Visit With High Risk OBGYN

Now that I am home, and not on mobile, wanted to give everyone an update on my appointment.

I am concerned because I have not been ovulating and my cycles are still all over the place. 

As you know, I have clotting disorders and MTHFR. With the MTHFR, its a complicated gene. MTHFR stands for "methylenetetrahydrofolate reductase." 

Factor V is a mutation of one of the clotting factors in the blood called factor V. This mutation can increase your chance of developing abnormal blood clots (thrombophilia), usually in your veins. In this disorder, the Leiden variant of factor V cannot be inactivated by activated protein C.

MTHFR is an enzyme that helps process vitamin B9, which is also called folic acid or folate. Folate helps the body breakdown, use, and make new proteins.

One of folate's most important jobs involves changing an amino acid called homocysteine into another amino acid called methionine. Both of these amino acids are essential for many body functions. However, having too much homocysteine may raise your risk for a number of health conditions. 

As you know, folic acid is essential in preventing genetic chromosomal abnormalities, and allowing fetus' to be viable in pregnancy, and so having MTHFR complicates things even more... with MTHFR, pregnancy loss, recurrant pregnancy loss, stillbirth, and placental abruptions, as well as pre-eclampsia are complications. 

I feel as though the doctor was nice, but that he kind of rushed (general feeling with all doctors) I had a long list of things for him to go over, and he kind of spent an initial in and out. I am going to re-mention some of these at the next visit, perhaps the reason he didn't ask for explanation too much is because my 5 m/c and 1 stillborn was with my ex, the father to my present 3 year old daughter, so totally different ballgame now. Or it is likely, that perhaps he misunderstood me, but he asked me why I am going to be seen in his office, and I told him well, my PCP, Endocrinologist and Hematologist reccomended I seek a high risk obgyn. 

I have PCOS, Diabetes and Thyroid issues, and have a lengthy history. I told him I had 5 miscarraiges, and he didn't even ask about my stillborn (I'm somewhat glad he didn't, but I figured it would be worth the pertinent information, especially where she had a heart defect) I told him I have a 3 year old daughter from a different relationship, and she has an ASD, and that I was induced with her because she had the heart defect, and I had GD and pre-e (protein in urine) and than he pretty much said a few things:

1. My boyfriend needs to have his sperm tested. The reason for this is because it would be pointless to go any farther into my history if the problem is him. He is going Friday to talk to the doctor about it.

2. He wants to see me back when the testing from my boyfriend is complete, in approx. 2 months. However, there are a few things I am confused with. Is a fertility specialist different than a high risk obgyn? Can a fertility specialist deliver babies? I ask because my PCP wants me to see a fertility specialist. in 2mos which is out of pocket, and really expensive.

3. He said that when I become pregnant, I would end up needing Lovonox Injections and would be high risk. He wants to wait for clomid until after Alex is tested.

4. Between my OBGYN, Endocrinologist and PCP, they all say I need a fertility specialist, but none of them have prescribed me clomid. Perhaps by fertility specialist, they are meaning someone who specializes in high risk pregnancies?

5. He wants me to fax my records over to them, because they do not have them on file. (I am going to do that now)

6. He wants to eventually wean me off some of my medications because I am on a long list of them, and it is not good for the baby, and could also be affecting fertility.

He said it is a good thing I have my daughter, and I told him, I agree, so we wait, and see him in 2 months in January after Alex gets his swimmers checked...

I think once I become pregnant, the fear of maintaining the pregnancy and avoiding the loss will become imminent... I remember with Gabriella getting past certain points made me happy... but I worry... I never thought that TTC would be so complicated with all these health issues... and I feel its not fair that Alex has to just tag along, because he is healthy and wants a child, he has to go through all these testing things too...

So now we wait....

*baby dust to all*



You are very blessed to have a very loving husband and daughter despite your condition. I understand that it must be agonizing having experienced giving birth to a stillborn. It is a nightmare to every mother but I commend you for remaining strong and faithful. I pray that you would be able to be a new mother to a healthy baby soon.

Chelsea Leis

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