4 Chemical pregnancies after 1 live birth

Brooke H

2 Posts
Reply Posted on: Dec 27, 2012 at 8:10am
I have a 4 year old son who was conceived the first month trying when I was 31 years old. When he was 2 1/2 we started trying for a second and I've had 4 chemical pregnancies in the last 18 months, all around the 5 week mark. I have had very little testing done, but with my 3rd chemical my progesterone was at a 30, so I don't feel like that is my issue. I have very regular periods and ovulate on my own. I'm just confused as to how I can easily have one child, but can't seem to stay pregnant now. I am seeing a new OB in January to discuss my situation since we cannot afford a fertility specialist and insurance does not cover it. I'm wondering what would be the most important tests for my OB to run and if you have any thoughts/opinions as to what my issue could be. Thanks!

Dr. Braverman

2026 Posts
RE: 4 Chemical pregnancies after 1 live birth Posted on: Dec 27, 2012 at 8:48am
there are clearly immune issues that can cause this type of problem , most common after a first born male. I am not sure you OB can handle this type of complicated issue, but to be simple he can at least do a Karyotyping to be sure there are no genetic issues.
He can email me and I would be happy to try and arrange a consultation with him to do more extensive testing for you.
You can also feel free to call for a consult as well.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.

Brooke H

2 Posts
Reply RE: 4 Chemical pregnancies after 1 live birth Posted on: Dec 27, 2012 at 9:54am
Thank you! I had never heard that immune issues were more common after a first born male. Do immune issues take extensive testing and treatment to fix? Also, I have fairly light periods, could a lining issue be a possibility? Also, what type of tests could I have done to show it's an immune issue?

Dr. Braverman

2026 Posts
RE: 4 Chemical pregnancies after 1 live birth Posted on: Dec 27, 2012 at 10:37am
The correct workup looks at ALL issues related to loss not just immune, yes lining has to be considered as one of them , but thee is no way to do this correclty and partially if it is going to be done well. I would recommend calling my ofice and scheduling a consultation with me. The inital 10 minute consult is free. They will go over all other fees with you.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.