Wednesday, August 20, 2014

Specialist Update

So right off the bat, I have to admit that I had a bit of a meltdown (as Jacob can confirm) leaving the Dr's office yesterday. It wasn't that there was any bad news per se, just more that there are still a lot of questions out there and I think I wanted there to be some "aha!" moment with a big answer.

The summary is that we are going to do several more tests to explore what to do next:

- genetic screening of Jaocb and myself, to hopefully rule out that we have translocations occuring
- repeat blood work for me- I had some questionable results in anticardiolipids, which could have just been that the levels were still elevated from being pregnant. If not normal next time, would mean blood thinner treatment
- TPO antibodies- will also be repeated since they were very elevated, but thyroid function is normal, so no clear path of treatment there. He thinks that this would affect implantation if anything, so if it was causing issues I likely wouldn't have had pregnancies get to 9 and 11 weeks previously
- saline ultrasound- will have this in a week or 2 to make sure my uterine cavity looks normal
- elevated AMH levels- this is an indicator of egg reserves- my number came back high, which is good and bad- the good is that it means I generally will get pregnant easily, the bad is that I have so many eggs that it may be throwing off the ratio of good:bad eggs and make it harder for us to get a "normal" embryo

So- it will be about a month until we have all the testing done and results back, and then, barring any really new info, will be up to us to decide if we want to go the more invasive route, which would mean doing IVF to do preimplantation genetic screening of the embryos, or if we want to "roll the dice" one more time, probably with some low level drugs in there too, and see what happens.

As of now, I'm fairly inclined to go with more intervention at this point. I feel like my tolerance for another miscarriage right now is low.

Stay tuned.......

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