Satya I really feel your pain... :hugs: Again, I am so sorry for the loss of your baby.
Okay, are you in SEQld? Or Sydney?
Gavin Sacks is coming to SEQLd to speak on miscarriage and immunological reasons for it on the 17th of August. He is an obstetric immunologist.
You would have had progesterone levels done with your hcg - or at least you should have. They are usually done together. A Bhcg of 20 at 14 days post ovulation is very low. Now, there are women who have a low level like that and go on to have healthy babies but it is lower than what we like to see to breed confidence iykwim. You need to ask what your prog level is but with a hcg of 20 I would suspect your prog. would have been on the low side too.
Women are given progesterone support to help maintain pregnancy and this is one of those contentious areas. Some obs disagree some agree. Progesterone levels begin to fall prior to hcg falling so it's difficult sometimes to know what comes first the chicken or the egg iykwim?
3 consecutive miscarriages are termed recurrent miscarriage. So, you do need to have further testing. Sometimes a woman can have too high level of NK cells. NK cells will fight off the pregnancy resulting in a miscarriage - usually in the first trimester or early second trimester. Again, this is one of those areas of great debate. Many obs poo pooing it and others not. The drug that is often used to treat this is prednisolone/prednisone/ a steroidal drug. This halts the bodies autoimmune response, halting those nk cells and allowing the pregnancy to continue.
Have you been tested for clotting disorders? There are a number that cause early miscarriage.
Do you have a luteal phase greater than 12 days? A shortened LP will sometimes cause early miscarriage. Simply ivf docs tell us that implantaion generally occurs 5-8days post ovulation but either side of that it acan also occur. If implantation occurs say on cd9-10 and you have an 11 day lp your progesterone level has begun to dip and this confuses the implantation process causing an early loss. Progesterone support in the LP is sometimes given for this and clomid is given also to increase the hormonal levels.
I had a short LP and I suffered 3 very early losses due to a short Luteal Phase(well that was the assumption).
Have you had chromosomal studies on both you and your partner? This is necessary to rule out any issue that could be causing your losses.
I so very well understand your confusion, sadness and need for answers. What I need to say is to leave no stone unturned. Seek seek seek. There is always an answer. Sometimes that answer isn't clear and sometimes it is.
Reply With Quote
Bookmarks