MFM Appointment Wrap-Up

We had our follow up appointment with the MFM RPL Dr. (That is a lot of letters!! I feel like I am speaking in code...) on Tuesday afternoon.  I really really like him.  He is very good at letting you know what his professional opinion is, but is also very good at listening to you and letting you have an active voice in the plan. 

We started by talking about my negative workup and what that ment.  I told him that I was bummed that it didn't show anything and that there wasn't anything for us to fix.  He completely understood where I was coming from and helped me understand why a negative workup was a good thing.  The thing that ment the most to me though was the fact that even thought all my testing didn't show anything wrong, he still told me that something is.  He didn't just dismiss my miscarriages as random.  He just said that whatever is wrong isn't something we can detect, but that he strongly believes that I will go on to have a successful pregnancy.  He is all about putting the positive vibe out there and wants me to do the same. 

Then we talked about options.  He told me that in cases like mine the most common treatments are Heparin/Low Dose Aspirin or Progesterone.  There have been no studies done that give credibility to these two practices and he personally doesn't feel like they make a difference, but he is happy to try either if I feel like I want to.  There was a study published about 2 weeks ago that showed Heparin/Low Dose Aspirin doesn't change the outcome in MPL patients, so he feels like that would be a waste.  I was taking LDA with my last pregnancy, and it didn't work for me so I don't care to try it again.  I think I am going to go with the Progesterone option though.  In his eyes it might not make a difference, but what if it does?  I would rather be safe then sorry, and I feel like I need to do something different if I was a different outcome. 

We were given the go ahead to try again this coming cycle.  I am in the middle of taking my provera and so as soon as AF comes we are good to go.  I have been taking 50mg of Clomid on CD 5-9.  He wants me to try 25mg on CD 3-7.  His reasoning for wanting me to lower to does is so I have a lower chance of multiples.  I understand his consern, but if something isn't broken, don't fix it.  50mg has worked twice for me, so I don't want to mess with it.  We agreed that I would try 1 cycle on the 25mg, and if I don't get a positive ovulation then I am going back to my 50mg.  If and when I get prego, he will do weekly monitoring to make sure everything is going ok, and if it doesn't, we will be able to learn more.  

Overall, I feel excited to be at the beginning of the journey again.  I am hopeful that the 3rd time will be the charm.  I feel like I am in the right place with this Dr. and it has given me extra hope and peace. 

If you read this entire long and boring post you deserve a treat!  Go eat a cookie...the calories won't count!!