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Monday, February 1st, 2010

Pregnancy, Faith, and Health

The other day I 'blurbed' that I was sad. I'll try to explain in more detail why I was sad. This will undoubtedly be long; I'll try to be as concise as possible.

Pregnancy: One year ago Richie and I began the journey to getting pregnant. We encountered more challenges than either of us could have imagined. I blogged through the processes and saw more than my fair share of doctors before it was discovered that I do not simply have PCOS, but I also do not ovulate-anovulation, and I'm diabetic. All three of those things can make pregnancy more difficult but not impossible.

Faith: We are Christians. We attend church regularly. We have faith that God will not put on us anymore than we can handle. We believe that if children are in His plan it will be in His time, not ours. We also believe that no matter how hard we try to have a baby, or how much money we spend at fertility clinics, it will still be His will. We believe that fertility clinics are blessings to fill the gaps where our own bodies fail.

Health: I mentioned already the diagnoses of PCOS, anovulation, and diabetes, but I also have MS and am Bipolar I. In December I was in the hospital for several extensive bilateral PEs and an extensive DVT in my right calf. This problem began the windstorm of other discoveries. I have the MTHFR genetic mutation, which may or may not classify me as having Thrombophilia, and an exponentially high Lp(a), which is worse than cholesterol in that it's produced by the body and isn't medically treatable (according to resources I've found). And it is highly genetically predisposed.
The genetic mutation is a blood disorder that increases risk of future clotting. Clotting is more likely to happen during and after pregnancy, surgery, injury, etc. The risks during pregnancy aren't pretty either, higher risk of miscarriage, tubal pregnancy, preeclampsia, and stillbirth. Not only are these issues but I could either pass a clot onto my unborn child or pass a clot into the umbilical cord and kill us both.
The high Lp(a) means I'm more likely to develop heart disease, stroke, atherosclerosis and thrombosis (clots). My level was 3-4 times higher than the range max.
Evidently I'm an exceptionally unhealthy person.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Here is where it all comes together. Here is some insight as to how I think, what I think and how all this information rattles around in my head.

I will be on Coumadin for one year. I should not get pregnant while taking Coumadin but can get pregnant (theoretically). If I choose to get pregnant I must cease the Coumadin and begin a heparin injection to maintain. If I get pregnant I'm considered high risk and will require special doctors. The risks during my pregnancy are grim, and my health could deteriorate further due to the pregnancy itself (even if it were a perfectly healthy pregnancy). So I can't get pregnant but I can't take birth control. Guess we should invest in Trojan? I don't trust condoms too much either, especially when dealing with a drug that causes as many horrible side effects to a fetus as Coumadin does.

Now if I wait the one year before pursuing pregnancy I'll be almost 32, which isn't "old" but it is approaching the danger zone. If we pursue pregnancy through fertility clinics and it is determined that either I can't get pregnant, or that I miscarry/stillbirth or other bad issue, it will be too late and then my eggs will be "too old" in the world of fertility to use in a surrogate. Say I do get pregnant and carry to term and have a baby. I will be passing along some really ugly predispositions to some really ugly diseases. I will be older which puts me closer to the age of developing the health problems related to the Lp(a) condition.

Is it fair for me to bear a child and then succumb to a stroke, heart attack or other issue which might result in death, thus leaving the child motherless at an early age? Is God trying to give me signs to detour me from pregnancy? Is it selfish to accept the risks and get pregnant anyhow, assuming I can even get pregnant? Do we go to the nth degree emotionally and financially trying to have a child? Is it fair for me to have offspring when I know what I will be genetically passing down? Could I handle the heartbreak of more miscarriages or stillbirths? What are the chances, really, of sharing blood clots with my unborn child? Would it be easier to be completely infertile than have the potential of getting pregnant but told I can't?

Just when I get to a point that I feel I'm okay with not having a child of my own something happens that shakes me to my core, like a friend handing me their 1 week old baby to hold and cuddle. As much as I profess to not wanting children, or knowing it isn't "the right time", I'd be lying if I said that my heart didn't leap a little every time my cycle was late. The same can be said for Richie in this regard. God blessed me with this wonderful man who stands by me and supports me beyond measure. I've been given a great gift to have Richie by my side through all of this and to have him as my life mate to "do life" with. I know that with or without children we love one another and will continue to grow, but there is a piece of each of us that'd like the opportunity to add that extra blessing of a child to our lives.

Having said all that, I must say this. We are faithful in God. He has a plan for us that is much greater than we can imagine right now. We aren't supposed to know His plan, and that is O.K. with us. God has provided everything we could want and need because He is faithful to us! God shows us each day that He loves us and is taking care of us. Even through this storm in life we know that there is purpose in all of it. I can be faithful and still be allowed to be sad. I can be confused as long as I continue to follow Him through the dark.

I don't dwell on this, but some days my heart just aches.


30 Comments
k8day
My heart ached just reading this. That is a lot to go through in such a short time. You are strong in character and faith, I believe you will find your purpose in life, with or without children. As much as I wanted to have a child, when people told me "Oh, it will happen in it's own time" it felt like empty words to me. I felt better when someone actually said to me "Well, you may not have children and you will be ok if you don't". I am not sure what makes you feel better, but know you are a wonderful person who has persevered through such hardships, that you will come out in the end. Sending you thoughts and love.
K8Day   Monday, February 1, 2010
_DELETED_soundchick
I don't really know the right thing to say here because I don't think there is a right or wrong thing. I work with someone who has been trying to get pregnant for years. Year after year this person has watched as other coworkers and their spouses have children and add to their families. I almost feel bad talking about my kids like I do in front of her but I finally realized that just because she and her husband have been unable to have children up until this point doesn't mean that she doesn't feel the joy that the others in the office do when people bring in their kids...especially the chubby little babies! In fact, she's usually the first one to ask about my kids and wants to know when I'm bringing them in. I know how lucky we were that I am considered quite healthy, conceived so easily and have 2 beautiful and healthy children. I thank God all the time for that. I hope you are able to find what you are looking for, whether it's having a child of your own, adoption, or whatever else comes your way.
soundchick   Monday, February 1, 2010
Dana
First of all, I must say how much I admire your ability to come here and share this. I know it isn't easy. Thank you for that. Infertility is not something people talk about, but it is something that profoundly affects many, many lives.
Second...I wish there was more I could do other than pray for you and Richie. But know that I will do that one thing often. :)
The most important part of your words here was the strength of your faith. I often wonder how folks get through a trial such as this without it. We've been hoping for a child for a little over 2 years now, and have been told there is not much hope for one. Though there have been (very) rough periods the one thing I hold onto is the knowledge that there is so much more to life than what we see here, now. You are doing what you know to be right, are staying true to your beliefs and faith so that means you will be taken care of in the way that is exactly right for you and your family.
I don't know if you enjoy reading, but the book Hannah's Hope really helped me gain much needed perspective.
God bless you! You have a wonderful spirit and have so much joy ahead of you.
Dana   Monday, February 1, 2010
RAGrise
It is easy to discuss the science of my medical problems and my infertility. What is difficult is explaining my inner most emotions of feeling frustrated, sad and scared without sounding desperate, lost, or without faith. I know that there is purpose in all of this happeneing to me (us). I know that God has purpose, and I know it may take years for me to be in a position to see and understand why all of this is happening. I'm learning trust. I'm learning blind faith.

I love being around others children. I love hearing about others' pregnancies and baby stories. I will rejoyce for them, for I know just how precious the gift of a child is. I would never begrudge another person the same happiness I long for. It would not profit me at all to be bitter or to be offended because I'm not getting what I want. I am trying to learn to live in His will, and if this is it, then so be it. AND I have to learn to be joyful about that. :) As long as I have friends who will let me spoil their children I'll be happy!

Don't admire me, admire God because He is the source of my 'wonderful spirit' and 'joy'.
Richie & Ashley   Tuesday, February 2, 2010
kelseyandben
Ashley - I agree that there is no right answer. I don't understand why people who would be amazing parents and have a deep urning to have a child are un-able to have children of their own. As you know this is a test of your faith, we are all tested in different ways and at different levels. You are right that God does have a plan for you and I have to believe that it is an awesome plan. I can tell from your blogs that you are a dear person and have a great outlook on life. Something great will happen, you have done your research and know what the what-if's are. You are being smart to think of all the possibilities, but sometimes we just have to leave it alone and see what happens. I hope that your body heals, you are doing all the right things it seems, focusing on getting healthy. There is something great coming and it will be very exciting to see what that is!
Moore Crazies   Tuesday, February 2, 2010
spike
There are a lot of pieces to a larger journey in this blog. I often feel like when I look at the whole picture I get overwhelmed. Sometimes focusing on one thing at a time really helps me keep moving. Your health is key.
I have witnessed some amazing pregnancies. One of my dear friends has a disease that prevents her from producing adrenaline. This causes so many problems and can be fatal. They told her a pregnancy would be difficult and that she would have complications(and that she or the baby could die). Boy, were they wrong! She conceived and had a beautiful uncomplicated pregnancy. She even had a natural birth experience. I think her experience was based on her belief that her body COULD do it. My point is, try and become your body's cheerleader. Have faith in your healing.
It is obvious that the breath of life comes from something greater than us. In whatever form you pray....stay positive.
Spike   Tuesday, February 2, 2010
GoodNews
Hey Ashley
I have a suggestion to try. It certainly can't hurt. But I am sure this is much easier said than done. I am at week one with this myself. I have played with a whole foods lifestyle for a few years now (notice I didn't say diet because those seem to be temporary). At times I have been very good at it and sometimes very bad. When I changed my lifestyle about 5 years ago, I lost close to 50 lbs. Ever since I have fluctuated between 205 and 220. Over the holidays, I spent a good bit of time in the "bad" stage. As a result I was a little over 220 when I had a physical a couple of weeks ago. Everything was great, blood pressure was as low as I ever recall, yet my cholesterol was at 250.

My lovely bride pointed out that I have been eating a large amount of cheese products which I at first denied, but later after thinking about it knew she was right. I had also been stopping for a burger at least once per week because I attend ballgames that my daughter cheers for right after work and don't have time to get something healthy... A lie I told myself.

Anyway, ever since I have been on this lifestyle, even though I wasn't real good at it all the time, I have been generally much healthier than I ever have been. I rarely have health problems at all. Compared to 10 years ago when I seemed to constantly be sick or had something wrong with my system.

Back to my recent commitment... After my results came in, I decided to get very serious once again. My commitment to myself is to basically have a Daniel diet. Strictly fruits, vegetables, and whole grain foods only... although with a little meat for dinner a few times per week. My doctor has told me to have my cholesterol checked again in 3 months. I am treating this as an experiment to prove that God's way, (a whole food lifestyle), is better than man's way, (medications to reduce cholesterol). Also, I only drink water, milk and beer (about a six pack per week). (Hey that's whole grain!) I may have to cut that out if this does not work. Anyway, it's just a thought and I really think it will work.

Your faith is an encouragement.
Good News   Tuesday, February 2, 2010
RickMonday
Ashley,

Stay positive. Attitude goes a long way.

Best of Luck!
RickMonday   Tuesday, February 2, 2010
RAGrise
I am fully aware that my health is key, otherwise I wouldn't have seen a million doctors last year in an attempt to become more healthy. Its going to take time get my health straightened out, and I don't to try to rush it out of fear of doing more damage than good.

Good News, you've described my diabetic diet to a tee. My diabetes is under control, and am doing well. I've also implimented a low sodium diet. I can appreciate the whole food approach. I don't think "man's way" isn't God's way. I believe that He gave us the means to manage health issues, I don't think taking medication keeps you from God's way. Cholesterol, I believe, was an unfair example to use. Some people can not control their cholesterol -- no matter how perfect and natural their diet is some may still suffer. I have MS. There is no diet (used loosely) proven to lessen the effects of MS. There is nothing I can do with food or exercise to prohibit my own body from attacking itself. This disease requires medication. The medication helps prevent my own immune system from eating away my brain. I don't think fruits and veggies can do that. LOL I believe that, in general, American society is over medicated. IF you can control your cholesterol by eating right, then yes, that is a better choice than medication. IF you can control diabetes without Metformin, Insulin, or a sulfa drug then you should, but there are people who can't. Perhaps either I've misunderstood your meaning, or you've misunderstood the extent of my medical issues. I'm not sure which. :) There are a lot of medicines that I "should" be taking but don't because I feel it's overkill and unnecessary. I have to face those doctors with confidence and strength.
Richie & Ashley   Tuesday, February 2, 2010
igna83
Not that it's the right decision for you personally, Ashley, but many medical conditions CAN be controlled with proper eating habits for each particular case, and it's been proven. In fact, I am the ONLY patient in my OB/GYN's entire practice that has completely controlled gestational diabetes by eating a certain way. They have even used my experience as an example with their patients, other physicians and dietitians in the hospital. And I did it not once, but twice! Now, Bill and I are working together to reign in his high cholesterol and control it with particular foods, plus a regular exercise routine. Our first "test" to see if we're on the right track will be on March 9th, and I hope we're successful.

I am also not a fan of pharmaceutical drugs and neither is my husband--I won't even take RX pain medications after my c-sections and other surgeries--but we do rely on them occasionally because it's difficult not to utilize acetaminophen or aspirin or ibuprofen, even antibiotics, when necessary. However, we do believe that there are a lot better options in certain situations.

(I think this is kinda' what Good News is trying to say?)
Angi   Tuesday, February 2, 2010
RAGrise
I agree that some diabetics can control their sugar without meds, that is my goal!! I'm a pretty stable Bipolar without meds because of lots of therapy, but I know some who can not function without theirs. I don like the meds they use for bipolar, they are very strong with too many negative side effects.

I also don't like taking narcotics, but addiction runs in my family. I've found that naproxin a d Tylenol work as well for me as tramadol and toradol. Muscle relaxers work for the first two weeks then nothing, so I don't bother. I choose my Rx drugs carefully.
Richie & Ashley   Tuesday, February 2, 2010
spike
Ashley,
I hope you don't think I was trying to diminish your health issues or your desire to become pregnant. I was just trying to express that in my experience sometimes doctors are so medical that they don't really assess people as individuals. This results in all kinds of negative feelings about our abilities to heal ourselves or believe in what are bodies can do.
Thanks for sharing and being so open.
Spike   Tuesday, February 2, 2010
igna83
My mother-in-law doesn't take medication for her Bipolar disorder either, but my nephew must! So I do understand the need for RX drugs. I commend you for all you have done regarding your health issues and hope resolution for all comes soon.
Angi   Tuesday, February 2, 2010
RAGrise
Spike I understood exactly what you were saying AND will go a step further to say that I believe in divine healing as well as our body's natural ability to heal. One of my "missions" with my doctors is to remi d them of the human attached to their lab results.
Richie & Ashley   Tuesday, February 2, 2010
Lionheart
Hi Ashley, great entry, your faith has encouraged and inspired me. I find that so often people mean well and try to offer a "solution" to "the problem." Sometimes this frustrated me because I'd already looked at so many options, considered crazy theories, made changes in my diet, lifestyle, read and researched all the contingencies. Despite all my soul searching and far ranging thoughts somebody always had some idea about where I could try to improve. They mean well bless their hearts but sometimes I just wanted to indulge in complaining about my predicament.

In the end I had to retreat to my faith in Christ. To some extent doing your best to improve your health, understand your medical conditions, minimize risks to yourself and your prayed for baby is a good thing to do. But above that and beyond our frail ability to change anything is the power of giving it up to God. I am a life-long Christian and it was really hard for me to do that. I am a mover and shaker, I like to get things done and I've been blessed be being able to get things done for years. Much of my adult and professional sense of self was defined by my ability to "handle" things.

I think God gave me something bigger than I could handle so I could practice not being in control. After all having a baby, raising a child and being a parent is one big exercise in realizing you are not in control. You have to trust that the Lord will protect your child as they grow in the womb, protect them as they are infants and being cared for by someone else for some period of time, trust that they will be able to cross a street as a teenager and safely get to the other side.

Don't be hard on yourself for feeling the natural human reactions of pain, sadness, disappointment and frustration. Continue clinging to your faith, your husband and your sanity :-) Tomorrow the sun will rise and the Lord will unfold one more piece of his plan for you. I wish I could give you a hug because I can imagine what a tough road your walking. Keep your chin up, I'm praying for you!
Lionheart   Tuesday, February 2, 2010
girlcarew
I keep coming back to this post. I was to post something supportive, but everything I start to write sounds rather underwhelming. Mainly, I guess, I just want you to know that I am sending all the positive thoughts and caring that I can for you. It is such a hard situation, and you are doing everything you can. I wish there was something I could actually do, but there isn't. So, I'll just try to offer words of empathy and encouragement.
girlcarew   Tuesday, February 2, 2010
GoodNews
Hey Ashley I had no intention to claim that taking medication was not God's way. I certainly agree with what you said. Yet God did give us some practical laws regarding our health that if followed will result in positive consequences (Just like the moral laws He has given us). That is the point I was trying to make and apparently did not do a very good job. There is a book that I read that totally changed my outlook and motivated me to be very careful about what I put in my body. http://search.barnesandnoble.com/What-the-Bible-Says-ab...
Good News   Wednesday, February 3, 2010
GoodNews
Just read your post Angi. Yes. Thanks!
Good News   Wednesday, February 3, 2010
lgrant
I'm with you on the drugs--I do think our health professionals or at least the health businesses do tout drugs too freely and overmedicate people frequently. I avoid any drugs I don't require but will give in to the need if one exists (i.e. aspirin, sinus remedies). Unlike Angi, I had no problem with taking pain meds after surgery--about the only thing that kept me moving. Different people; different bodies and needs.

I do admiire you for being so informed and working hard to make your health care the best it can be for you and the safest. Keep up the good work and health.
LGrant   Wednesday, February 3, 2010
RAGrise
Lionheart, Thank you for your words of support. I think things got a little off base by the time you got here to comment. LOL I'm so glad you picked up on my faith in this situation. I'm not out to inspire, just share and vent. You never know who is going through the same things. It's maddening sometimes when you have a quiet opportunity to really get to thinking about things. So I try not too, but this was a glimpse of my concerns and things I do worry about--when I let myself. Thanks for your words of encouragement.

Good News, I didn't think you actually meant that Rx meds were bad, but I wasn't sure exactly where you going with that statement. :) The problem with excercise, at this point, is my hypertension and my blood thickness. I'm suppose to add cardio, duh, but can't yet. Ug.

girlcarew, I appreciate that you feel compelled to support me with words of wisdom, but wisdom isn't required. :) I'm just glad to know that you care. I'm glad to know that you're sending support and positive thoughts my way, I never turn that down!

LGrant, I have to work hard on my medical care . . . that is the only thing I 'think' I can control at this point. LOL It gives me something to focus on. I have several doctors appointments in the next 3 weeks. I plan on having some very serious conversations with them, one of them being with the gyno. That is the one I'm most anxious about.

Anyone have any homeopathic birth control ideas since hormones are out of the question?
Richie & Ashley   Wednesday, February 3, 2010
Dana
Have you looked into fertility awareness methods (basically tracking basal body temperatures and other fertility signs to determine ovulation)? As part of our marriage prep at our church we attended a class on this. I was amazed to learn that it can be a very effective way to prevent pregnancy. It does take a little time to learn though, and with longer cycles it is more difficult (but not impossible). The nice thing about it, it's completely natural and you will learn SO MUCH about how your body works. I thought I would hate it, but now love it.
Sorry for the advertisement here....I know it's not for everyone. Good luck with whatever route you take.
Dana   Wednesday, February 3, 2010
RAGrise
Because of my anovulation, we're not even sure if I 'can' get pregnant. The only reason I was on birth control was to regulate my cycle so we could see if I 'could' get pregnant. The pituitary issue is still unresolved--causes the anovulation.

I am not sure how the BBT would work for me because I never ovulate. Does that make any sense? There would be no cycle for me, no way to track myself. I'd be a surprise every month.
Richie & Ashley   Wednesday, February 3, 2010
_DELETED_homerjpickles
Ashley,

You certainly have a lot on your plate. Thank you for sharing. I wish for you only the most positive outcome on all fronts.

About the birth control ideas without hormones, the book "Taking Charge of Your Fertility" by Toni Weschler is a godsend to better understand your body's cycle and its signs. It's not just about getting pregnant but also about not getting pregnant. I checked out the book from my local library.

BBT is only good for telling a person when they've ovulated, it is not good for preventing pregnancy. I am personally not a fan of BBT, because I am just too out-of-it every morning to pull out a thermometer and be able to read the result. Also, I can't be trusted to wake up every morning at the same time plus or minus just one hour. Lastly, I putz around in bed, stretching, etc., before I get up, so I would assume that my temperature has flucuated away from its basal point before I even get to taking my temp. I invested the $150 the OPK - the digital kind that tells you when to pee on the stick and then it reads it for you. This gives me a 6 hour window for waking up and it is totally brainless so that works well for me. The sticks cost about $40 each box. It's not cheap, but I've heard good things about it. However, given that I am also having fertility issues, the OPK might tell me when I have the highest chances, but it can't tell me everything.
fred   Thursday, February 4, 2010
RAGrise
The purpose of the BBT, which is often taught in catholic churches, is to track your cycle so that you can see your own personal pattern to avoid having sex during that 3-4 days before/after ovulation. That is how its to be used as a preventative, but when your cycle is too irregular to track and create a pattern that's kinda useless. LOL

The birth control that is hormone free is the UID. I'm not a fan of how those work, AND I have had friends who have them--ouch! I've heard it's not only painful during implantation but that it causes pain during sex. Also, one of the other problems is that not only will you have a semi-regular cycle but you will likely bleed between cycles as well. UM NOT GOOD when you're on a blood thinner. At that point, the lack of sex would be the pregnancy prevention, not the UID. LOL

Condoms are much cheaper than you OPK device, I'll stick with those for now. LOL
Richie & Ashley   Thursday, February 4, 2010
Dana
You're right in that BBT alone can only tell you if you did ovulate. You have to keep track of the other signs (which I won't get into here) to know when you are fertile. I have greatly varying cycle lengths sometimes, but I can still predict ovulation very accurately when observing my other symptoms. The one reason I love BBT is that I can pinpoint the day I ovulated. That way I know if we DTD during my fertile time and exactly when my period is due. If I ever was to get pregnant (ha:) ) I would have no need for a test.

You can get cheap OPK's online, but I think they might not work for you anyway. I've heard they can give false results in those with annovulation/late ovulation.

So in summary, lol, if I were in your situation, I'd probably stick with condoms (don't tell my priest I said that). The failure rate, especially since you usually don't ovulate, would have to very small. If you feel like sticking a thermometer in your mouth every morning it would be easy to track your temp using a site like fertilityfriend.com. This way you would at least know if you DO ovulate, and could identify a potential pregnancy very early on (and adjust your meds).

Aren't there some other barrier devices out there too? I feel like I'm back in health class.
Not trying to get all Catholic up in here (lol) but with IUD I think there is a higher risk of ectopics and early abortions (not allowing a fertilized egg to implant).
Dana   Thursday, February 4, 2010
RAGrise
HAHA Health class! LOL

From WebMD: Some IUDs, such as Mirena, release the hormone progestin, which causes the cervical mucus to become thicker so the sperm cannot reach the egg. The hormone also changes the lining of the uterus, so implantation of a fertilized egg cannot occur. This type of IUD must be replaced every 5 years. IUDs rarely cause serious side effects when used in a monogamous relationship (having only one sex partner). Side effects include pelvic inflammatory disease, painful and heavy periods, backaches, and headaches. Discuss these side effects with your doctor.

Side Effects per Wikipedia: Insertion of the IUD may introduce bacteria into the uterus. The insertion process carries an increased risk of pelvic inflammatory disease in the first 20 days following insertion. It is very important that the provider use proper infection-prevention techniques during insertion. Antibiotics should be given before insertion to women at high risk for endocarditis (infection of the valves within the heart), but should not be used routinely. Some barrier contraceptives protect against STDs. Hormonal contraceptives reduce the risk of developing pelvic inflammatory disease (PID), a serious complication of certain STDs. IUDs, by contrast, do not protect against STDs or PID. During the placement appointment, the cervix is dilated in order to sound (measure) the uterus and insert the IUD. Cervix dilation can be uncomfortable and, for some women, painful. Taking NSAIDS before the procedure can reduce discomfort, as can the use of a local anaesthetic. Misoprostol 6 to 12 hrs before insertion can help with cervical dilatation. After IUD insertion, menstrual periods are often heavier, more painful, or both - especially for the first few months after they are inserted. On average, menstrual blood loss increases by 2050% after insertion of a copper-T IUD; increased menstrual discomfort is the most common medical reason for IUD removal. Complications include expulsion and uterine perforation. Uterine perforation is generally caused by an inexperienced provider and is very rare. Expulsion is more common in younger women, women who have not had children, and when an IUD is inserted immediately after childbirth or abortion. Women should check the string of the IUD at least once per menstrual cycle to verify that it is still in place. The string(s) may be felt by some men during intercourse. If this is problematic, the provider may cut the strings even down to the cervix, so they cannot be felt. Shortening the strings does prevent the woman from checking for expulsion, however. The risk of ectopic pregnancy to a woman using an IUD is lower than the risk of ectopic pregnancy to a woman using no form of birth control. However, of pregnancies that do occur during IUD use, a higher than expected percentage (34%) are ectopic. The pregnancy rate during IUD use is very low (less than 1% per year). If pregnancy does occur, the IUD should be removed. Although IUDs are not teratogenic, presence of the IUD increases the risk of miscarriage, particularly during the second trimester. It also increases the risk of premature delivery. Although the Dalkon Shield IUD was associated with septic abortions (infections associated with miscarriage), other brands of IUD are not. IUDs are also not associated with birth defects. Non-hormonal (copper) IUDs are considered safe to use while breastfeeding.
Richie & Ashley   Thursday, February 4, 2010
I read your comments and I do agree with your opinion but I would like to further add some thing that we never be so strict in our personal opinions as it takes us towards extremism. It is probably possible that some one may also be write in its opinion.


by james
visit it once mcitp dumps
james   Friday, February 5, 2010
RAGrise
Evidently I'm missing something. And who is James?
Richie & Ashley   Friday, February 5, 2010
k8day
I am not sure Ashley, but I must have missed that to!

I would recommend BBT to anyone who is wanting to get pregnant, but it has not "just happened". It is how I discovered I was not ovulating. It never worked for me as a method of preventing or conceiving, but just diagnosing. I used it for over a year and would show my regular OB/GYN my charts and she would tell me "Just keep trying, keep tracking", which is why I ditched her. It was obvious to me after just 4 months that I did not ovulate. The Reproductive Endocronologist took one look at my charts and said "well, there's the problem, you don't ovulate!" and within 5 months of my first appointment I was pregnant. We did hormone treatments and ended up conceiving on our second IUI. My RE was aggressive and confident in her skills and we were successful. It took a lot of medical intervention, but the result was worth it!
K8Day   Friday, February 5, 2010
RAGrise
I have several appointments with various doctors throughout the next couple weeks. I will be addressing this from all angles.
Richie & Ashley   Friday, February 5, 2010
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