We saw the fertility specialist again on Thursday. I think my face was one of surprise when my name was called as the Dr standing before me looked about 16, but he explained he was a medical student and would sit in on our appointment unless we objected, which we didn’t. Another surprise as we entered the consulting room was that Dr “James” wasn’t there, but another Consultant with an equally unpronounceable surname! Again though, a nice man and we felt at ease.
The Consultant asked a few questions whilst looking through our notes. I then explained about the last miscarriage and gave him a copy of the letter from the private scan. Once he’d read that and I’d confirmed that all our losses were early he advised that women with a history of miscarriage should take higher dose Folic Acid – 5 milligrams instead of the over the counter 400 micrograms which I have been taking.
I was going to ask him if it’s possible my Progesterone levels could be low once pregnancy occurs (even though they’re great after ovulation) and see if he could prescribe something to help that, but before I could say anything he said he would prescribe me Progesterone pessaries. I will use these twice a day as soon as I get a BFP and up to 12 weeks. Progesterone supports the pregnancy in it’s early stages until the placenta fully takes over roughly between 10 and 12 weeks. Obviously the pessaries aren’t a cure all, if the pregnancy isn’t viable then they won’t prevent a further miscarriage but if it is a healthy pregnancy then they will give us a fighting chance of carrying to term.
Our slightly amended action plan is to continue with the Clomid for a further 3 cycles (if I’d not fallen pregnant with each of the first two cycles I’d have completed the 6 cycles now anyway) as the Consultant was happy this was working, take high dose Folic Acid straight away, on receiving a positive HPT to go for a Beta HCG test and take the Progesterone pessaries for the first 12 weeks. We’re both happy with this plan and pray that the combination of high dose FA and Progesterone will do the trick.
On a side note, I’m still in the 2WW. This cycle feels like it has been going forever! I can only assume that the OPKs were incorrect when I got a positive and I didn’t actually ovulate when they said. However, taking the positive from it, if I had and I’d fallen pregnant then I would have had at least a week without the Progesterone so I guess everything happens for a reason.