First visit to RE post 4th m/c

iVillage Member
Registered: 04-09-2004
First visit to RE post 4th m/c
11
Thu, 06-10-2004 - 6:06pm
Hi everyone,

I have an appt next week for the first time ever with an RE here in NYC. I was wondering if anyone can help me out with some suggestions about questions I should be asking or ways I should be handling matters at this point.

What is the fastest way to get to the root of the problem, what tests do they do? How do I have my eggs tested to find out what the quality is? I did have FSH test done in January and they came back 6.5. But aren't there other tests to determine egg quality? And what are things I can do to enhance my ability to have a healthy pregnancy working with an RE. It seems that I have no problem getting pregnant, its just staying pregnant.

Any suggestions, or insights would be so appreciated.

best regards

Jadu

TTC #1 after 4 miscarriages

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iVillage Member
Registered: 11-30-2003
Thu, 06-10-2004 - 7:18pm
Jadu: Please be sure to mention your progesterone levels from your prior pregnancies. It would be interesting to hear what an RE would say. There is a test for egg quality...I can't remember what it's called, but it does exist. You might also want to ask about genetic testing for you & your partner. (Maybe this has already been done?) We are just starting the IVF process and that was one of the options discussed.

I will be thinking of you...hope the visit reveals information that will be helpful to achieving your goal of a healthy baby. Take care.

Margie

iVillage Member
Registered: 09-27-2003
Thu, 06-10-2004 - 8:14pm
Jadu,

So happy to hear from you! Whom are you going to see?

I would make a list of notes and questions prior to your appt. Do as I say, not as I do because I often forget this and it bites me back in the end when I have to call and wait for further answers.

They will likely do an extensive battery of tests, including disease screening, immune factors, genetic testing, and blood levels of all major substances including hormones but also cholesterol, etc. They do FSH, E2 and LH on cd3 but may do others either on that day or other days. I don't want to scare you, but last Oct./Nov. I "gave" some 15 vials of blood for all this testing!

They will also want a disease screen and a semen analysis on your bf. In our case, my dh never cooperated with this (or when he did there were problems such as the lab he went to overseas said the "volume" - measured by the naked eye - was too small to test). We got around it because one of the IUI labs did essentially a semen analysis that is now part of my records.

I am not sure what test Margie is referring to (would love to know), but my REs all said there is no way to know about actual egg quality unless/until you get pg (in your case, they may say until you sustain a pg...) FSH and E2 give an indication of "ovarian reserve" which does not correlate exactly to egg quality, although it "might" be related. It's very confusing.

My personal belief is that they may push you toward IVF, but (again, my personal opinion) you already know you can get pg, so you really need someone to focus on sustaining that pg. Maybe stims such as Gonal-F would not hurt, since you will produce more eggs each cycle and thus the chances that one would generate a viable embryo would be better. However, since you are getting pg, personally I would be more wary in that case of multiples.

Whatever protocol they recommend, I would be very straightforward and ask why, in your particular case, they chose that one. Since you have spoken with Dr. Beer, I would also be sure to bring up his findings and ask if you need to take any action on that front.

When are you going? I'm excited for you! Keep us all posted.

All the best and baby dust to you,

Lisa

iVillage Member
Registered: 11-30-2003
Thu, 06-10-2004 - 9:28pm
Lisa: I got the information re: testing the quality of the eggs from a previous post on this site...it was suggested to have your insulin level tested and that would be an indication of the quality. I never had this done...maybe based on your REs info this was bad advice?

Margie

iVillage Member
Registered: 09-27-2003
Thu, 06-10-2004 - 9:46pm
Margie,

I have heard of the insulin resistance test, but I never knew the reason for it. I think the way the body processes sugars is related to fertility (it's probably related to many major functions).

However, all three of my REs told me there is no way to know how good my eggs are until/if I get pg. Next time, I will definitely ask about the insulin thing!

Sometimes I feel as though I will qualify for some sort of degree when all is said and done...there is so much to keep straight!

All the best to you,

Lisa

iVillage Member
Registered: 11-30-2003
Fri, 06-11-2004 - 9:26am
Lisa: I totally agree...I keep telling my husband I'm going to write a book...

Margie

iVillage Member
Registered: 05-28-2003
Mon, 06-14-2004 - 10:31am

Jadu the other ladies have given you some good info on what to ask your re.

Cathie

iVillage Member
Registered: 12-26-2003
Thu, 06-17-2004 - 9:01am
Hi Jadu,

I have been thinking about you & wondering how you were doing. Your FSH is nice & low so that is very good news. As far as enhancing your fertility you should read The Infertility Cure & implement the diet & supplements recommended there @ the very least. If you can do acupuncture I highly suggest it. What RE are you seeing in NY? Also how is it going with your immunolgical testing? With your M/C history that is the most important thing you should be doing right know so you will know what the reasons are for M/C & take the proper steps. I don't recall if you said whether or not you had the fetus analyized on any of the M/C's, did they find anything?

Hope I can help.

((((HUGS)))

Lisa
Lilypie Baby Days
iVillage Member
Registered: 04-09-2004
Thu, 06-17-2004 - 11:43pm
Hi Lisa,

I have been thinking a lot about you too and was delighted to see your other post on positive news and that you are expecting twins!! Oh, that is so wonderful. You absolutely MUST stay away from anything that resembles stress at least for the first 12 weeks. I know it is hard not to work, but if I were you right now, I would not work at all and not even go to any events. You cannot afford to get stressed out at all. I think one of my mistakes this past time was continuing to go to work. Next time I get pregnant I will stop working immediately because I know I am one of these people who is terribly sensitive to stress.

Anyway, I appreciate your asking about me. I did go to my RE appointment and it was pretty uneventful. I saw a Dr. Stein who is associated with St Luke's/Roosevelt Hospital. He seemed to know his stuff, but he seemed a little dry for my taste. I am pretty picky when it comes to doctors, I like a doctor who has some passion. Anyway, they took a tremendous amount of blood and did some initial tests associated with autoimmune disorders.

I have to go back again for some other tests on the 3rd day of my period when it comes. I haven't gotten it yet post D & C but I know that is normal. They will also do an ultrasound with saline (I forget the name for that) to see if everything is OK with my uterus. I have never had any of this stuff done before so we will see what if anything shows up. I still want to become a patient of Dr. Beer but I am saving up my money for that.

Unfortunately my insurance does not cover testing of a fetus and it is insanely expensive and i just couldn't afford to test this last time. They did standard pathology and found nothing really. In my first miscarriage over 10 years ago I did have testing on that one and they found chromosomal abnormality whatever that means. I didn't really know what that meant then.

In the meantime I am seeing my naturapath doctor who is handling my epstein barr/chronic fatigue syndrome and I feel much better. He has me on a very strict program of homeopathy, herbs, vitamins and a very clean diet. The diet is about 50% vegetables and a good percentage of it should be raw. Also I am not allowed to eat any sugar or chocolate probably for a very long time, not even once in a while(OUCH!!!). I have to be careful of food combining as well and making sure that I am getting enough protein. All of the doctors I have seen so far have made comments about my weight being very low for my height and they mentioned that it would be much more beneficial if I want to conceive to gain maybe 5 or more pounds so I am working on that. I haven't gained anything yet and I didn't gain anything with my last pregnancy. It is really hard for me to keep weight on because of my extremely fast metabolism.

I know that if I want to conceive and carry to term this next time I MUST be extremely

diligent about my health and I am fully committed to sticking with my program. Some of my friends have already made comments about how good I look and how I seem to have more energy which is really true.

Anyway, sorry for the novel!

I am sending you many prayers that you continue to stay healthy and these 2 little ones you are carrying will stick around! Everything sounds wonderful, try not to worry too much (I know, easier said then done...but worrying only adds to stress levels and you really have so much going for you this time.)

all the best to you

Jadu

iVillage Member
Registered: 11-30-2003
Fri, 06-18-2004 - 7:49pm
Jadu: It was great to read your post...looks like you're doing all the proactive things you should be to have success the next time you get pregnant. (no chocolate or sugar...ouch! in deed!!)

Maybe we could trade metabolisms...I definitely have 5 pounds I could loan you...hee hee. Take care...

Margie

iVillage Member
Registered: 12-26-2003
Fri, 06-18-2004 - 10:55pm
Hi jadu,

I am glad to see things are progressing for you. I interviewd a Dr @ St Luke's also but decided not to choose him because going into the city so often is so expensive with the parking & all. I highly recommend RMA. They have one in Manhattan but I went to the one in NJ. They have several offices. They are totally the best there is!

You should see if they take your coverage. In the meantime I will send you some coming into money vibes!!!!!!

so you can get your B/W going with DB. I really think what with the epstein barr & all you will find your solutions with DB for sure.

++++++++++++++Prayers &++++++++++++vibes coming to you!!!+++++++++++++

Lisa
Lilypie Baby Days

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