Multiple Miscarriages

by Amanda

Hi Amelia,
I have read about you online and am ready to receive some advice pertaining to my own life. I am 32 years old and my husband is 33. We have two healthy children; a girl who will be 5 in October and a boy who will be 2 next week.

We also had two miscarriages. One between my daughter and son. The chromosomes were normal, but she had a congenital heart defect and we lost her when I was about 21 weeks along. The second miscarriage was believed to be a partial molar pregnancy and I lost that one at 8 weeks last September.

I have had 3 d and c's. One after losing our first baby at 21 weeks and two after the partial molar. The first to remove the baby as I was not miscarrying on my own the second as there was still some product left over. The first d and c suggested a partial molar pregnancy the second d and c was a healthy pregnancy product that's why they were a little confused whether I really had a molar pregnancy. Regardless I waited 6 months before trying again.

With all four of my pregnancies I got pregnant right away- never had to really try. I had very regular 28 cycles lasting about 5 days. For the past year my cycles have changed to 30-32 day cycles. I am ovulating but my lh surge does not seem to be as strong and I'm ovulating later around day 17 or 18.

We have been trying for 6 months with no luck which is very unusual for me. I saw an RE to get checked out and all of the hormone tests came back normal. My fsh was an 8.9 and my antral follicle count was 26 suggesting my fertility was still good. My lining however was thin at 6 mm. My periods have been much lighter too.

Last week on the first day of my period I met with an acupuncturist and I plan on seeing him once a week this first month. My question to you is what else you would recommend I do? I've read about herbs but I'm not sure what would be good for me. I have two beautiful children and selfishly I want more. In your opinion do you believe I will be able to have more or is my fertility now poor? I would love to meet with you in person but live in Iowa if you believe you could help me I would love to set up some sort of a treatment plan to go along with my acupuncture appts. Thanks so much for your time! -Amanda

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Miscarriages and Acupuncture
by: Amelia Hirota

Hi Amanda,
I'm very sorry for your loses. It's important for you to understand that miscarriage is just as hard on the body as a full term pregnancy, so your body has been through 4 pregnancies in a relatively short period of time. As a mother of 2, I'm sure that you expend a lot of energy on others. Please go out of your way to seek care and nourishment from your husband, friends and family.

Thank you for providing me with so many helpful details. It's clear that fertility isn't necessarily the issue. When I've worked with patients that have had multiple miscarriages, it's been interesting to me that they all reached a point where it was then difficult to get pregnant. However, when they did finally get pregnant, they stayed pregnant and gave birth to to healthy, full term babies.

It sounds like the challenge may be in developing a dominant follicle. To develop a dominant follicle the steroid hormones must be in balance. Steroid hormones include both adrenal and reproductive hormones.

Things that can disrupt the steroid hormones can be stress, nutritional deficiencies, birth, nursing, birth control pills, exogenous hormones etc.

I'm sure that by working with your acupuncturist, you'll be able to attain hormone balance again.

I'm also concerned with the thin lining of 6 mm and the lighter periods. This is a sign of blood deficiency in TCM and this should be treated with diet and herbs. Your acupuncturist will be able to prescribe you appropriate herbs.

As for diet, I'd recommend that you consume 3 servings of animal protein a day and some form of protein every 3 hours throughout the day. Make sure that your animal protein is coming from pasture fed animals or wild fish. It's very important for you to keep your blood sugar levels stable. You do this by consuming protein throughout the day and limiting your consumption on carbs like breads, sweets, junk foods, pasta and potatoes.

I think that the body realizes that it doesn't want to go through another pregnancy if the chances of success are low. Therefore, I think that by supporting your overall health with good nutrition, appropriate herbs, a health lifestyle and acupuncture, the next time you get pregnant, you'll stay pregnant.

I wish you the best of luck with your new acupuncturist. Please let us know how things go in the coming months by posting here.

Sending Health Baby Dust Your Way,
Amelia Hirota

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