Dear Dr. Marc.......From Pregnancy Loss to Difficulty Conceiving By on February 19, 2014

Dear Dr. Marc,

Last year I had two pregnancies. The first was a miscarriage at 8 weeks and the second pregnancy was terminated at 20 weeks due to a rare condition called fetal CHAOS. My husband and I desperately want a child. Since then we have been trying to conceive. This upcoming cycle will be cycle number 6 for us. I just don't understand why we are not getting pregnant! With both of my previous pregnancies I got pregnant on the first try. I am now thinking about asking for clomid and an IUI. Do you think that at this point that is a good idea? I am almost 36 years old. How many cycles should I wait before doing this?

Sincereley,

Feeling Frustrated

 

Dear Feeling,

It sounds like you have been through quite a lot in the last year.  Between suffering through a miscarriage, then being diagnosed with an incredibly rare syndrome like fetal CHAOS, I can understand your frustration. 

The good news is that I believe you have an excellent chance to have a healthy baby!  I also believe that it is time to start taking some active steps towards that goal.

First, the fact that you became pregnant 2 times last year bodes well for your future.  This means that the sperm and egg are coming together and implanting in your uterus.  Without these steps pregnancy is impossible.  However, the fact that you haven’t conceived in the last 6 months might mean that something has changed with your husband’s sperm or with you eggs.  It is worthwhile obtaining some preliminary ovarian reserve testing like an AMH level, or an FSH and Estrogen.  Your general OB/GYN should be able to order these for you.  It is important that the FSH and Estrogen are taken on the 2nd or 3rd day of your period, AMH can be tested anytime. You general doctor should also be able to order a semen analysis on your husband to be sure that his swimmers are okay.

Another test that is worthwhile is an HSG (Hysterosalpingogram). This test is best known as way to assess the fallopian tubes, but it also gives information about the lining of the uterus.  After two losses, we want to be sure that there is no scar tissue in your uterus.

Further, it might be worthwhile to evaluate you for factors that could increase the risk of another loss.  Not all experts would agree that you need an evaluation for recurrent pregnancy loss, but I personally believe that some preliminary testing is worthwhile.  This is especially true if there were any genetic abnormalities like translocations discovered in your most recent loss.

While this testing is going on, I would recommend that you continue timed intercourse. Once everything is done, if the results are normal, I would definitely move to Clomid IUI.

Best of luck and if you have any questions, feel free to contact me at the office

Dr. Marc

 

Related to This

Doctors

The Center for Fertility and Gynecology

The Center for Fertility and Gynecology provides cutting-edge medical care in a patient-oriented and supportive setting. Drs. Michael Vermesh and Tannaz Toloubeydokhti offer all couples the best possible evaluation, diagnosis, and treatment of male and female infertility. Our experienced physicians are affiliated with:

  • American Association of Gynecologic Laparascopists
  • ACOG: American College of Obstetricians and Gynecologists
  • American Medical Association
  • ASRM: American Society for Reproductive Medicine
  • Pacific Coast Reproductive Society
  • Resolve: The National Infertility Association
  • SREI: Society for Reproductive Endocrinology and Infertility
  • The Seed Fertility Program

Ready to start your family? Request your consultation today by filling out our online form or calling (818) 881-9800.

Get In Touch

Rate, Review & Explore

Social Accounts Sprite
Google map image of our location in 24241 Hawthorne Blvd Ste 201 Torrance, CA

Torrance Office

24241 Hawthorne Blvd
Ste 201
Torrance, CA 90505

Open Today

Google map image of our location in 18370 Burbank Blvd Ste 301 Tarzana, CA

Tarzana Office

18370 Burbank Blvd
Ste 301
Tarzana, CA 91356

Open Today

Google map image of our location in 9610 Stockdale Hwy  Bakersfield, CA

Bakersfield Office

9610 Stockdale Hwy
Bakersfield, CA 93311

Open Today

Google map image of our location in 415 Rolling Oaks Dr  Thousand Oaks, CA

Thousand Oaks Office

415 Rolling Oaks Dr
Thousand Oaks, CA 91361

Closed Today

Google map image of our location in 5353 Balboa Blvd Ste 301 Encino, CA

Our Lab

5353 Balboa Blvd
Ste 301
Encino, CA 91316

Closed Today

(818) 881-9800 Send a message