This week I had my post op appointment with my OB Doctor, everything seems to be going well and we still don't know the cause of the miscarriage, I feel that it must be a chromosomal issue because we have ruled everything else out. I did have a slight infection starting, likely because the babies were decomposing in my uterus and had decomposed so much.
My Doctor gave me the go ahead to try again after my next cycle. We aren't really doing anything to prevent it now and that is our plan for now and once this cycle passes we will actively try again. I am anxious to have another pregnancy since the timing is so perfect right now and I just really want to become an earth mother.
My Doctor and I discussed plans for the next pregnancy, we talked about my medications as I am worried that my Humira had something to do with the miscarriage at times. She did not think that had anything to do with it. I had stopped Imuran back in February because I had conflicting answers on if I should continue this medication when trying to conceive, my gastroenterologist suggested going off of the medication and only continuing Humira, while my high risk pregnancy Doctor suggested that I stay on both medications. His concern was that if I had a flare that is much worse for me and the baby. While my gastroenterologist has been with me for 10 years now and sees that I have been in remission for 5 years and she did not want to risk congenital heart issues with the baby that is a higher risk with Imuran and I was born with 2 holes in my heart.
I have been suffering diarrhea since my D and C, so I discussed waiting another week and then reaching out to my gastroenterologist to see if I should go back on Imuran since it is safe for pregnancy and breast feeding. I now believe that the cause of my diarrhea actually has been that I have been drinking mio in my water. Yesterday all day was good until after dinner I drank half a bottle of water with mio in it and then had diarrhea for the night again. So I will be cutting that out again and see if my bowel movement return to normal and stay there.
My OB also talked about doing more tests and having ultrasounds early on with my next pregnancy. I actually don't think that is the move for me since this pregnancy I saw my babies were perfect a 6 weeks and 8 weeks and I still lost them after that. So I think at 9 or 10 weeks I would like to come in for an ultrasound or to hear their heartbeats and I will just be cautious at home before that.
This last pregnancy I was just so nervous about a miscarriage the whole time that I actually think that future pregnancies I will be more relaxed since I have been through it now and while it's absolutely terrible and I pray everyday that I don't have to experience it again. I did live, I will live and life goes on. I am not nearly as nervous about a loss as I was before getting pregnant for the first time.
The only additional test we did want to add when I find out that I am pregnant again is progesterone. So I will probably have my HCG and progesterone tested early on and we will watch those. My HCG did not rise quickly this pregnancy so that may cause a concern for me if it does not rise quick enough next pregnancy but I will feel better if it is rising quick.
I have also heard that you may hyperovulate during the months following a miscarriage because of the changing hormones which make it easier to get pregnant but also make twins and triplets more common. Since the jury is still out and will forever be out in if our twins were actually mono-zygotic or di-zygotic that may mean that it is even more likely we will have twins again, which would be lovely because the loss of twins add so much heartbreak to our loss as we were prepared to be having two babies and now we will probably never get to have two at once again. I am also scared that it's because it was twins that I lost them that I will lose them again if I have a multiples pregnancy.
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