yesterday's hcg came back at 19.9
Another loss just as I had anticipated. I have been spotting pink since yesterday morning. At first I thought maybe it was from doing one of the prometrium vaginally the night before but continued on throughout the day.
Anyway, while I was at the lab I asked for my lab work from 2011 so I could see what exactly she drew for my infertility work up. The reference guidelines changed in 2013 bumping 2 of my tests from negative to a weak positive. Both IgG and IgM of the ACLA.
This is what I found online...
Anti-Cardiolipin Antibodies (ACA) – Cardiolipin is a phospholipid that is one of the main components of cell membranes. It is involved in essential cell functions necessary for proper embryo development. Elevated levels of antibodies to Cardiolipin may interfere with its ability to function normally and have been associated with vein or artery clotting, few blood platelets (fragments that lead to the formation of blood clots) and fetal loss.
Essentially exactly what I have been experiencing. Early miscarriages due to poor placenta development and poor implantation. Treatment is lovenox earlier in cycle, possibly doubling the dose, and a few meds like prednisone could be added. So I am shooting in next to weeks to be back closer to 200 lbs and be meeting with my OB in person to discuss this along with possibility of running more tests and/or just adding prednisone, progesterone after ovulation along with lovenox starting earlier in cycle. We shall see.
I really am contemplating focusing on me more and losing weight before we try everything else.

I'm so sorry Jess! Are you taking a daily baby aspirin? When I was experiencing my chemical losses, I wasn't on anything. When I was regularly taking a low dose aspirin, I got a sticky bean and then continued with both the aspirin and Lovenox through the rest of the pg.
ReplyDeletesending you hugs and thoughts!
I am on daily baby aspirin. I even started my lovenox earlier this cycle. I think I need to have a therapeutic dose of lovenox upon bfp, and the half dose sooner in cycle, or daily for my general health. I don't know infertility and loss SUCK.
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