Thanks again everyone for all your comments. They were extremely helpful. I was wondering about the testing of the remaining pregnancy. I assumed it might be easier to test the remains after a d&c than if I were to bring anything in...I don't even know how I would need to preserve it or if the remains would even be useful. I just keep on thinking about that lady who got in trouble for freezing her fetus? Was that the story? If anyone has any advice on that I would love to hear it.
Anyways I soon realized after my last post that I very well may not be able to start a month after, depending upon my cycle and also as you guys pointed out my hcg level. Last time I didn't get that tested but I think I'll request one just to make sure I'm back down. Especially if I miscarry at home, which I think in that case my doctor would demand one and an ultra sound anyway just to make sure everything is out.
I completely agree about the whole chemical pregnancy and thought about that too and wondered if that was the case why wouldn't it have been done with already. Maybe the Progesterone is causing things to get out of whack? Who knows.
Anyways I definitely would do things differently next time and request blood tests from the beginning. I just wasn't really concerned this time about the hcg because last time my problem wasn't my hcg but rather my progesterone, which is why my ob suggested I start taking it as soon as I get a positive. But obviously every pregnancy is different. I know my ob would give me tests if I requested them. She's actually really great but this time somehow my GP got involved and obviously it's not really her area.
So here's the update thus far...
Got up this morning and I found a very very very small amount of brown spotting. So of course I thought I was doomed. Still no cramping. Throughout the entire day though not a spec more of spotting though...and some twinges here and there but no real cramping. Just in case I packed myself a little "emergency" package of a towel, unused urine sampling cup (don't know how I got this but I had an extra lying around the house) for any remains, a plastic spoon in case I had to scoop anything out, if you know what I mean, and a bunch of maxi pads. Just to prepare for the worst. I felt terrible for having to bring all of this to work but I really have no idea what to expect in case I do end up miscarrying on my own. So anyone with any info feel free to speak up.
I know some people would rather miscarry on their own but waiting weeks for my body to give up the pregnancy is just not my cup of tea. I'd much rather have a D&C and have the remains tested in a nice sterile place. My doctor last time was very specific in letting me know that she always makes certain to not get everything as she says "super squeaky clean" down there so that I won't have a hard time building up my lining again. And I would assume that she would do the same for any others in the future. So I'm pretty much praying if I do need one that maybe next weekend or even Monday (MLK day) it can happen and I can hang tight until then. Last time they had to give me one since I was almost carrying it for 4 weeks and my body just wouldn't give it up.
Anyways I called my ob this morning because quite frankly after I saw the very little spotting I thought I would have a ton the rest of the day and I was wondering if I should even renew my progesterone prescription which I have to get from a special pharmacist who isn't even open on the weekend. They told me to definitely continue taking it and that they'll compare the two betas (although not a pair) as soon as they come in...and that they still expect to see me at my ultrasound on Friday. I liked that because they sounded not so flippant about the whole situation and sounded like they did not want to jump to conclusions on a situation that even looks quite obvious to me.
Luckily work was crazy busy for me today and I didn't really have time to think about it, except at lunch when I went to get my beta done and I had to sit and stare at the 6...yes count them 6. Pregnant women that came in a varying points to have their glucose and blood done. All I could think of was that God was playing a very cruel joke on me. I know the blood technician remembered me from last time and was very quiet. Sort of like she knew...or maybe I just was thinking that in my head.
So for now I at least have a plan. I'm going to continue taking my progesterone just as told; I called the pharmacist and he even told me that he would be there for about an hour working on Saturday and I could come in and he would help me, which was extremely thoughtful. I think he's used to the patients that come in needing the progesterone and know what an extremely delicate situation they are in. And that made me feel better too.
Well although only 10:30p I think I'm going to be off to bed. This has all made me really tired. (wouldn't it be great if it was because I was still pregnant). I think I might have a really long weekend ahead of me.
Friday, January 11, 2008
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2 comments:
Thanks for the update. You sound really level headed right now.
My experience with a natural miscarriage is detailed here. http://diaryofamiscarriage.blogspot.com/2007/03/my-experience.html
I absolutely hate having to talk to you about all of this and I am so so sorry this may happen with you again. But I will speak to some of your concerns.
When I miscarried at home, I had taken misopristol (200mg) which made everything happen quite quickly. I am imagining a natural miscarriage happens a little slower, with an increasing amount of spotting/cramping. In my case I had lots of pads on and really could not stay out of the bathroom, the blood was constant for an hour. You will probably have plenty of time to see things are getting worse and you can scurry home. So the "kit" you have is very useful. You will know when you pass something most likely and in my case (TMI...) I did scoop and refridgerate. After I passed two major things, it all subsided.
My body did not get any message and naturally begin the process which is why I was scheduled for D&Cs both times, I just spotted for over 2 weeks with both. It was excruciating for me to walk around the few days before surgery knowing that I was carrying something still so thinking about what they like to call "expectant management" or waiting naturally sounded horrible to me, personally. So you need to do what makes you most comfortable. And a nice sterile place will add assurance that they can most likely test it.
After both surgeries, I got my period pretty close to 4 weeks afterwards and my doc says it is fine to start after one normal period....although I am on a complete hold since everything with the tissue came back normal. Request the beta and once it is 0, you should be good to go. Although if they test anything, I would wait for results (mine took 2 weeks).
Also, pay attention to how you feel emotionally, take care of yourself and validate any emotional roller coaster rides that come your way.
Hang in there.....
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