Infertility Update

I have a child and yet I am experiencing recurrent pregnancy loss.  It’s a strange subset of infertility.  I’m trying to hunt down bloodwork results from 10/07 so that my current OB, who is more specialized in infertility, can fill in the gaps.

All of my bloodwork came back fine though I don’t yet know the exact numbers for anything but TSH.  The bloodwork that was done included TSH (I was normal at 1.3), prothrombin time (PT), thromboplastin time (APPT), russell viper venom (dRVVT), and flow cytometry

I saw a new OB this month.  In addition to a HSG for potential structural problems with my uterus due to age and/or the previous cesarean, he recommends testing for inherited thrombophilia.  He will also fill in any gaps that may exist with regard to bloodwork.  From what I can tell, there indeed are more tests that need to be run before I can rule anything out.  For instance, some women with lupus anticoagulant (LA)actually do have normal APTTs.  He does not think we should waste our money on genetic testing.  Also, anticardiolipin is similar but not the same as LA.

I was really disappointed to learn that the only pathology that the former OB’s office does is just confirm whether or not the tissue is normal (not infected) pregnancy tissue.  No immunologic analysis typically takes place.  In my case, I have twice wasted $116.00 on this.  Luckily my insurance provider does pay for most of this cost.  However, I have just discovered that I could still have tests run.  Evidently, slides are preserved by the pathologists in parafin blocks, and they can be sent off to labs.  Click here to read about this.  I can somewhat vouch for the information on this site since my current OB mentioned Dr. Beers several times during our consultation.

More information:
Alan E. Beer Center for Reproductive Immunology and Genetics (link to research page)
Reproductive Immunology Associates (link to miscarriage page)

2 responses to “Infertility Update

  1. I hope you will be able to find the answers you are seeking.

    I wonder how common secondary infertility is after a section? I never thought much of it not having a child yet, but I’ve known quite a few people that have had problems after their section? Is this talked about at all when people talk about sections?

  2. Several months ago, I saw a press release or something about a book written to show the connection between infertility and diet. Basically, the authors studied the diets of many women who had struggled with infertility, and looked at common threads between those who eventually had a baby, those who only had miscarriages, and those who never got pregnant. But I’ve read that C-sections can cause potential infertility — how much is due to women choosing not to have another baby after a surgical delivery (my friend said she wouldn’t have another baby if she knew she’d have to have a C-section) and how much is due to the scar or surgery itself is not well-studied.

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