Holy shit, can I just say thank you for that. I mean, I had *no clue* a miscarriage was like this. None at all. I would have been terrified to go through that, :::hugs::
Update me if your doctor tries to find out why you miscarried. I'd be surprised if she does, there are so many reasons why and I can only imagine the number of tests you'd have to run would be extremely cost prohibitive (I can't imagine insurance would cover that) but who knows.
I think they could test for karyotype abnormality easily enough, and that would be a reassuring reason for miscarriage. If it came back with a normal karyotype that's when the medical mystery would begin.
Oh it would be trivial to do it, but what is scientifically easy doesn't always translate into practice due to cost. I think a karyotype is around $1000 still in terms of lab resources and people (don't quote me on that though-that was for research samples, I don't know about clinical) so it comes down to whether insurance will cover that etc. Layah mentioned below that the doc mentioned that might be an option so I guess it's somewhat common.
Gdamn. Yeah, a quick web search suggests that your guess was accurate for the cost of clinical tests. I had no idea it was so expensive. Ah well, if insurance covers any pregnancy related tests that may give insight into Layah's health I'd love to take this opportunity to have it pay for things but I have no idea what they'll cover. And even if we have to pay for it, useful information is still a bonus. I know very little about the insurance labyrinth. It's one of the curses of good health. Metformin during pregnancy dramatically decreases the risk of miscarriage in women with PCOS, it seems, but Layah's doc took her off it. Birth defect risk is minimal, but not non-existant. Next discussion with doctor will be how to get better control of Layah's bloodsugar and whether metformin might be an option.
I wasn't feeling that bad on Thursday, just mild cramps. It wasn't 'til Friday that things got scary. Plus I didn't mention it Thursday because I can't predict who's going to be really uncomfortable to hear that I am miscarrying right that second and I didn't want to gross anyone out.
Yeah, I'm totally open to some other mechanism of bloodsugar control in place of metformin like, say, insulin therapy (if Layah is okay with that) or some other drug we haven't considered. What's problematic is that Layah's Dr. took her off the stuff entirely and gave her nothing in its place. So far as I can tell, no bloodsugar control at all for women with PCOS has decidedly far worse outcomes, based on the evidence available, than metformin use.
Maybe I'm not understanding correctly, but I thought that PCOS did not work the same as diabetes, and I can't just control diet instead of taking metformin like you could if you were diabetic. No doctor has ever suggested to me that I control my diet as if I were diabetic.
I don't know, 1st yr med here. We briefly went over Metaformin in embryology but beyond that I don't know much. Functionally, I don't see why diet wouldn't have *some* impact. Also, speaking as someone who is dealing with doctors, just becasue they haven't suggested it doesn't mean it isn't possible.
Layah was following a low-sugar diet and trying to get exercise but I didn't monitor her carefully so I don't know how strict she was or to what extent she reduced total calories. I do think she was better than she usually is. Ultimately what she can adhere to for several months will have to be her decision and if she needs drugs to help, I'll support that decision. But if anything can get her on a diabetic diet, having a kid is probably the one thing that might inspire her.
Holy Hells! I had no idea you'd gone through that (just now going back through my favorite humans on lj) I had thought that doctors had induced a miscarriage, and had also assumed that natural miscarriages so early would feel merely like crampy periods.
I am so so sorry you had to go through that, and that it was not "just a stronger period."
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Update me if your doctor tries to find out why you miscarried. I'd be surprised if she does, there are so many reasons why and I can only imagine the number of tests you'd have to run would be extremely cost prohibitive (I can't imagine insurance would cover that) but who knows.
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Also, speaking as someone who is dealing with doctors, just becasue they haven't suggested it doesn't mean it isn't possible.
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I had thought that doctors had induced a miscarriage, and had also assumed that natural miscarriages so early would feel merely like crampy periods.
I am so so sorry you had to go through that, and that it was not "just a stronger period."
::belated hugs::
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