Thursday, February 27, 2014

Answers

Anyone who's lost a baby wants to know why. Especially since, in the back of your mind, you always wonder if it's something you did or didn't do that caused it.

After our D&C, the baby and placenta were sent to pathology for testing. The OB had been worried about possible partial molar pregnancy (tested negative though). Chromosomal abnormalities were also ruled out. So we still had no answers. I had looked up statistics on miscarriage and apparently, at the stage we were at, there was about a 0.6% chance of loss. Pretty tiny.

So for the past few months, I've been wondering if it was something perhaps I'd come into contact with at work that had caused us to lose our baby girl. Exposure to X-rays? Medications? Viruses? I'm generally quite careful, but there are times when you have a critically ill patient and something is needed really quick and precautions go out the window....

I'd never stopped to think that maybe there was something entirely different underlying all of this.

About a month ago my hair started falling out. I have difficulty sleeping. My mind is "foggy" much of the time. I have an intolerance to cold. A Naturopathic Doctor friend of mine suggested I might have hypothyroidism. I knew it wasn't impossible since I'd had some "borderline hypothyroid" issues (now that I have the results in my hand I know that I wasn't "borderline" at all) when Jesse was 10 months old (back in November 2008). So I went to the doctor and got a requisition for blood work. Went I went for follow-up, he said my results were normal.

When I showed my friend the results, she told me that they were indeed NOT normal. She provided me with links to the American Association of Clinical Endocrinologists and the American Thyroid Association. Not only this hypothyroidism have caused the miscarriage, but it could very well be the cause of my secondary infertility. Which I've been dealing with since Jesse was a year old. It took 21 cycles to conceive Quinn and 17 cycles to conceive our baby girl. Apparently, hypothyroidism causes an increase in prolactin, which suppresses progesterone. Low progesterone can cause a luteal phase defect, which is what I have.

Of course, the next question is "where do we go from here?"

We do have a tentative plan in place. My friend is ordering a comprehensive blood panel to be shipped to a lab in Ontario that she frequently works with. Once I have those results, we'll be able to work on a treatment plan. I'm also going to go back to my own family doctor with AACE guidelines in hand, pertinent sections highlighted for him. Hopefully he'll see then that there's obviously something going on.

So we have something to go on and I'm determined to follow this through. I can't help but be bitter though. Maybe....maybe Carys would still be with us if this had been taken seriously back in 2008 and my thyroid issues had been treated. I still have a wicked case of the would-be's and should-be's.

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