Recurrent Pregnancy Loss: What Is It? What Are The Causes? What Is The Evaluation?
ฝัง
- เผยแพร่เมื่อ 25 เม.ย. 2023
- Double board certified OBGYN and REI, Dr. Natalie Crawford, discusses recurrent pregnancy loss including what it is, the causes, the evaluation, and what to do moving forward. She has been in your shoes and remembers what it was like wondering when that day would come.
Questions answered:
How common is miscarriage?Does age play a role?
What is the top cause of miscarriage?
What can you do if you have recurrent pregnancy loss?
What can cause recurrent pregnancy loss?
What is a uterine septum?
What causes tubal disease?
What is a clotting disorder?How can endocrine issues play a role?How can ovulation disorders impact pregnancy loss?
What is a luteal phase defect?
What is a balanced translocation?
How can sperm abnormalities impact pregnancy loss?
When should you get an evaluation?
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Fertility doctor, Natalie Crawford, MD is a double board certified OBGYN and REI, and co-founder of Fora Fertility, a boutique fertility practice in Austin, Texas.
COME SAY HI!!!
Blog: nataliecrawfordmd.com
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Email: hello@nataliecrawfordmd.com
FORA FERTILITY:
forafertilityaustin.com
715 W 34th Street, Austin, TX 78705
To become a patient: email info@forafertilityaustin.com or call 512-956-5006
Listen to the AS A WOMAN PODCAST here:
ITUNES: podcasts.apple.com/us/podcast...
SPOTIFY: open.spotify.com/show/12IYOLH...
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#fertility #fertilitydoctor #nataliecrawfordmd #doctor #asawoman
Sharing fertility facts to educate women about trying to conceive, getting pregnant, ovulation, fertility treatments, IUI, IVF, becoming a doctor, life as a woman in medicine, and more.
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I have 2 miracle 🌈 babies conceived after 12 years of infertility with the first and was baby #9(my age 38) on record 3 years later I had baby #14(my age 41) on record. So many losses and so little support even from the specialist, now I try to be that support for the people that come into my scope and try to help them with their loss and journey. I found your channel just as we were seeking help with conceiving baby #2 and the video on egg quality and understanding your cycle helped me so much, thank you for making this video and for all you do to help so many. I have loved all of your videos and continue to share your channel and information with so many women.
I have a 13 year old and trying for the past 10 years for another one but no luck. We did all the tests me and my husband and everything is great they just don’t know what is the reason. I’m 40 😢
Thank you for sharing
Just had my 4th miscarriage today… I’m 38 and still wondering why I kept losing my pregnancy usually from 5 to 6 weeks range
8 years of trying and constant yearly miscarriages, failed IUIs , IVFs so im so so tired …….I don’t know what to check anymore….. so hopeless 😭😭😭😭😭😭
@@joanskie2153 I have the same….. I keep loosing between weeks 4-6…. I’ve tried everything now, don’t know what’s going on …… I wish I would only new what to fix…..
I just had my 13th miscarriage. I’m done. I have one miracle child and I have to accept the fact they are the only child I will ever have.
Thanks for sharing this! Recurrent loss is heart-wrenching - I have had 4 losses, myself. Having a support system really helped me. I shared all my pregnancies with my parents and sister and felt they tried to understand me and my grief even if they hadn't experienced it.
My losses were unexplained for 4 years until we tried IVF with genetic testing. I'm now 14 weeks pregnant with an euploid embryo with my second transfer (first FET didn't work). I haven't announced to the world as I still have fears but I'm so so so happy to have made it this far.
What happened now...? curious to know
@@srikantapradhan7284 pregnancy went well and baby is 6 months old now :)
What genatic test you done and what problem you have??
I’m so glad I found Dr. Crawford’s channel. Our fertility journey has been a STRUGGLE. I was never referred to a specialist such as a Reproductive Endocrinologist. We are currently going through our fourth unexplained loss (our first MMC) and will be seeing an RE in May. Feeling more hopeful for this as IVF might be the route we need to take. Thank you for all the info!
Very informative 👍🏽
I just watched your video Dr. Natalie on Recurrent Pregnancy Loss causes and management and wanted to take a moment to express my appreciation.
Your presentation was informative, clear, and easy to understand, and I found your explanation of the causes and management of recurrent pregnancy loss to be both thorough and compassionate.
Your video is sure to be a source of comfort and guidance for many, and I look forward to sharing it with others who may benefit from your insights. Keep up the excellent work! 💜
Thank you for the kind words!
Natalie ! Can you talk about cramps, spotting in early pregnancy ! Why the uterus cramps at 4-5-6 weeks etc ?
I’ve had one ectopic and 3 miscarriages. I am finally trying again after many many tests and procedures. My fertility doctor is having me try out progesterone baby aspirin and letrizol. My old family doctor didn’t do ANYTHING when I had two miscarriages in one year after already having an ectopic. I was told that I have alot of fibroids by a ultrasound tech who said she would put notes so my family doctor could talk to me about it however when I met with my family doctor she brushed me off and said no it’s not that while also never ordering any kind of tests.
I went to the hospital for my third loss and they told me that they didn’t do D&C’s anymore and that I would need to let it pass naturally which is a lie. In fact they could and should have done a d&c and saved some tissue to be tested to find out the cause of my recurrent miscarriages. My new family doctor and team of OBGYN and fertility doctors have all stated it’s likely my fibroids which my old doctor said could not be the reason. So frustrating as I am now almost 32 and started trying when I was 24. I may very well have been pregnant by now if my original doctor took me seriously. All I have to say is advocate for yourself ALWAYS! Don’t ever let a doctor or nurse or whoever tell you that you are wrong in how you are feeling! ❤
Hi
I lost 1 st baby when i was 7 month
Second molar pregnancy
3rd amd 4 th normal miscarriage
Did they check for endo?
Hi your story similiar to mine
I got ectopic and then BO and then missed miscariage at 8 weeks after hearing heartbeat. All of this happen in 1.5 year span. . I havent done any test . But im really nervous to ttc again .
Dr Crawford, any thoughts on LDN( low dose naltrexone) for improving egg quality/ decreasing inflammation?
Hi Natalie, can you do a video on Letrozole and progesterone together. I have recurrent pregnancy loss. 4 miscarriages last year. My doctor ran a battery of test, and turns out I have PCOS. High testosterone and very, very low progesterone. She prescribed me Letrozole and progesterone together. I am a little worried about some of the side affect I have seen on youtube regarding Letrozole and am not sure if it is all factual. I am also worried about multiples since I do ovulate. What are my chances of having multiple on it. Please and thank you.
I've been through 3 misscaridges before I got pregnant with my two year old daughter I was 39 when I got pregnant with her and I was 40 when she was born I've had 14 misscaridges in total I have had fibroids and endo It's all been removed I also have factor v lyden so I've been on aspirin when I find out I'm pregnant but it doesn't make it to blood tests so I've been eating healthy working on my weight and I'm almost 43 years old and we would like one more but it is hard on use both is there anything else you can help me with thankyou
Thank you for this. Just had pregnancy loss few months ago. And now,, i just had an ultrasound done and found that theres fluid on my left tube. What does it mean??
Back in the 80s my mom had 3 miscarriages after she had me. No one ever told her why and they were further along requiring D&C. She is RH negative and I’m positive. She had the shots but I was an emergency C section, 3 weeks early, breech, and my foot descended in the canal while the on call OB was busy doing an emergency hysterectomy… so she always suspected she made antibodies losing every pregnancy after. Should I get any screenings as I start to prepare to TTC?
I had miscarriage this Month April 1-7, and it out naturally. I didn't go to doctor for check up up until now because I'm scared. But i dont feel any pain.. Is it okay?
And by the way Last day April 25, i saw some clear white and stretchy discharge most likely to an egg white.. I was wondering, am i ovulating? Or any reason.
I'm so obsessed to have a baby again, im so lost when i just found out I'm pregnant and now its gone. 😩💔
I'm still praying and hoping for a healthy Rainbow baby. 🙏
I had “unexplained” recurrent losses, that’s why l was referred to IVF. I have 5 euploid embryos on ice but thanks to all the ultrasounds they discovered I had fibroids. I had surgery to remove the fibroids last week now I’m waiting to heal (for months) before a FET. My doctor thinks the fibroids may have caused my previous miscarriages.
Can you make a video about high levels of prolactin and how it could possibly cause (or not cause) miscarriages?
I went to the OB when I turned 34 years old. I was trying to get pregnant for more than a year at that time , the OB told me to keep trying and go back after turning 35, why do we have to wait to get older so the OB's can start doing something about it ?, it ended up my fallopian tubes were blocked if the OB would've checked my fallopian tubes when I was younger it would've been better.
I’ve had one at 7 weeks, 20 weeks, and 10 weeks. It’s gut wrenching . I don’t have an issue getting pregnant, I just have recurrent losses.
I've had 7 losses since 2020. The first and last were ectopic. The others we don't know because I simply didn't get proper medical attention. I was left 14 weeks with the first ectopic without a ultrasound.
The following 5 I got no medical attention. They simply refused to do any scans or screens. Those were lost between 7 to 13 weeks.
After the last loss at 9 weeks I demanded blood testing and found out about factor v lieden and had a positive test result.
Had both progesterone (as I'm 38) and injections for my last this past January. And I got no scan til 8 weeks but from the blood tests I could tell it was ectopic. It wad confirmed at a scan when I finally got one..at 8 weeks.
Ppl think healthcare in canada is good. Its trash.
Could you please make a video in the future about blighted ovum and your thoughts about it ? I took birth control pills for about 10 years because I had irregular periods and hormonal acne when I was young . A few months later I got pregnant for the first time . And weeks later when I went for an ultrasound doc said it was a blighted ovum , there’s was a yolk sac but no fetus . I went for a second opinion I couldn’t believe it and at the hospital it was confirmed . My gynecologist gave me the pills to have the miscarriage at home , when I went for ultrasound there was still some tissues inside so I had to get a d&c . A year later we are still tying but no luck I’m 25 years old and my husband is 29, I don’t understand why is still not happening to us 😢
What about silent endometriosis as an cause?
I have an LH of 50 this morning & estrogen is 243. Does this mean I’ll ovulate tomorrow?
For low protein S, does a patient need injectables or is it ok to just prescribe baby aspirin. Also is testing this during pregnancy going to provide an incorrect result? Should a patient retest when not pregnant
I HAD 3 after i gave birth to my beautiful babyboy in 2019 And every since than i just cannot get a baby to stick but it did start happening after i was wearing a waist trainer with the first pregnancy and it was twins i didnt know but every since that pregnancy loss i just kept losing my babies so im just waiting for the right time im tired of crying at this point i just gave up
Just miscarried this last weekend. Blight ovum. Went for a transvaginal ultrasound and uterus was empty. No sac and no embryo. I’m scared to try again
Hi Dr, I'm 24 years old and so far I have lost 5 pregnancies all in first trimester.please help me
Just had our fourth iui fail 😔
I am a 37 year old heterozygous carrier for prothrombin F2 gene without hx of blood clotting but I did have 2 biochemicals last year and I am about to start my first retrieval this month. I was sent to hematology who cleared me for IVF. I also have >900 antiTPO with normal TSH. Is it okay to request lovenox and prednisone for my transfer cycle instead of waiting for a failed transfer? I feel like those 2 things definitely qualify me. Will my REI think I'm crazy for requesting?
I am taking aspirin
Are you getting 200mg selenium a day by 2 soaked Brazil nuts a day? I’m learning how this is extremely effective in lowing TPO antibodies. Do you have hashimotos also? Most with high antibodies have likely hashimotos so we have to not eat anything inflammatory, no wheat no soy, no dairy, no gluten. I’m sure you know of these things I just wish I learned it before both my miscarriages. Most doctors are terrible we have learn things ourselves the hard way ❤️
@Miss Ld thank you for your response! I do have hashimotos. But have never been able to take thyroid replacement meds because my TSH is always normal. I actually started some organic selenium drops 200mg a few months ago and just retested my TPO antibodies last week and they are measurable for the first time ever. They've always been >900 or whatever maximum the lab tested for. Last week they were 504! So probably down my more than half in just a few months. I've been doing no wheat, dairy, soy, or processed foods for the last few years. Every now and then I might have a regular pancake or a breakfast taco or something on special occasions every few months. I only use glass, no plastic, no pesticides at my house, no chemicals in my cosmetics or toiletries, etc. Maybe all the hard work is finally paying off ❤️
I also have been taking lots of supplements like pterostilbene, truniagin, curcusorb, neoq10, etc.
In Oct 2023 I lost my babygirl at 9W1D with the help of Letrozole. I had an Endo biopsy after my loss & turned out it was chronic Endometritis. I was prescribed antibiotics for two weeks. The second time I fell pregnant in April. I found out recently I lost my baby at 8W1D. My babies are growing the first 8Wks but once the 8Wks hits I lose them. I had a D&C for this pregnancy & my Dr is certain I lost this baby because of a genetic issue. Have you heard of a case like this & helped someone who struggled with recurrent losses & finally conceived? My Dr is worried if baby labs come back normal we have to dig deeper to why I’m losing them since Hubby’s & I test are normal. The Dr had me on Progesterone during pregnancy. I’ve been on Metformin as well.
I've a doubt...I got my periods on 2nd February and still I didn't get my periods....in between these days I was in intercourse on 9th March... Is there any chance to get pregnant....
Hi please help I I’m 36 years old I had 3 miscarriages my last one it was ivf genetic tested for pgta and pgtm and transferred the normal one and still miscarried at 6 weeks I did lots of tests and ultrasounds all are normal. Doctor says it’s probably embryo being the problem even with genetic testing I’m so confused. we’re so devastated and heartbroken 💔
Somehow your comment caught my eye.. First, I'm so sorry for the loss. I'm your age and we'll soon go through the same process with genetic embryo testing. How did you deal with it, learned any more from your clinic and did something different on the next try? Good luck with everything
It’s so frustrating my husband and I been ttc for couple of years now. We got pregnant after trying for 6 months but at 9 weeks I had a miscarriage and a D&C and haven’t been able to get pregnant again and that was almost 2 years ago now. We can’t afford to go see all the doctors nor can we afford to get IVF.
I have been tracking my ovulation and my periods are regular but nothing seems to be working.
I am in the same boat. Been trying since 2020, had miscarriage, had D&C, and nothing has happened for over a year now.
@@MrsShelly do you think it’s because of the D&C? Even though it shouldn’t.
@@BaibaSK92 I wanted to believe that the D&C was the cause, but I had my fallopian tubes and uterus examined and they were both deemed in good condition and no scarring. Unexplained fertility is a thing. I have heard numerous times that when people stop actively trying, they get pregnant naturally. I cannot afford IVF either We are trying medicated timed intercourse for the third time next month. If this is not successful, we have decided to move forward without actively trying each month. It gets exhausting and disappointing each month.
@@MrsShelly yeah I know and a lot of ppl I know have the same issue or are diagnosed with unexplained fertility who have been ttc for 5+ years.
It’s really frustrating. I decided to stop tracing this month and will just go with a flow if it happens happens if not than I guess it’s not meant to be but still holding on to hope.
@@BaibaSK92 I will keep you in my thoughts and prayers!
I need your opinion😢 i am healthy 28 years old female. I did all fertility workup. I had four early miscarriages. Never heard heartbeat of a baby. One doctor said it is all chemical pregnanies and other doctor told me it is miscarriages. One of the doctors recommended me iui. Recently changed to another doctor since they did not give me any other support expect iui. No need to put progesterone if my hcg level is not stable. Now my new doctor recommeended full dna and infection test since other tests are looking good. Also she said she will put me progesterone right away if i get one positive pregnancy result. Dna and infection test is too expensive for me cause i live in Canada and they are done in US🥲 do you think we should still go for it?