I wrote this entry for my blog, but decided to post here in case it may be helpful.

I had 2 consecutive miscarriages this year and have not yet had a successful pregnancy. When I asked my OBGYN what I should do after the 2nd m/c, she said to just try again because they did not look like recurrent m/cs (aka, it did not look like there was specifically anything wrong with my body. It was very likely that the fetuses died of random incorrect chromosomal pairings - although that is very rare to happen 2 times in a row). Well I wanted to see an infertility specialist anyways because I wanted to be proactive. So my insurance finally approved of the referral, and I had my appointment today.

I have mixed feelings about the appointment. Basically, the doctor went straight to a plan of actions: for this AF: 1. test progesterone 2. get a endometriosis biopsy (check uterus lining) then next AF 3. get a HSG test, where they pump ink into your uterus, to see the structure of it. 4. after that, they will do another blood test for other hormones.

All this would take about 2 months, in which you can not become pregnant. There's a 50/50 chance they will find something wrong, or nothing at all. So second plan of action is to check for genetic problems, which could take another month. This is because every test has to be done in certain times of your cycle.

In short, I can take about 3 months of testing to have a 50% chance of find something wrong and have 50% chance of being able to fix it, or not at all... and the flip side is that we may not find a single thing wrong and those two miscarriages occurred by chance - or "bad luck" as he put it. If that is the case, then I would have wasted 3 months of testing for nothing.

On the flip side, we could get pregnant this cycle, and either carry full term (no time loss), or have another miscarriage, wait around for at most 3 months before we find out the pregnancy is not viable... then take another 2 months for the miscarriage to finish, and end up right back where we are right now. Except then it's certain that we need medical intervention. But then I would have lost 5 months... and another baby. And would need another 3 months of testing before we could try again. That's 8 months of time lost. But I guess by that time, it doesn't really matter because obviously I have a reproductive problem.

I'm not sure what to do. Try again and hope that third time's the charm, or have another miscarriage and get really angry at myself for consciously choosing not to test and correct any reproductive problems and killing yet another baby.

I guess I have a week to decide because that's when I'll be ovulating. I can either do the tests, or try to get pregnant, which should happen right away. My previous 2 pregnancies occurred within the first 2 months of trying. I'm just dying to get pregnant right away. That's the problem!

hi sweetie ...i am so sorry for your loss darling...

i just done the HSG test myself last tuesday and my doctor told me to carry on normal with this cycle as the test is made before you ovulate . and it said your a lot of more fertile after the test for the next 6 month as the dye kind of get to clean your tubes and uterus ...i had all my blood test done as well cd3 and CD21 so that doesn't stop you to try to conceive either ...i am schedule to have a scan abdominal and vaginal as well next tuesday to make sure everything is alright in there...

what i am trying to say it's good you do the testing now and don't worry most of them can be done as you are TTC on the same time .

Thanks for your response and your pm! I think OH and I are leaning towards taking the tests. I guess reassurance probably outweighs impatience. We can't TTC this cycle though, because being pregnant will obscure the results for progesterone.. and they probably won't be able to do a biopsy of my uterus lining if I'm pregnant! So We'll wait it out this month. Next month is the HSG test, so I think in Feb we can start to safely try again. I'll post the results for sure.

Hello sweety

I would personally take the tests. I could not go through another miscarriage knowing that my baby died unnecessarily if I could have done something to prevent it.

Your tests sound very comprehensive and a step forward.

Good luck and keep in touch x

I would take the tests, but i can only speak for me and this is totally your choice.
Whatever you do, wishing you lots of hugs and love and a healthy BFP as soon as possible.