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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have History Of Ovarian Endometriosis, Had Miscarriage. What I Need To Check Before Trying Again?

hi, im 35 and i have a history of ovarian endometriosis,i got pregnant 2years ago naturally and lost thd baby at 8 few days after 8 weeks, no heart beating although we did hear a week earlier, could not conceive normally after that,my tubes were closed, i tried IVF 2 months ago, i got pregnant but lost the baby at 8 weeks, same thing no heat beat at 8 weeks although we could hear it at 7weeks,every thing was fine with no indications of any problem, what i need to check before trying again?
Fri, 12 Apr 2013
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OBGYN,  's  Response
Hello, I would be happy to help you with your question.

I am sorry about your prior loss. If the only two pregnancies that you have had are the two miscarriages, then there might not be a problem at all. While we start to worry when a couple has had two unexplained miscarriages, the definition of "recurrent miscarriages" is three unexplained first trimester losses. So, while you have obviously had some major difficulties, there really is not much of an indicated workup. But, your doctor should consider:
1. An ultrasound
2. Labs related to diabetes, thyroid disease, and something called antiphospholipid antibody syndrome

I hope that this helps and good luck - Please ask me if you have specific questions!
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Have History Of Ovarian Endometriosis, Had Miscarriage. What I Need To Check Before Trying Again?

Hello, I would be happy to help you with your question. I am sorry about your prior loss. If the only two pregnancies that you have had are the two miscarriages, then there might not be a problem at all. While we start to worry when a couple has had two unexplained miscarriages, the definition of recurrent miscarriages is three unexplained first trimester losses. So, while you have obviously had some major difficulties, there really is not much of an indicated workup. But, your doctor should consider: 1. An ultrasound 2. Labs related to diabetes, thyroid disease, and something called antiphospholipid antibody syndrome I hope that this helps and good luck - Please ask me if you have specific questions!