Miscarriage at 11 weeks. What now...

[LA_Girl]

Hi,

I’ve just miscarried at 11 weeks. I was on the PCOS LE diet for 9 months and struggled with my LP being too short having lost a little too much weight. As soon as I gained a few pounds I fell pregnant straight away.

I had spotting for most of this pregnancy so it seems it was I’ll fated right from the start.

I’m 41 so time isn’t on my side.

I still have Clomid which I’d like to use again.

I went pretty much back to my old diet and had breakfast, juices, smoothies and my prenatals. I can quickly pick up my PCOS LE diet and exercise again, and I’m sure it’ll take me a little while to get my cycle back (maybe 6 weeks as that’s what’s happened after previous miscarriages). Do I just do the exact same things again with regard to diet (note: I’m vegan) and just try again after my next period - so I’ll probably be on the diet again for around 8-10 weeks....

Thanks.

[ksmom]

I don't really have any advice, just wanted to say I'm so sorry. Hugs!

[LA_Girl]

Thanks ksmom. It’s hard as it’s taken me a year to get to this point, but I always try to focus forwards, so I’m just trying to work out what I need to do next.

[mommymachine]

I'm so sorry.


3 Blue 3 Pink

Hoping to try for #7 in 2019/2020

[dreamofdaughter]

Sorry for your loss. wishing you healing.

[atomic sagebrush]

Oh no I'm so sorry to read this.

As a general rule I don't recommend Clomid for 41 year olds (I think we talked about this already, though)

That is exactly what I'd have you do - pick it up with diet/exercise when you feel able to and then TTC trying to catch the first egg or the second if you prefer.

[LA_Girl]

Thanks ladies.

Atomic - so you think I should skip the Clomid altogether? It kinda makes me nervous as it was my security blanket.... I thought Clomid was supposed to improve the quality of your eggs.

[sunstars]

I'm so sorry for your loss. I hope you will get pregnant quickly and have a healthy baby of your desired gender.

As I remember, atomic have said that for women over 35, Femara is preferable rather than Clomid.

[LA_Girl]

Thanks sunstars. I’ve read that Atomic has said that too, but I can’t get Femara.

When I had a scan once I’d started to bleed, the sonographer said my lining was thin and they couldn’t see a sac or anything. I know Clomid thins the uterine lining, but I’m not sure if it’s unrelated to the fact that I took Clomid that there was no sac. I don’t know if it had already broken down much earlier and I just hadn’t passed anything yet.

I just wonder if I should try to be on the diet for longer (having had a break whilst pregnant) given that my main sway tactics will be diet, exercise and one attempt. I can’t stomach coffee or alcohol. Anything else I should do?

[atomic sagebrush]

Thanks ladies.

Atomic - so you think I should skip the Clomid altogether? It kinda makes me nervous as it was my security blanket.... I thought Clomid was supposed to improve the quality of your eggs.

I'm going to lay out the whole case here so you can understand the situation and be fully informed in making your decision.

Clomid raises FSH. For most people this is no big deal, because when you're under 35, most people's FSH is low anyway and so if it goes up a bit, no biggie. But FSH rises as we age so then we toss Clomid onto that and high FSH + higher FSH due to Clomid may end up being poor quality eggs and lower chances of pregnancy. Since Femara does not have this same effect, I prefer Femara for older moms (but since you can't get femara, that's obviously not going to be real helpful. :/)

The thing is, the FSH effect of the Clomid appears to be cumulative and is inconsistent, varying by person. Some people can and have taken Clomid over 35, even into early 40's, with no ill effects and for others as long as they get pregnant very quickly the Clomid doesn't have time to raise the FSH to the point of affecting egg quality. But we can't know who the people are who will do well on it, all we can do is go for it (or not) and hope for the best.

So, I tend to have people over 40 not use Clomid, because the higher FSH goes, the more likely it is that the Clomid will raise FSH and the faster it will do so. But it's your call to make, you may be less affected by it than the norm, and even if you are negatively impacted by it that may not happen for a month or two giving you time to conceive. I just have to give my across the board recommendation and over the whole population, Clomid over 40 makes me nervous.