Say What You Mean to Say
My OB wanted me to see a perinatologist because I am now taking two different antidepressants and thyroid medicine, in addition to all of the recurrent pregnancy loss drugs. She was pretty sure there was no problem with anything but just wanted a second opinion.
I arrived for my appointment 5 minutes early, only to sit for 45 minutes because the office staff could not process that I am covered under my husband’s insurance and he has a different last name. In the meantime, I got to see a Juno-esque couple, who look like regular acne-covered geeky kids, except that she was about 7 months pregnant. They were there with her mom and both of his parents. There was no way they were older than 15 and, needless to say, I found the whole thing utterly fascinating.
I finally get back to see the doctor for a consult (no undressing; no bajingo probe) and we talked about all of the medicine I was taking.
Here is what he meant to say:
Yes, you take a lot of medicine, but it is all medically necessary. They do not pose a high risk to your fetus and are, as much as any drug really can be, considered “safe” in pregnancy.
Here is what he said:
“After looking at your file, the highest risk factor in your pregnancy is not the medicine you are taking, but instead is the fact that you are over 35. You are of ‘advanced maternal age,’ which is a scientific construct, but carries with it increased risks of genetic abnormalities and pregnancy complications. Your antidepressants are not what are putting you in the ‘high risk’ category but the potential diminished quality of your eggs due to age.”
So, in summary, no, I should not worry about all of the medicine. I should, however, be on the verge of panic about my age and if I were any sort of responsible person, I would have started having kids when I was 15, when my eggs were still nice and fresh.