Recurrent miscarriage clinic – First appointment

In good news, we’ve officially been released from follow-up with the molar pregnancy screening service. I will need further follow up following any subsequent pregnancies (regardless of the outcome) but for now that testing is done and we can focus on trying to get pregnant again.

Yesterday I had my first appointment with a recurrent miscarriage specialist. I was really lucky as the consultant who I saw is a friend of a friend so I knew that I was going to be properly looked after. She works at a small local hospital about 30 mins from our home. Whist it felt strange driving past the huge town hospital to get there, it was lovely to be in a new environment. It felt like a new start and on the drive there I couldn’t get the “We’re off to see the wizard” song out of my head which I feel can only be a good sign (yes I’m willing to look for positive signs in everything).

The appointment itself was fairly uneventful. They took my weight, height, blood pressure, medical and family history and discussed my pregnancies to date. I don’t think I learnt anything new (I’m blaming you guys because I’ve learnt so much from you already just by reading your posts) but it was great to hear what I thought being repeated.

She arranged for me to have the following blood tests and booked a follow up appointment for seven weeks time but said to let her know if we conceive before then as she would want to book an early scan. She also recommended taking low dose aspirin if I do conceive because whilst she doesn’t know if it will help, it won’t do any harm and might be useful if I have a clotting issue.

The tests that were ordered are (this is so I don’t forget what I’ve had done):
FBC (full blood count)
LA (Lupus Anticoagulant)
aCL ( anticardiolipin antibodies)
Thrombophilia screen
TSH (thyroid stimulating hormone)

At this stage she doesn’t propose doing any more detailed testing and said that the boy wouldn’t need any tests at this stage. I think I was a little disappointed that we aren’t going to learn more. I seem to read about people who’ve had full semen analysis and know their egg quality and AMH level but this might be more likely to be tested for IVF rather than recurrent miscarriage?? At this stage my main focus is just getting pregnant again. I’m feeling positive that the chances of having a successful pregnancy are higher than the chances of another miscarriage so I’m keen to see if we can have a ‘happy number 4’.

Today is CD 21 so we’ve done everything we can this month now it’s just a waiting game to see if we caught the eggie. Fingers crossed by the end of this month I’ll see a BFP.

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3 thoughts on “Recurrent miscarriage clinic – First appointment

  1. For an actual clinic that specializes in RPL, they don’t seem very ‘special’–even google will tell you to take baby aspirin (that is good advice but rudimentary). But I suppose it’s best to give them a chance, right? XO

  2. I don’t think they are particularly specialist. I think my chances of getting to see a proper specialist in the UK without paying privately are practically non-existent. I don’t think I’m seen as being a difficult or interesting case, just unlucky. I keep being told that the majority of recurrent miscarriages are unexplained and that they only run ‘basic’ tests. They will look at chromosomal issues if they can test the material from a failed pregnancy but they only do that from the third miscarriage onwards and as my third was molar there was nothing else to test. Personally I don’t understand why these blood tests could not have been done in December by my local hospital rather than having to wait months for an appointment at the RMC but this is the situation I’m in and there’s not an awful lot I can do about it.

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