When should we seek more intervention

[littlelemondrop]

~I'm new to this board, so hopefully you'll give me a little grace when it comes to my questions.
I have had 2 miscarriages since September 2014. Both required D&Cs to resolve. I'm 34 and I'll be 35 in Feb. The last 16 months have been some of the hardest in my life and I'm feeling pretty lost at this point. I've done AMH tests, progesterone testing, CD3, and CD21. All came back great. My last D&C was last month and so I'm waiting 6 weeks post-op for more bloodwork to be done, per my dr. We opted for genetic testing on the second baby and no chromosomal abnormalities were found.
My current dr is wonderful, but when the nurse called about the genetic results she ended the call with "call us if you get pregnant or we'll see you at your next pap exam". I get panicky thinking about trying for another year.
Do we just keep trying to get pregnant (it took almost a year after my 1st miscarriage)? And for how long?
Should I start thinking about a RE? Or is that irrelevant considering I've successfully gotten pregnant 3 times and previously carried to term? What more can I or my dr do to sustain a pregnancy?
I feel like I'm up against the clock, but I have no idea what I can or should do.
I'd be grateful for any advice you can give me, thank you. 

[Mushe]

I am so, so sorry for your losses. The main board might have more suggestions for you too, as we don't get as much traffic here on secondary. Do you know if they're running a repeat loss panel?

Personally, I went to intervention with an RE after crappy AMH and FSH results (and two losses as well). I would say it's really up to you. Our time spent TTC didn't seem all that long in ultimate terms when I subtracted my time waiting after loss, not great timing, etc., but it also felt like forever, of course!

Do you have any IF coverage?

[satsuma]

Sorry you're dealing with this. Our recent loss was also chromosomally normal. We did the Anora testing which is supposed to be more comprehensive, but even then there could still something genetically wrong since they don't test for everything. It was still really devastating to get "normal" results. I'm going to do RPL testing next month. There's a push to start testing after only two losses instead of three, and since there was not an obvious reason for your latest miscarriage, I would push to get tested. You'll get more proactive care from an RE on this front, and I would look into making an appt with one. It wouldn't be premature at all. I have to run to a meeting, but I have several more thoughts that I'll try to type out later.

[littlelemondrop]

Oct 9, 2015 15:56:47 GMT -5 Mushe said:

I am so, so sorry for your losses. The main board might have more suggestions for you too, as we don't get as much traffic here on secondary. Do you know if they're running a repeat loss panel?

Personally, I went to intervention with an RE after crappy AMH and FSH results (and two losses as well). I would say it's really up to you. Our time spent TTC didn't seem all that long in ultimate terms when I subtracted my time waiting after loss, not great timing, etc., but it also felt like forever, of course!

Do you have any IF coverage?

Forgive me, but what is a repeat loss panel? Actually, I'll google , but I'm not sure about that test, and I'm not sure if that what my dr ordered for post-op bloodwork.
i haven't looked into IF coverage yet.
Thanks for your help. It is just so hard to think I could've had a almost 6 month old by now and instead I'm starting all over.

[littlelemondrop]

Oct 9, 2015 16:20:08 GMT -5 satsuma said:

Sorry you're dealing with this. Our recent loss was also chromosomally normal. We did the Anora testing which is supposed to be more comprehensive, but even then there could still something genetically wrong since they don't test for everything. It was still really devastating to get "normal" results. I'm going to do RPL testing next month. There's a push to start testing after only two losses instead of three, and since there was not an obvious reason for your latest miscarriage, I would push to get tested. You'll get more proactive care from an RE on this front, and I would look into making an appt with one. It wouldn't be premature at all. I have to run to a meeting, but I have several more thoughts that I'll try to type out later.

I don't know if our genetic testing had a name form it, I should ask. I share your feelings on the "normal" results. I just wanted a reason. I'll ask about the RPL (repeat loss panel?). I don't know if we can withstand another loss. I think I'll start looking at an RE. I think it would make me feel better to be micromanaged a bit. Might make me feel less panicky.
Thank you so much for your help.

[littlelemondrop]

Oct 15, 2015 9:00:28 GMT -5 lucybrown said:

I'm so sorry you're going through this, sending so many hugs. I struggle with the same thing. MC#1 in 11/2013, chemical pregnancy in 5/2014, nothing since. I got pregnant very easily with DD1. I just turned 35 and have had really struggled with how much intervention I want to seek. I was diagnosed with Hashi's earlier this year and was hoping starting thyroid medication would help my fertility, but still...nothing.

I have not sought intervention yet, mainly because I think it would make me an anxious mess. I think I've accepted that we won't, I am very open to adoption, but am feeling pretty paralyzed at this point. I have faith that the right answer will come to me. I hope that you will find your answers and some peace too.

I'm so sorry you are going through this as well. I hope you find some peace with whatever you decide. We are going to move forward with whatever testing/intervention is available, only because I can't handle the what-ifs. I think I will talk to my Dr about checking my thyroid as well, just to be sure. 

[Coley]

I'm so sorry for your losses. It's so frustrating not having answers and having to wait. I would ask your OB If you should meet with an RE. some insurances cover that portion (recurrent miscarriage diagnosis) and will cover more testing. Mine doesn't cover IF, but was surprised to find that the RM was a covered service.
I hope you find some peace and answers soon. ❤️