Five Miscarriages

KPH610

1 Posts
Reply Posted on: Feb 27, 2013 at 4:20am
Hi Dr. Braverman,

I am 27 years old and am in very good health. I have a 19 month-old daughter, and she was easily conceived on the first month of trying. However, I had heavy bleeding during the first six weeks of this pregnancy and was convinced I was miscarrying on several occasions. After this, my pregnancy was uncomplicated until the end, when I was diagnosed with pre-eclampsia at my 37- week appointment. When my daughter turned one, my husband and I tried again to conceive and were successful the first month. I miscarried this pregnancy in week 4. I then became pregnant again, and experienced a week 4 loss. After this, I went to my doctor requesting testing. I was laughed at, told I was completely normal, and told I had no health problems because I had experienced a successful pregnancy. After doing some reading, decided to take a low-dose aspirin before and during the next pregnancy, but experienced a third week 4 loss. I went back to the same practice and saw a different doctor to request a clotting panel. I was again told I was normal and to try again. My husband then reminded me that I had taken Vitamin E during my first pregnancy (simply desiring to have stronger hair and nails.) So, I started taking 400 IUs of Vitamin E, along with Fish Oil prior to our fourth try (also took a prenatal and low-dose aspirin). I was able to carry this baby to week 7. At my 7 -week appointment, a heartbeat was seen and everything appeared normal. I told my doctor what I was taking, and I was told to stop the Vitamin E and Fish Oil. Two days later I miscarried. After this, a clotting panel was done. I was initially told that something came back positive with the plasma activity, but a specialist then told me this was insignficant and to try again. On my fifth pregnancy, I took everything I did with the fourth one, but my doctor added 200 mg of progesterone. I miscarried again in week 4. I felt like I might have been on the right track with the Vitamin E and Fish Oil, but I have no way of really knowing without proper testing.

Addition Info- This is may be silly, but I very, very rarely get cold sores (only a few in my entire life). However, after the birth of my daughter and after each miscarriage, I have gotten cold sores. Since I know this can be an outward sign of the body's immune response, it lead me to wonder about the immunological causes of my miscarriages. Also, I am Rh negative and my husband is A positive. My daughter is A positive, but I was given all necessary Rhogam shots.

Thank you so much for your time. I appreciate your website, and any insight and direction you can offer will be quite a blessing to me!

Dr. Braverman

2026 Posts
RE: Five Miscarriages Posted on: Feb 27, 2013 at 6:16am
The good news is you are young and have shown you can hold a pregnancy to near term. It is not uncommon after a first pregnancy to have problems concieving or holding a pregnancy , especially when there were signs of problems with the first i.e. the preeclampsia. You clearly require a complete workup including the full immunology profile where I suspect your problem lies. However thrombophilia issues that you touched on may also play a part and may also have contributed to your preeclampsia as well. You should call me for a free 10 min chat and we can review your case . Dont despair it is very unusual that you would not have another baby.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.