Seeking Advice What to Do After a Miscarriage and Having PCOS

Updated on May 07, 2008
A.H. asks from Lookeba, OK
11 answers

This is such a personal thing to have happen to me, but I thought I would share this story to get some support. Some of you know that I have pcos(polycystic ovary syndrom) and have been trying to have a baby. I have almost no periods at all. If I have a period it is very ab normal. Saturday was so different tho. I stared spotting brown discharge and thought nothing of it, but then I was having hardly no cramps with it. (That is not normal for me) If I have a period it is usually with bad cramps. I dismissed it as nothing really. Then I stopped bleeding and this usually happens to me with pcos so again I dismissed it as being pcos again. All of a sudden my lower back started aching something terrible. My legs by my hips felt like they were pulling apart. My husband and I were out of town that weekend. I told him I needed to rest a bit and sit down while he shopped. The cramps came again. We went to Wal-Mart and all of a sudden a bright pink liquid soaked my underwear and the shorts I had on under my skirt. It was so strange it was in a complete circle shape like a top of a tea cup shape. That scared me a little. I told my husband I needed to go back where we were staying and change my clothes. He agreed and was a little concerned. I still did not have it in my mind that I was having a miscarriage. a couple days prior to this event half dollar size tissue looking stuff came out of me in the bathroom. Once again thought pcos was the cause of this. So I made it back to change my clothes and when I got to the restroom I started cramping worse and then a med. size clot with veins on both side of it came out. I hurried and called my husband to come see what just happened he was shocked, but thought it prob. was not a miscarriage. I knew it was so different then anything I ever have experienced. When I do have a period I do clot but this was so different looking. We got home late Sunday night and I was still cramping but not bleeding anymore. I went about my week as normal and even had a field trip with the kids from school. Went to the Zoo all day. I started to feel ab normal fatigue. The week had been so busy for me. We are in the process of trying to adopt a baby and be Foster parents so of course this week was so busy for me. I hardly had gotten any rest. I still was feeling very sick cramps tired just not myself. I decided to look up the syptoms I had that following weekend and the symptoms I'm having now. I was so shocked to learn that I had a miscarriage. So many web sites confirmed that I prob. did. I talked to a friend that went thru. one too and she told me things that happen with a miscarriage before I told her what all happened with me. They were the same. I'm going to the doctor today to get checked out. Last night I had the worst ovary pain I have ever had. It was so bad I just curled up in a ball and could not move for a while. I feel like my ovaries are in spasms. and like sharp stabbing pains is this normal?

If any one has any advice that would be great. I'm a little confused. Thanks for reading:0)

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So What Happened?

Thanks for your advice. I went to the Dr. and she confirmed I had a miscarriage. She gave me a preg. test to confirm I was not preg anymore, it confirmed I wasn't anymore. She said my levels were almost back to normal. She said I would be hurting for a while. She said my body was going thru a super period with No more blood because it all came out when I miscarried. Thanks for your support and prayers!

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C.M.

answers from Montgomery on

You really do need to see a doctor. It could be an ectopic pregnancy. They can be very dangerous if not taken care of.

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C.T.

answers from Little Rock on

I am sorry you have been going through this. It does sound like you did have a miscarriage but it may not have been too. I had a girl go through the same thing at work and we actually brought what she passed to the ER with us and they examined it and determined she did not miscarry.

The stabbing pain you experience with your ovary is probably a cyst bursting. With PCOS that happens and can be excruciating. When I had my appendix out I had them check to make sure it wasn't a cyst bursting - it wasn't but that gives you an idea of the comparable pain level.

I tried for years to get my son, now three so I know what you are going through. What methods have you tried? Have you considered trying non-medical methods? I assume you have gone through the typical clomid and doctors have put you on metformin etc. Almost every woman I have worked with (I am my own example as well at 20 weeks pregnant right now) ahs gotten pregnant at 3 to 4 months of using natural progesterone after getting their bodies in shape for pregnancy. It is important to supplement with the progesterone through the 2nd trimester as well to maintain the pregnancy. Progesterone is a vital hormone to pregnancy and with PCOS your body is not producing enough. I used the cream initially to start having periods. I wasn't trying to get pregnant. I got to a point where I didn't need to use the cream all the time and had periods on my own - that took about a year. Six months later is when I decided to try to get pregnant again and I honestly did not think it was going to work for me but it did on the 3rd month.

Sorry for making this so lengthy but I wanted to include this from one of my websites for you. Obviously you know what PCOS is but I wanted to include all of the information from the page for you.

PCOS and Natural Progesterone

What Is PCOS?

PCOS refers to multiple cysts on the ovaries and a host of other problems that go along with them, including anovulation (lack of ovulation) and menstrual abnormalities, hirsutism (facial hair), male pattern baldness, acne, and often obesity. Such women may also have varying degrees of insulin resistance and an increased incidence of Type II diabetes, unfavorable lipid patterns (usually high triglycerides), and a low bone density. Laboratory tests often show higher than normal circulating androgens, especially testosterone.

PCOS occurs when a woman doesn't ovulate, which causes a disruption in the normal, cyclical interrelationship among her hormones, brain and ovaries. Normally, the hypothalamus, a regulatory center in the brain, monitors the hormone output of the ovaries and synchronizes the normal menstrual cycle. When monthly bleeding ends, the hypothalamus secretes gonadotropin-releasing hormone (GnRH), which stimulates the pituitary gland in the brain to release follicle stimulating hormone (FSH) and luteinizing hormone (LH). These hormones direct an ovary to start making estrogen (mostly estradiol), and stimulate the maturation of eggs in about 120 follicles.

The first follicle that ovulates, releasing its egg into the fallopian tube for a journey to the uterus, quickly changes into the corpus luteum, which is a factory for making progesterone, and raises progesterone's concentrations to 200 to 300 times higher than that of estradiol. This huge surge of progesterone simultaneously puts the uterine lining in its secretory or ripening phase, and turns off further ovulation by either ovary.

If fertilization does not occur, the ovary stops its elevated production of both estrogen and progesterone. The sudden fall in the concentrations of these hormones causes shedding of the blood-rich uterine lining and bleeding (menstruation). Then, in response to low hormone levels, there is a rise in GnRH and the cycle starts all over again.

But what happens to this cycle if, for some reason, ovulation is unsuccessful? For example, if the follicle migrates to the outside of the ovary, but does not "pop" the egg and release it, the follicle becomes a cyst, and the normal progesterone surge does not occur. The lack of progesterone is detected by the hypothalamus, which continues to try to stimulate the ovary by increasing its production of GnRH, which increases the pituitary production of FSH and LH. This stimulates the ovary to make more estrogen and androgens, which stimulates more follicles toward ovulation. If these additional follicles are also unable to produce a matured ovum or make progesterone, the menstrual cycle is dominated by increased estrogen and androgen production without progesterone. This is the fundamental abnormality that creates PCOS.

Treatment of PCOS

I recommend supplementation of normal physiologic doses of progesterone to treat PCOS. If progesterone levels rise each month during the luteal phase of the cycle, as they are supposed to do, this maintains the normal synchronal pattern each month, and PCOS rarely, if ever, occurs. Natural progesterone should be the basis of PCOS treatment, along with attention to stress, exercise, and nutrition.

If you have PCOS, you can use 15 to 20 mg of progesterone cream daily from day 14 to day 28 of your cycle. If you have a longer or a shorter cycle, adjust accordingly. The disappearance of facial hair and acne are usually obvious signs that hormones are becoming balanced, but to see these results, you'll need to give the treatment at least six months, in conjunction with proper diet and exercise. If your symptoms fade, try gradually easing off the progesterone (take half the dose, for example) and see how it goes. If your symptoms return, stay on the full dose for six more months. Ideally, as a young woman, you would use the progesterone cream only during the months you need it, and encourage your body to return to its own normal hormonal rhythms as much as possible. Some women with many damaged follicles may always need to supplement with a little bit of progesterone cream.

C.
www.purelybalanced.com

1 mom found this helpful
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R.G.

answers from Monroe on

Hello, I just want you to know I am praying for you, In Christ, R.

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F.B.

answers from Tuscaloosa on

Hello A.,

It is with intense shock and bewilderment to me that you didn't drop everything at that precise brown spot moment, or at least shortly after more strange symptoms occurred, and go flying off to the doctor.

You could have been in extreme danger because these signs could infer ANYTHING. You are very lucky you made it through, but it also stupefies me that your husband was only a 'little concerned'.

I very much suggest you also save these questions for that long overdue appt. to the doctor. I think this is a matter that goes beyond website research anymore. You are in the throes of something that requires real medical attention. Guessing and wondering won't cut it. It will only delay the help needed.

Let us know what he has determined, and my very best of luck to you in adopting. I can't think of a more tender and compassionate gesture of love.

Sincerely and God bless________

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L.H.

answers from Shreveport on

Hey, A.! I have had a miscarriage before and would advise you to ask the doc about a D&C, if you haven't already. Sounds like you need one after what you've been through. So sorry to hear about your miscarriage! Mine was with my very first child and my current husband says I never got over it! It's been 15 years and I've had three sons since. Anyway, I wanted to mention that since you guys love shopping I know of a wonderful little girl in La. who loves to shop and is looking for an adoptive home. Send me a message if you'd like to know more about her.

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K.M.

answers from Tulsa on

A., I'm so sorry you are having to go through this! I don't have PCOS but I have had several miscarriages and a tubal pregnancy. With my first miscarraige I was only 10 weeks along when I began bleeding at a Mexican restaurant. We and the family we were with had to leave immediately and head to the local ER. I went into labor that night and passed what appeared to be a huge clot...at least 1/4 cup. I know now that was probably the baby and placenta but I didn't understand that then so I flushed it all down the toilet.

With my 2nd miscarraige at 16 weeks I knew what to expect: a sudden burst of bright red blood, a certain smell, the cramping and diarrhea. I passed that little person into my hands then had to have the placenta torn out of me at the ER. I also wound up with a D&C because the ER doc didn't get everything out.

If it's not too late you can get blood tests done to detect hormones left over from the pregnancy. That will confirm whether you were or not. There are other symptoms of early pregnancy but if you haven't been pregnant before you may not notice them.

I hope you are eventually able to figure your cycle out and have a baby naturally. If not, there are more than one way to build a family.

Kimbelry

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K.S.

answers from Oklahoma City on

I agree with the great advice from Cynthia T.

I got pregnant very soon after starting natural progesterone. I do not understand why doctors do not tell us this stuff. Well, I guess since pharmaceutical companies train doctors that would explain it!

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J.H.

answers from Tulsa on

You have waited too long to see a doctor. There is probably some follow-care that you need.

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H.A.

answers from Decatur on

A.,
Go to http://www.radiantwonder.com/index.asp you can get a free phone consultation with Amanda. They can help you with your PCOS and monthly pain. I have been trying to concive now for 4 year with unexplained infertility, I am now just starting on a program now so maybe I will have sucess. It might be worth just talking to her since it is free to talk.

H.

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J.C.

answers from Tulsa on

A., My heart goes out to you!! I suffered for yrs. w/pcos but did manage to take clomid fertility drug for 6 mos. before I got pg. Had a son then 18 mos. later had a daughter..! At age 33 I had an 81/2 lb.tumor rupture so a hysterectomy was done...doctor left my ovaries....at age 44 I had another episode & had to have the ovaries removed..had a 9lb.tumor on a "root" wrapped around the ovary....ouch...Ifelt so good & "clean" after the surgery *& no more pain...it was wonderful ! I do understand wanting to have a baby and proceeding w/ adoption is great! It doesn't matter if the baby is "under" your heart or "in" it...I'm order now & am raising my hubby's two granddaughters...13 & 6...absolutely no realation to me but couldn't be more mine that my biological ones....God Bless & Good Luck....!

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J.L.

answers from Tulsa on

Well, you definately need to get checked out at the Dr. You may need a d&c or something. It does sound like something happened. I don't have pcos- but have always had bad bad periods. The first time we ever tried getting pregnant- something similar happened to me. It hadn't been long at all into the trying process- when I found I was a tad early on my period and it was light. Then went to heavy- like usual. I figured i was just messed up again. But then I began to have the worst cramps i had in my life- so i took a prescription pain pill i used for cramps. I fell asleep. When I woke up i felt the need to have a bowel movement. When I did- i also passed a glob of tissue about the size of a quarter. It was hard. I just put it in a container & the Dr. said I needed to take it to the lab. It came back saying it was a cyst of degenerating placenta. Basicly- a missed miscarriage. I just was told to make sure i had 3 period cycles before trying to conceive again. Did fine. Hope you are ok. J. L.

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