Tests tests more tests

Today was our first appointment with a private immunological fertility consultant in hopes they can help with our recurrent pregnancy loss.

It’s the next step in our investigations. All the other standard RMC investigations have come up clean, bar one: the thromboelastogram. But there are the few that remain.

I was strangely reluctant to take this step because 1) it’s one step closer to reaching the end of our investigative journey and that terrifies me because if everything comes back normal then we’ll be left without a plan of action. And 2) because of the potential to spend my life savings on tests and possible treatment plans when it’s possible they aren’t necessary. Can o’ worms so to speak.

One thing’s for sure: trying to keep up with the jargon is exhausting. Cytokine this, antibody that. Here’s what’s in store for us:

Leukocyte Antibody Detection (male / female)
HLA DQ Alpha Antigens (male / female)
NK Assay Panel
TH1 / TH2 Cytokine Ratio
PAI Polymorphism
High Vaginal Swab
Semen Culture & sensitivity
Mycoplasma, urea plasma (menstrual blood)
Karyotyping x 2
Sperm DNA fragmentation
KIR genotype testing

Now comes the test of deciding which of the several possible routes to take. Be armed and get the full picture or forgo the tests and have faith that the thromboelastogram was really and truly the cause for our first four losses and by treating it things will all work out? But what’s our problem? We wanted answers and that’s what we can get.

The RMC doctors’ argument that had our fifth baby not had a chromosomal abnormality then it is quite likely it would have been carried to term is sticking in our minds. It did get further than all the others. Question is whether that’s enough for our peace of mind right now or whether its better to rule out all other options. This knowing comes with a pretty hefty price tag but the benefit of awareness might simply tip the scales.

6 thoughts on “Tests tests more tests

  1. Good luck with your journey. It can be so, so taxing. We are in the early stages of dealing with fertility issues, but my heart goes out to so many women dealing with this…all of whom would be great moms, I am sure.

    All the best to you and prayers.

  2. This is a tough decision. On one hand, I’d want all the answers up front before risking another loss. I demanded many tests after my second early miscarriage. But, I’d also have to take into account the cost of all the tests. My husband & I had the karyotyping done, and that was REALLY expensive. And they told us the treatment for it was essentially to just “keep trying.” Unless you wanted to do IVF with PGD. We did it anyway though.
    Good luck with everything. I hope you find answers!!!

  3. I think the karyotyping is really important, although it was expensive for us too. If it comes back positive, it’s such a clear answer of what’s wrong, and it will give you a lot more information about odds for future pregnancies. A lot of the other tests might give positive results, but it doesn’t necessarily mean it’s causing the miscarriages (lots of ‘normal’ people are positive too), but it still might feel better to know. I agree, it’s a tough decision.

  4. Pingback: OPK – not today | Project Sweet Pea

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