COVID19 Safety Alert
Skip to main content
831-649-4483 Request Appointment

Secondary Infertility…what test should I have done?

The Fertility & Gynecology Center - Monterey Bay IVF Blog Secondary Infertility…what test should I have done?

Hi Dr. Ramirez!

I have a beautiful two year old daughter, but I can’t seem to carry another baby. I had a chemical pregnancy earlier this year followed by a blighted ovum. Since then, I have had a recurrent loss panel run. Everything came back normal but a positive ANA result. My doctor told me to start on 81 mg of aspirin a day, but even with the baby aspirin, I’ve had two more chemical pregnancies and am scared that I’m having another. How could my tests come back normal and I’m still having such a hard time? I had no complications with my daughter and I’m only 25 years old. Please help. I’m desperate and losing hope.

A. from Arkansas

Answer:

Hello A. from the U.S. (Arkansas),

Recurrent pregnancy loss is a difficult problem, and it is possible that the cause has not yet been found, rather than everything being normal.  Have you had the following tests:

  1. Chromosomal testing in you and your husband
  2. Lupus anticoagulant
  3. Antiphospholipid panel
  4. MTHFR
  5. Hysteroscopy

In my patients, often everything will turn up negative, so I then treat empirically with low dose aspirin, mini dose heparin, estrogen, progesterone, and medrol.  This is a standard RPL (recurring pregnancy loss) protocol used by many docs.  You might want to discuss this with your doctor.

Good Luck!

Edward J. Ramirez, M.D., FACOG

Monterey Bay IVF

You Might Also Enjoy...

Why Does Menopause Cause Weight Gain?

Why Does Menopause Cause Weight Gain?
Weight gain is one of the biggest frustrations for many women during menopause. You might wonder if menopause is the direct cause of your weight gain — and if so, what you can do about it. Read on to find out. 

Can Acupuncture Help Me Get Pregnant?
There’s no doubt that infertility is challenging. But, with a multifaceted treatment approach, you can often find a path to pregnancy. Acupuncture is one of the lesser known ways to support fertility, and it combines well with IVF.
The IVF Process: Step-by-Step

The IVF Process: Step-by-Step
After a struggle with infertility, in vitro fertilization (IVF) provides new hope. As you start this journey, it’s an exciting time, but of course, you wonder just what to expect. Today, we cover the step-by-step IVF process.
I’m 40; What Are My Chances of Getting Pregnant?

I’m 40; What Are My Chances of Getting Pregnant?
Want to have a baby but worried about your age? It is possible to get pregnant at 40. But, it’s not as easy as it is for women in their 20s. Learning about age-related fertility factors can help you have the best odds of a successful pregnancy.