A quick background Hx - 1st pregnancy my son was born at 32 wks - 8 wks premature when I was home alone- developed high bp just prior to his arrival and put on Rx not even 30 days before his arrival.  No explaination as to why.  Miscarried last August just shy of 10 wk mark.  Once again no explanation why - did not have to have a d & c as everything went away on its own.  Started seeing fertility specialist in Jan 08 due to irrgeular cycles - 32 to 42 days.  Found out I have LPD and low folate.  Dr started me on Fabb (folate), baby aspirin daily, Clomid 5 days ea month, progesterone vaginal inserts 2x daily, and the ovualtion kits.  After 3 mos w/no results he wanted to go to artifical insemination and shots.  Could not afford to do that at this point so I did not go back after the consult at the end of May - figured we would try on our own while still taking the Fabb and baby aspirin.

The 1st day of my last cycle was July 1st.  I just took a home pregnancy test Monday, Aug 4th; went back to the fertility specialist on the 5th for HCG testing.  Level on the 5th was 45.  Was informed by the nurse that good news is I am pregnant, bad news # is too low and possibly a chemical pregnancy.  Went back on the 6th for another hcg and it was 55.  Went today for consult with the dr today…seems like he really could not say anything but we will have to wait and see….that it might not be a good pregnancy.  He scheduled me next Tues 12th for another hcg and a sonogram.  He asked if I was still taking the clomid (no), progesterone (no), baby aspirin (yes), B6 (he never mentioned but I take a Super B complex). He asked if I was having any pain or cramping and I told him no.  I understand the sonogram will be to try and see where the egg might be and the repeat hcg is to see if my # has gone up or down.

Do I truly just have to wait until nature takes its course?  I am not sure but I may even have 5 days worth of the progesterone inserts left…should I use them?  Or is there something holistic I could take to try and help the uterine lining?  I do not feel like I have been given a chance to fight for my babies life at this point…  Another person’s thoughts would greatly be appreciated about now as I am just getting frustrated with myself…  I should have called the drs office back in May and told them we were going to try on our own = then maybe someone would have told me we needed to continue Clomid and Progesterone or something similar. 

Thank you…

Dear cecurtis
There is no downside to taking the progesterone, but I would discuss this with your doctor.  Beyond that, the answer is yes, only time will tell.  We believe that chemical pregnancies are early miscarriages and most miscarriages are due to chromosomal or genetic problems that prevent the embryo or fetus from developing fully.  Most miscarriages are nature’s way of preventing birth defects.
Again, please give your doctor a call about the progesterone.
Best of luck,
Serena Chen, MD

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