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Old 08-31-2009, 07:56 PM   #1 (permalink)
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Unhappy no heartbeat at ultrasound today

I was diagnosed with a "mild case" of PCOS last year. I have always had irregular periods and an ultrasound showed cysts, but blood work showed my hormone levels were normal. Nevertheless, I have several of the symptons of PCOS like acne and excess body hair. My doctor put me on metformin and it seemed to work pretty well- I had four regular cycles in a row and OPKs showed I was ovulating. My husband and I were trying to have a baby and got pregnant on my fifth cycle, which happened to be longer than the previous four.

Blood work showed that after initial good progesterone levels (21.99), my levels dropped to 9.12 the following week. The doctor put me on Crinone and I went in for an ultrasound after 6 weeks, fearing the worst. All looked good that day, however; the doctor saw a strong heartbeat and said I couldn't have hoped for better. They gave me a due date of April 11 and I went home feeling cautiously optimistic.

However, I was scheduled for a follow up ultrasound today (8 weeks) and the doctor no longer saw a heartbeat. I hadn't had any bleeding, but the doctor said that was due to the progesterone supplements. He said I could stop those and he expects I will miscarry within the next 48 hours.

I have been crying and crying all day and am devastated to know my baby has died. My doctor was very understanding and reassuring telling me that i will be able to get pregnant and deliver a baby, but I am so nervous, having read online about the 45-50% miscarriage rates of pcos patients, that this will be a recurring problem.

Has anyone out there been through a miscarriage and gone on to a successful pregnancy the next time around? How accurate are those percentages? I am trying to find some hope while feeling so sad.
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Old 08-31-2009, 09:11 PM   #2 (permalink)
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There is always hope. I don't how accurate the percentages are, but I think met brings that down to an average rate. I'm sorry for your loss, hang in there...I know after a loss it seems like you will never be pg again, and even when you do it's nearly impossible to enjoy it. Take care of yourself and try to think positively, I really think it helps. Good luck to you.

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Old 08-31-2009, 10:25 PM   #3 (permalink)
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I am sorry to hear about your loss. There are several women on different threads I frequent have gone on to have successful pregnancies.

You can also talk to the dr about what could be the cause. Some drs do not test for anything until after someone has had more than one m/c. My dr, however, did test after mine. I was found to have antibodies that could cause blood clots.

Good luck with your next cycle~
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Old 09-01-2009, 11:22 AM   #4 (permalink)
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Thank you for the encouragement- I will try to stay positive and focus on my blessings.

My doctor did say he would do 2 blood tests in about six weeks after my hormones have returned to normal (he said the results wouldn't be accurate now). Framin_memories, were these the tests you had?
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Old 09-02-2009, 12:37 AM   #5 (permalink)
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jackie...I'm not sure. I would just ask the dr what he would be testing for. It could be to check to see if your hormone levels have returned to normal. The antibody tests (I think there are 3-4 different types of antibodies) were different. I think when I had all the tests done (hormone checks and antibodies...) they took about 9 vials of blood. The RE I am seeing wanted to do the antibodies test after I told her I have a sister with lupus and my mom had MS. I found, through all that, that the health history of family members (especially women) could also serve as an indicator of something else going on.

I pray the tests deliver answers to questions~
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Old 09-02-2009, 12:43 AM   #6 (permalink)
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I am so sorry for your loss
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Old 09-02-2009, 08:59 AM   #7 (permalink)
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I'm sorry for your loss. My first pregnancy ended with a baby who stopped developing at seven and a half weeks (although I didn't figure it out until almost 11 weeks), so the baby would have had a heartbeat that later stopped. I got pregnant six weeks later, and he's just fine now and loves his Elmo.

While the doctor can test for certain factors, many early miscarriages just happen for no clear reason and are not a sign that there's an issue with the mother. Almost every woman I know, with or without PCOS, had at least one miscarriage before having a baby. There are so many things that can go wrong with the process in the early stages, that it's common that problems occur and the baby doesn't make it. One of the mixed blessings of modern medicine is that we know we're pregnant so early on, we're more aware of our losses. In the past, many women would suffer losses without ever having realized they were pregnant.

I know none of this makes you feel better right now, and take the time to grieve. But if you're emotionally ready to try again ASAP, I would do it. You will get lots of stories of people on this board and elsewhere who had a loss and went on to have a healthy baby right thereafter.
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