal

-Fertility Clinic appt. March.25 - unsuccessful
m.r2014
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Re: In desperate need of advice

Postby B Michaelson » Wed Mar 26, 2014 6:02 am

I felt the same way when my ob started testing me after my EP. I felt like, although it had been a while since we started ttc, based on our timeline it might not have been necessary.

I didn't have loss testing, just cd3 and cd21 bloods and an hsg. Here they won't test for loss issues unless you have had 3 recent losses. I also don't know if they would count my EP because, as my ob put it, it was simply 'bad luck'.

She did offer me clomid but it would be unmonitored and sometimes they tend to hand it out like candy, so I told her I would wait and see if I could get another bfp on my own for a few months.

It does seems strange that they are testing you so quickly while you are still under 35 and with less than 3 losses, but I say if they are offerring, may as well take it. Better to know now if there is a problem then wait.

In Canada there is no charge for these tests but if you are worried about cost or anything you could decline them until you feel it's more necessary.

Do what you feel is best for you and don't worry about what anyone else thinks. If that means not doing the testing, that's ok. If you still want to go ahead with it, there is nothing wrong with that.

For me, being tested brought some relief that my last tube is open and my chances of another ep are reduced. If anything maybe it will at least bring some peace of mind.
Me - 36
Hashimotos, JHS/EDS, ANA negative, 1 Fallopian tube
DH - 41
TTC #1 Aug 2012 - May 2014
DS - Born Jan 2015
TTC #2 since Aug 2016
May 2017 :bfp:

:angel: Our Angels :angel:
2004 - 7.5 weeks
Oct 2013 - 6w6d ruptured ectopic
Jan 2014 - Chemical

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Re: In desperate need of advice

Postby m.r2014 » Wed Mar 26, 2014 1:17 pm

First of all, I am truly sorry for your losses.
Second, thank you for taking the time to answer me. I just like getting others opinion. Maybe someone will see it differently than me!
I want peace of mind but at the same time I feel like my age combined with the length of the time we have been trying just doesn't equate to the amount of testing they want to put me through. To top it off the likelihood that I actually had 2 losses is not likely. I only had one confirmed, so why rush me off so quickly? I blame my family doctor not the fertility clinic. I was referred to them so in their mind I NEED all of this.
I am really torn.
In Canada for the most part everything is cost free. There are 2 tests that I have to take and 1 for DH that are not covered. In total we are looking at almost $1000. It really isn't even the cost factor. If we had been trying for longer or if we KNEW 100% that I had 2 miscarriages we would do all of this in a heartbeat!
Me(Melissa): 25
DH: 30

TTC #1, Cycle #11
Suspected miscarriage (no positive)- 1/19
Chemical pregnancy - 2/21 (betas -26, 70, 42, 19, 4.84)
- U/S - normal

-Fertility Clinic appt. March.25 - unsuccessful
m.r2014
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Posts: 485
Joined: Wed Nov 13, 2013 5:41 pm
Location: Canada

Re: In desperate need of advice

Postby B Michaelson » Wed Mar 26, 2014 9:30 pm

I understand. It is strange for a dr to send you to an RE at this time unless there is a reason and usually loss isn't considered until there are at least 3.

Even with most things being cost free here $1000 is still a lot of money.

I am sorry for your loss as well. It is a hard thing to go through. I don't know how I would manage if it wasn't for the support of everyone here.

It's strange how drs are here. I had to fight to get my dr to give me a form for bloodwork with my chemical because I was worried it might be another ectopic yet some drs test for things right away.

Maybe consider what is holding you back from fully agreeing to the testing. I felt bad being tested because I felt like we maybe didn't need it but at the same time I realized if it was a friend in my situation I would have told her to go for it. I decided I deserved to know as much as anyone else.

I wasn't confortable going on medication right away but that is much different than having some tests done (unless theynare really invasive).

I hope it all works out regardless of what you decide. :)
Me - 36
Hashimotos, JHS/EDS, ANA negative, 1 Fallopian tube
DH - 41
TTC #1 Aug 2012 - May 2014
DS - Born Jan 2015
TTC #2 since Aug 2016
May 2017 :bfp:

:angel: Our Angels :angel:
2004 - 7.5 weeks
Oct 2013 - 6w6d ruptured ectopic
Jan 2014 - Chemical

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Re: In desperate need of advice

Postby m.r2014 » Fri Mar 28, 2014 12:17 pm

Thank you so kindly BMichaelson!
I agree with a lot of what you said.
I also do not know how I would have coped if it wasn't for some very supportive ladies on here!
Are you in Canada as well?
$1000 is a lot to have to pay for testing in Canada, when I heard the number my jaw dropped. Like I said though, both DH and I would have no problem forking over that money if we had exhausted all options and we had been trying for a long time.
Me(Melissa): 25
DH: 30

TTC #1, Cycle #11
Suspected miscarriage (no positive)- 1/19
Chemical pregnancy - 2/21 (betas -26, 70, 42, 19, 4.84)
- U/S - normal

-Fertility Clinic appt. March.25 - unsuccessful
m.r2014
TTC Diva
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Posts: 485
Joined: Wed Nov 13, 2013 5:41 pm
Location: Canada

Re: In desperate need of advice

Postby B Michaelson » Fri Mar 28, 2014 12:38 pm

Yep we are in Canada. My jaw would have dropped at that cost too. Most stuff is free here so thats a bit crazy.

I suppose I would feel the same as you. My losses, I feel can be explained by other things so I am not sure I would want testing, but at the same time I would fear there really was a problem and I wouldn't know without the tests. Even after a year and a half (we did take a 6 month break in there) I would still have the same doubts as you.

You could ask them if they could do some tests but not all of them maybe.
Me - 36
Hashimotos, JHS/EDS, ANA negative, 1 Fallopian tube
DH - 41
TTC #1 Aug 2012 - May 2014
DS - Born Jan 2015
TTC #2 since Aug 2016
May 2017 :bfp:

:angel: Our Angels :angel:
2004 - 7.5 weeks
Oct 2013 - 6w6d ruptured ectopic
Jan 2014 - Chemical

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B Michaelson
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Posts: 3746
Joined: Sun Sep 23, 2012 6:14 am


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