Cause of recurrent biochemical pregnancies & pelvic pain
Posted: Wed Apr 05, 2017 11:29 am
I am 31 and since Sept. 2016 I have experienced 4 biochemical pregnancies. Additionally, I began experiencing some recurrent sharp pelvic pain on the left side in Nov. 2016. I asked my OB/GYN about this during my annual exam and also mentioned the pelvic pain. An ultrasound was performed by the PA in early January 2017 and no unusual findings were noted. I already have 2 healthy children, the first was conceived on our first cycle trying in May 2011 and the second was conceived on our second cycle trying in September 2013 (after a biochemical pregnancy in August 2013). My OB/GYN attributed my biochemical pregnancies to bad luck and offered me an RX for clomid, which I declined. Last month (March 2017), I went to an RE for a second opinion. During the appointment, she performed transvaginal ultrasound to evaluate my pelvic pain and cramping and noted a small accumulation of fluid in my uterus (I was on cycle day 8 if that matters); my ovaries looked fine, although she did mention that I had a higher than normal number of follicles for my age, and my fallopian tubes could not be visualized. She ordered several blood tests (results posted below) and a saline ultrasound to be performed around cycle day 7 of my next cycle. The reference ranges weren't posted with my blood work results, but from my own research it looks like my AMH and Anticardiolipin IgG results are a little high and my Vitamin D is a little low. I continue to experience pelvic cramping and nausea and since I won't see my RE again for several weeks, I was hoping to get another opinion on my blood work results, as well as the presence of fluid in my uterus.
Ultrasound results:
Right Ovary - Follicles: 11.1mm
Uterus Length (mm): 6.0
Uterus Height (mm): 3.1
Uterus Width (mm): 4.9
Uterus Volume (cc): 47.7
Endo Thickness: 4.8
Endo Type: None
Cul de Sac Fluid: None
Blood work results:
Anti-Beta2Glyco,IgG: 8 GUNIT
Anti-Beta2Glyco,IgA: 10 AUNIT
Anti-Beta2Glyco,IgM: 6 MUNIT
Anti-Mullerian Hormone (AMH): 5.65 ng/mL
Antibody Screen: Negative
Anticardiolipin Ab, IgG,QN: 22 GPL
Anticardiolipin Ab, IgA: 5 APL
Anticardiolipin Ab, IgM: <1 MPL
Platelet count: 301 x10(3)/uL
RBC: 4.12 x10(6)/uL
WBC: 5.81 x10(3)/uL
HEMATOCRIT: 39.3 %
MCV: 95.4 fL
MCH: 33.5 pg
MCHC: 35.1 gm/dL
MPV: 10.2 fL
EOSINOPHILS: 2.8 %
BASOPHILS: 1.4 %
HGB: 13.8 gm/dL
Lymphs: 47.7 %
RDW: 11.7 %
Immature Granulocytes: 0.2 %
POLYS: 42.7 %
MONONUCLEAR CELLS: 5.2 %
Rubella Ab,IgG: 78.0 IU/mL
Varicella Zoster IgG: 3.51
FREE T4: 1.20
TSH: 1.210
Vitamin D Total: 27.4
Ultrasound results:
Right Ovary - Follicles: 11.1mm
Uterus Length (mm): 6.0
Uterus Height (mm): 3.1
Uterus Width (mm): 4.9
Uterus Volume (cc): 47.7
Endo Thickness: 4.8
Endo Type: None
Cul de Sac Fluid: None
Blood work results:
Anti-Beta2Glyco,IgG: 8 GUNIT
Anti-Beta2Glyco,IgA: 10 AUNIT
Anti-Beta2Glyco,IgM: 6 MUNIT
Anti-Mullerian Hormone (AMH): 5.65 ng/mL
Antibody Screen: Negative
Anticardiolipin Ab, IgG,QN: 22 GPL
Anticardiolipin Ab, IgA: 5 APL
Anticardiolipin Ab, IgM: <1 MPL
Platelet count: 301 x10(3)/uL
RBC: 4.12 x10(6)/uL
WBC: 5.81 x10(3)/uL
HEMATOCRIT: 39.3 %
MCV: 95.4 fL
MCH: 33.5 pg
MCHC: 35.1 gm/dL
MPV: 10.2 fL
EOSINOPHILS: 2.8 %
BASOPHILS: 1.4 %
HGB: 13.8 gm/dL
Lymphs: 47.7 %
RDW: 11.7 %
Immature Granulocytes: 0.2 %
POLYS: 42.7 %
MONONUCLEAR CELLS: 5.2 %
Rubella Ab,IgG: 78.0 IU/mL
Varicella Zoster IgG: 3.51
FREE T4: 1.20
TSH: 1.210
Vitamin D Total: 27.4