As you can imagine, I have racked up quite a few hours googling anything related to second-trimester miscarriage, loss, cause and the like. I have a pubmed password and a research-librarian friend who can get me almost anything else that needs a subscription. I have slogged through countless articles, not because I'm looking for some magic aha! nugget of information that will somehow explain my loss, but hoping for a better understanding of what to ask about, test for, or consider in the vaguely possible scenario that I actually get pregnant again.
I have found THE SITE, the holy grail of actual useful medical information when considering recurrent miscarriage or a fetal demise. And, it's not even password protected! Plus, the writing is lively and the categories are well-organized. So, here it is: Early Path - a reproductive pathologist's understanding of the various things that can go awry in a pregnancy. This may not be useful for most of you, but it so perfectly encapsulates so much of what I have had to dig through, I just had to link to it, if for no other reason than to be sure I can find it later.
I am not a sentimental girl. I am emotional, sure, maybe even overly teary at times - but in the end I am practical above all else. I am happy to have actual reasons to test for things, wait a certain amount of time, and try new therapies on the off-chance that they may work. This site gives specific reasons to wait a few cycles before trying again - reasons having to do with the uterine vessels cleaning themselves out of the debris from a miscarriage - which is so different from what you usually hear. People talk about getting your "schedule" back to normal, which seems to have more to do with ovulation, or checking E2, which is more about the lining. The idea that the vessels may need to repair themselves is a whole new consideration. But I can tell you, if there is the chance that my vessels may not be sufficiently recovered, I am not going to risk another IVF cycle.
I have an appointment (pants on) with my RE tomorrow, just to go over my last cycle and discuss what we might do differently. I figure the chances of actually getting pregnant again are fairly slim. But the chances of a late miscarriage are <5%, and excluding cervical problems are more like <1%. So, I'm already operating in the realm of the very few. At this point, another round of stims doesn't even seem like a big deal. And, if I wait two more periods before starting the dreaded BCPs, not only will my vessels be ready, but I should even be able to fit back into my regular pants again. And at least that seems like an attainable goal, regardless of whatever else may or may not happen.