In today's episode of Ask the Egg Whisperer (which is up on the podcast), Yessi sent in a question and it is this, "Hello Dr. Aimee! My questions are regarding IVF and miscarriages.

I had 3 miscarriages. I have grave's disease and lupus, and I am taking meds. I have done testing in a fertility clinic. Everything comes out normal and I don't know why I miscarry. I feel like I want to keep on trying, but it is sad to think that I might have miscarriages. I do think it would be easier for IVF but there are also no guarantees of a full-term pregnancy and is also expensive. What do you suggest? Thank you"

First thing: I'm sorry that you're going through the miscarriages. The way I see it, these pregnancies are trying to teach us something, so we need to learn from them. To learn what we can, I created the Angel Workup for miscarriages.

Let's start from the top:

A is anatomy. Have a doctor take a look and make sure that you don't have a uterine septum, and that there isn't any scar tissue or anything else that could possibly increase your risk of miscarriage.

A also stands for AMH, which is a hormone secreted by cells that surround your eggs. Tthe higher the AMH, the more eggs you have. And, if you have a lower AMH, it reflects lower egg quality. That could be something that's contributing to the reason behind the three miscarriages that you've had. We already know that you have auto immune issues.

N is for nutrition. Be sure you are eating as healthy as you can, and work with a nutritionist if needed.

G is for genetics. It's helpful to have miscarriages genetically tested. If you didn't that's OK. Let's do a chromosome analysis on you and your husband. Depending on his sperm quality, maybe consider a sperm DNA fragmentation test.

E is for endocrinology. It's possible that your endocrine system may have some abnormalities. Have your doctor check for thyroid disorder, high prolactin, diabetes.

L is for Lifestyle. Women who are curvier might have a higher risk of miscarriage. I want you and your husband to be in the best shape of your life. Consider, again, a plant based diet. Avoid alcohol, or at least minimally drink alcohol. Avoid completely pot smoking and cigarette smoking, for both females and males. Maintain a target BMI.

To submit your own question to Dr. Aimee for a future episode of Ask The Egg Whisperer, click here.

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