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Eia
Nov 5, 2003
Another thing to consider is that if you and your wife end up doing exactly what you plan - building your lives together, becoming successful in your careers, enjoying travel, buying a home, establishing yourselves, etc. before seriously considering children - you may end up in one of these threads yourself some years from now. When you plan and you wait and you find you're in your mid 30s before you try to conceive, you then REALLY REALLY need it to work when you get around to deciding it's kid-time, because if you futz around too long you can age out of your fertility.

We waited until I was 36 and we were married. Thank GOD we conceived in 2.5 months of trying, or I would have been very stressed about whether I'd left things too late. If we wanted 3 kids, starting to try for the first one at 36 might very well have been too late.

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Eia
Nov 5, 2003
I am sure that these things don't work equally well for every situation, especially in cases where infertility is an issue, but I can't say enough good things about the ClearBlue Easy fertility monitor. It was exactly spot-on with reporting ovulation for me, and I got pregnant 2.5 months into trying, at the age of 36, which is pretty darn good. So, your mileage may vary, but if we decide to conceive a second child, we'll use it again.

Eia
Nov 5, 2003

Susan B. Antimony posted:

Well, now I've started to have some bleeding--guess I'm that rare false positive. =/ Does this mean I need to mistrust any future positive results?

It could have accurately reported a chemical pregnancy - a very very early miscarriage, where the egg got fertilized but then did not implant.

About.com posted:

Chemical pregnancies are not uncommon. Doctors sometimes advise women to wait to use a pregnancy test until their menstrual periods are actually late in order to avoid detecting and grieving chemical pregnancies because an early pregnancy test often will come up positive but then the woman's menstrual period arrives on time or a few days late.

I'm sorry for the disappointment :( Are you guys trying to conceive or was this a surprise?

Eia
Nov 5, 2003

Fire In The Disco posted:

Now I need to find an obstetrician. I am not sure if there are any at the birth center I plan on using for prenatal care; I know they have nurses and midwives and doulas, but I don't think they have obstetricians. Still, they're probably a good place to start, and maybe they have recommendations I can try. Anyway, just thought I'd keep you all updated. Here's to hoping for another green light soon!

Definitely start with the midwives. They can refer you to a good OB if they feel that that would be necessary, or prescribe for you under certain circumstances if it's not a high risk issue. Good luck!

Eia
Nov 5, 2003
Which bp drug do you take? There are a lot of category C drugs that are routinely prescribed to pregnant women and others that are routinely avoided.

Eia
Nov 5, 2003
Fire in the Disco -- I think working with a low-intervention OB is probably the best possible path for you. Hospital births don't have to be high intervention. I had a beautiful hospital birth in an atmosphere that overall respected my natural birth preferences. I risked out of homebirth or birth center births based on high blood pressure, but you will be happy to know that my preexisting high blood pressure in no way harmed my beautiful, healthy child and did not complicate the birth. I wish you the best.

Eia
Nov 5, 2003
just be prepared for the fact that come your third trimester, every single time you have contact with a medical professional they will want to just make absolutely sure that you don't have pre-eclampsia. They'll see high bp #s and worry that you've got pregnancy-induced hypertension instead of pre-existing essential hypertension and so there will be tons and tons and tons of urine tests for protein and let's-just-check-the-baby tests and the like. It's not invasive but when you're hugely pregnant it can make you cranky.

Eia
Nov 5, 2003
I was on the pill for around 20 years. Eek! It took about six months for my period to regularize after coming off (though to be fair, it may have taken that long in part due to dieting and stress at the same time, as it was heading up to my wedding). I started trying once my cycle was back to normal, because that coincided with the wedding, and was pregnant 2 and a half months later, at the age of 36. So I can certainly say that it did not prevent me from regaining my fertility, but I did allow some time before we wanted to start trying to get pregnant in order to let things come back to normal.

Eia
Nov 5, 2003
When I went off bc after about 20 years on it, I didn't get my period back for a few months, until I stopped dieting. I had been on a strict weight-loss diet for 2 years prior and until I loosened up and added some more fat to my diet, and daily full-fat dairy, I didn't get my period back. 2.5 months after I went to a more generous diet, I was pregnant with my beautiful daughter. Just another thought to add to the mix.

Eia
Nov 5, 2003
Speaking as the mother of a baby with a genetic disease (cystic fibrosis), I've been in a LOT of conversations about whether it's ok/fair/right to have kids if you might pass on a serious genetic disorder to them. Many people, like me, only find out that the chance is there after they have a kid with the disorder; then, they struggle with the ethics of having a second child.

In my, admittedly rather different, case, I decided that there is no way than an answer can be right if it would have led to me not having my beautiful daughter. She is wonderful and her life is worth living. Some adults with cystic fibrosis have said it's terrible to have a child if there's a chance that the child may have CF, and that confuses me a lot, since those very same individuals say that their lives are worth living and they are glad that they were born. I guess where I'm going with this is: Is your life worth living? Are you glad that you were born? Would it be better if you'd never lived at all? If your life is on the whole a good thing, then your child's life presumably would be as well.

And all of THAT assumes that your condition is both genetic and dominant (such that it's both caused by a broken gene you carry and that your husband not having said flaw would not suffice to prevent the child from experiencing illness) AND that your kid inherits it. You don't have a family history of RA so this doesn't sound likely to me.

In your shoes, I believe that I would both have the child, and do so sooner rather than later.

Eia
Nov 5, 2003
Call your gyn right away, just so you don't have to worry about it. That's a totally reasonable thing to check in about, and why not get it off your mind?

Eia
Nov 5, 2003
Even if you're not pregnant, you want to be doing the high dose folic acid already. It has the best protective effects if you do it before conception as well as throughout.

Eia
Nov 5, 2003

Longpig posted:

Spotting and cramping have started... Looks like it's off to the hospital for another shot of Rhogam. I guess there must really be something wrong with me. Once you get to four I don't think it's just bad luck. :(

Oh dear, I am so very sorry. Hopefully the loss clinic people can help fix things!

Eia
Nov 5, 2003

melodywise posted:

Don't lose hope at all with age.

Thirding this. It took me 2.5 months to get pregnant at 36. You're a youngun!

Eia
Nov 5, 2003

Noirex posted:

The talk about hypothyroidism got me thinking. I know couples should see a fertility specialist after trying for a year, but is it necessary to go to the gynecologist for a general health check in the early stages? My husband and I have not had a check up in years and I was wondering if we should or if it's too early to worry about that.

Not necessary but certainly a good thing to do. I went in for a 'pre-conception' checkup and asked all my questions about whether there were any tests I should do ahead of time, any immunizations that I should get, any medications I was taking that I should change prior to pregnancy, etc., as well as getting a general look-see and some general guidelines around healthy pregnancy. You should also start taking prenatals ASAP if you're not already, prior to conception. If your rubella titer doesn't show immunity it would be good to get a rubella shot prior to pregnancy, stuff like that.

Eia
Nov 5, 2003
Therapee, now is a great time to have a preconception appt with your OB to review any/all health details prior to conception - get the plumbing looked at, check any medications you already take, see what your pre-pregnancy blood pressure is, update any vaccinations that are relevant. That last bit can be important - if your rubella titer doesn't show immunity you should get an MMR booster, and if you haven't had a pertussis vax in the last 10 years you should get that too. If you do this before conception you don't have to worry about potential effects on the fetus, you just update your immunities ahead of time! That's not as critical as the folic acid, which you should start ASAP, but since you know you're going to start trying, might as well do all the housekeeping!

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Eia
Nov 5, 2003
You should get one if you're trying to conceive because, as the prior poster said, the flu is extra dangerous for pregnant women. But if you choose not to now, you really REALLY should get one once pregnant, because that way you pass the antibodies to your unborn child, which is the only way you can ensure that a newborn gets flu antibodies, since you can't give a brand newborn a flu shot.

So, yeah. Get a flu shot. You've got a baby to think about (hopefully).

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