Today I woke up sicker than stink. Remember that cold I thought I was coming down with? Well, it's here: fever, chest cough, malaise. Awesome. I'm spending the day in bed with Moxie curled up beside me.
Around noon, I went in to see the miscarriage wizard, aka the reproductive immunologist. Strange choice on my part, since I'm so ambivalent about him, but I'm grasping at straws here. I would see anyone who has some ideas on what I could maybe do to salvage this pregnancy.
Here's what the wizard did and suggested:
- He drew buckets of blood to check my NK cell functioning, my TH1:TH2 ratio, and my clotting ability (b/c of the Lovenox). Results pending.
- He wants me to up my prednisone to 20 mg (from 10mg).
- He also wants me to do 4 endometrin suppositories instead of 3, in addition to the 1.5cc of progesterone in ethyl oleate daily.
- He wants me to increase the Lovenox to 60mg (from 40mg). I'll think about it. Additional Lovenox makes me nervous. I don't want to add intracranial hemorrhage to my problem list, you know?
He also did a transvaginal ultrasound but couldn't seem to figure out how to zoom in very much (sigh). There is one gestational sac, looked oblong to me (worrisome, but he said it didn't matter). Didn't see a yolk sac, but as I said, his zooming ability seemed impaired, and these are small things we're talking about here. It's still fairly early - 5 weeks, 3 days.
I have another ultrasound lined up with my local RE on Friday. My RE is very good at zooming. So we'll see what we see. There really should be at least a yolk sac by then. I will also check the progesterone level again tomorrow and hopefully it will be bumped back up. Don't know if I'll check the hcg again. Not sure I want to know what the level is.
I'll be honest. I'm not very hopeful about this. I'm no longer cramping and am now feeling basically nothing in my uterus. I find myself starting to mull over what's next for us, but then I catch myself and try to just come back here for now. It's not over 'til it's over. And this really isn't over yet. Still...I guess I'm trying to prepare myself. We've been here so many times before.
Thank you so so much for your good-outcomes-with-low-progesterone stories and for your comments in general. I can't tell you how much they have helped to read. And re-read. And re-read again. So thank you.
More [cough] soon.
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