Recurrent chemical pregnancy loss


1 Posts
Reply Posted on: Apr 13, 2014 at 3:35pm
I have endometriosis and potentially have celiac (have high general autoimmune markers but can't do the biopsy to confirm unless I eat gluten again for four months, which sounds unpleasant since I've felt so much better after going off gluten and dairy last August). I also have orthostatic hypotension and bad migraines, but those symptoms have improved significantly on my new diet.

I have been ttc on and off for the last six years (the off periods were to give my body time to recuperate post-surgery for endometriosis and after failed cycles). Because my body is really sensitive to medication, I worked with a midwife for over a year charting basal body temps, doing post-coital exams, taking oral progesterone post-ovulation, etc. There were 6-8 cycles where I had elevated body temperatures (and a triple rise in temperature) for 24-30 days post ovulation. Unfortunately, we never did blood work so I don't know for sure if they were chemical pregnancies, but the midwife seemed to think that was likely.

I've now had two failed IUIs in the last year (one on femara and the other on tamoxifen), and my doctor said the last one was a chemical pregnancy (first bhcg was 5, three days later it had dropped).

Given my medical history, is there really any point to doing another IUI? It seems that the issue is not necessarily getting pregnant but, rather, staying pregnant, and I'm not sure that an IUI (or even an IVF) would really correct that.

Dr. Braverman

2026 Posts
RE: Recurrent chemical pregnancy loss Posted on: Apr 13, 2014 at 4:13pm
It is clear that yo are having losses secondary to either egg quality issues or immune related implantation issues both related to your endometriosis. These can both be treated with a combination of surgery(if not already performed) and immune therapy. You should send in a consult form from the website and we can help organize a complete workup for you.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.