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How To Overcome Recurrent Miscarriage--A Case Study PART 1 OF 2

*Susan and Peter Smith (names have been changed for privacy reasons)

FIRST VISIT:
Susan, BMI 21 (30 y.o, oil painter) came to see me on her own after having suffered her third consecutive miscarriage. She was understandably discouraged and very upset by this as her most recent miscarriage had only happened 5 days prior.

1st Miscarriage 1990--6-7 weeks--no D&C required
2nd Miscarriage 2002--8 weeks, blighted ovum--D&C, conceived again 1 month later.
3rd Miscarriage 2003--9 weeks, blighted ovum--D&C

Susan had regular periods that ranged from 32-35 days, normally would bleed for 5 days and considered her bleeding light, varying from bright to dark blood, with no clots. Ovulation was occurring in most cycles between days 17 and 18. She had been on the oral contraceptive pill from the ages 18-25yrs old and experienced an absence of periods for some time post cessation. Susan usually experience moderate to severe pre-menstrual symptoms such as fluid retention, PMT, fatigue and food cravings (sweets).

Other general symptoms she complained about included: palpitations, sinus congestion, numbness and tingling of extremities, occasional migraines (which had been particularly bad on the pill), skin rashes and hives (particularly following neurofen). In the previous year, she had had two elevated Gamma GT results (GGT--liver enzyme).

Susan had many investigations following her third miscarriage. I asked her to bring in those results with her next time. I also asked her to make an appointment with one of the doctor's at the centre as we would need to do some further investigations for heavy metals and genito-urinary tract infections.

TREATMENT
Discussed the need to avoid radiation, electrical appliances in the bedroom, chemicals of any type, especially cleaning products and this included a break from painting for at least 120 days (fortunately she could do this) as well as flying (this would be more difficult for her husband as it was part of his job) and anything else that could be detrimental for general health. I advised her and her husband to avoid alcohol and caffeine completely (they didn't smoke or use recreational drugs so, this was one less thing for them to do!)

Detoxifying, low allergenic (dairy and gluten free) organic diet wherever possible (particularly meats). She was to base her meals on vegetables and good quality protein sources and avoid processed, refined, fermented and sugary foods. Susan also needed to make sure she was drinking plenty of filtered water, at least 2L daily. She was already exercising and sleeping well.

SUPPLEMENTS:
Individually customised supplementation regime for Susan.

HERBS:
Individually customised herbal medicine prescription for Susan.

I asked her to bring her partner along next time and for him to have a sperm analysis through a specialist fertility clinic in the interim. I also asked for her to bring along any results she may have to her next visit. She would also begin charting her cycle.

SUBSEQUENT CONTACT:
Susan called me to let me know she had thrush. I dispensed herbs for her to taken internally and do sitzbaths/douches daily, followed by local yoghurt and acidophilous applications.

SECOND VISIT:
Susan brought in her husband and all results from previous investigations. She was starting to feel better now, felt unwell in the first 2-3weeks after her first visit. Susan was able to implement all the lifestyle changes I suggested to her in the initial consult. Her temperatures were good, mucus changes were undetectable and she was not ovulating.

RELEVANT FINDINGS FOR SUSAN:
:: Normal chromosomal assessment of parents and products of conception post D&C
:: High positive IgA + IgG for Candida.
:: Positive IgM for Cardiolipin antibodies
:: Positive Antinuclear antibodies (ANA)
:: Very high prolactin levels (1886 mIU/L)
:: Decreased haemoglobin
:: Elevated globulins (GGT had gone back to normal) (liver function test)
:: Low B12
:: Low day 21 progesterone
:: Positive Gliadin Antibodies (EIA) (gluten intolerance)
:: High fasting blood mercury levels (later established mercury and lead--heavy metal toxicity)

Peter, BMI 30 (31 y.o. General Manager--Retail) accompanied Susan, he was able to bring his blood results as well as sperm analysis and completed questionnaire.

RELEVANT FINDINGS FOR PETER:
:: Overweight
:: Stressed
:: Nutritional deficiency symptoms
:: Indigestion
:: Constipation
:: High cholesterol
:: High insulin levels (pre-diabetic state)
:: Elevated liver enzymes
:: TSH low end of the range
:: Sperm analysis surprisingly good, despite some sperm clumping and low levels of sperm antibodies being detected.

TREATMENT:
They were both to follow the diet. Peter needed to detoxify, exercise, implement some stress management techniques, which were discussed and lose some weight. He was able to decrease the amount of interstate flying every month.

Susan and Peter needed to undertake some further heavy metal diagnostic tests and Susan's integrative medicine doctor already started her on oral chelation therapy to detoxify from heavy metals.

SUSAN'S SUPPLEMENTS:
Individualised, high quality, therapeutic 'practitioner only' nutrients including and not limited to a good multi vitamin, fish oils, antioxidants, probiotics and more.

SUSAN'S HERBS:
Susan had lots of immune system related issues, and was given another customised herbal formula to address these issues in detail. In addition Susan as also prescribed another hormonal balancing mix focusing on liver health and eradicating high levels of candida from her system based on her blood tests and had had thrush soon after our last visit.

PETER'S SUPPLEMENTS:
Peter's supplements were also Individualised, high quality, therapeutic 'practitioner only' nutrients focusing on overall metabolic health to optimise fertility including and not limited to vitamins, minerals, antioxidants, magnesium and chromium--these will also help to normalise his weight and blood sugar level issues.

PETER'S HERBS:
Peter's customised herbal medicines were primarily focused on optimising liver health, prostate and sperm function, general wellbeing, energy levels and decrease stress.

Copyright(c) 2008 Gabriela Rosa and Natural Fertility & Health Solutions P/L.

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