I just tried another round of egg retrievals however my body didnt respond well to the stem medication so we switched to an IUI. *, Clomid + trigger + timed intercourse: BFN, 2/23 - 7w2d - heart rate 165 bpm! At our 7-week ultrasound, we were really nervous and anxious. Early pregnancy loss. The main sign of a miscarriage is vaginal bleeding. These include: Maternal Age Maternal age is one of the biggest risk factors for a miscarriage. What can go wrong with the placenta during pregnancy? Group Leaders arent expected to spend any additional time in the community, and are not held to a set schedule. . xx, Kirstie992, thanks so much for your reply. Im very sorry for your loss. Baby dust to you all and positive energy to all of you. They seemed to think as we had one live birth that this wasn't a problem we need to look into but as the miscarriages seemed to have been from 'normal' embryos, it is scary not to have more information on why they are happening before trying again. We tested the remains of the first miscarriage and they . I had 5 miscarriages (and I have 2 healthy children) before they did a hysteroscopy and found all kinds of things in there that could/should explain my miscarriages. We have no idea why this happened to us, I found your thread and was hoping you all had some answers !! BFP #4 2/18/14. Once an egg implants in the womb, periods, It is safe to use heating pads during pregnancy so long as they do not raise the body temperature too much. Bleeding continued, went to ER for ultrasound. What Does No Gestational Sac on My Ultrasound Mean? Eff this. Betas were great, but no heartbeat at 7 week U/S. This article also covers signs of pregnancy loss. Get weekly updates on baby and your body. You've likely heard of people who were certain they had miscarried or were not pregnant, and then went on to have a normal pregnancy. BFP April 2013 - Missed M/C July 2013 @ 12w6d, IVF #1 Antagonist -January 2015: CP/FAIL, IVF #2 April 2015: Microdose lupron Flare. Im so sorry for your loss! I got recurrent pregnancy loss testing after the second miscarriage and it really isn't too extensive (just some blood work, an ultrasound, etc.) Learn more about, Twins & Multiples: Your Tentative Time Table. IVF #1 Oct 2014 - antagonist protocol: 9R, 7M, 5F. I have endometriosis too but the fact you have implanted several times abs to 9 weeks doesn't sound you have any issues with implantation or lining issues/ issues with your uterus. D&C 5/17/11. Today was the day I was going to tell you how we found out about our baby. And I spent most of December bleeding and in pain. So sorry for your 2 losses, I'm afraid I have no experience with pgs t. Im scared of not getting pregnant and Im also scared of getting pregnant and losing another baby. The second miscarriage completely broke my heart as it happened very fast and we saw everything and we had already seen a heartbeat. Ive done all the RPL testing and everything else you can think of and everything came back normal. I was going to tell you how excited I was to post all about my maternity wear, what I was buying for the baby, and our plans for the nursery. Had my d&c on 7/9 and just can't wait to try and transfer again. When they take the biopsy of the embryo there is no way to know for sure if you are testing what will become the placenta vs. the baby, and it's possible the placenta can be tested and appear fine, but the baby part has abnormalities. I was going to tell you how I was keeping a baby journal and writing to our baby every morning. We avoid using tertiary references. An. I was going to share our amazing news that IVF worked for us and we were finally expecting. I was also told to stop fragmin but continue with all other meds including aspirin. BFFN. After that I did an ERA to determine my implantation window and it turned out I needed another day of progesterone. Still not sure whether I will try a natural FET protocol or try another medicated one. In early pregnancy, being off by a few days or having an irregular ovulation patterncan make a difference. Hi Lauren. Strong heartbeat seen at 7 weeks. However, after my D&C, we had the tissue biopsied and it came back with a normal female karyotype. Please select a reason for escalating this post to the WTE moderators: Connect with our community members by starting a discussion. Stillbirth is relatively rare and is getting rarer because very young babies may be able to survive outside the womb thanks to modern technology. Since the biopsied trophectoderm cells originated from parent cells that also made up the inner cell mass, we infer that the status of these cells is the same. Please email me at Afreeda87@gmail.com, I dont have any children yet. After posting my story of my loss, I have seen that this has happened to many others with PGS normal embryos. Seeing your baby's heartbeat on an early pregnancy ultrasound is one of the surest indicators that a pregnancy is proceeding as it should. After hours of waiting I had an US and they couldnt find a heartbeat. aneuploid embryo is one where the number of chromosomes is abnormal, and while these embryos will miscarry, aneuploidy is only one of the many causes for a miscarriage. Im just so scared that this is going to mean that we will never have our baby because I have never heard of someone miscarrying a PGS tested embryo. He came to the office as fast as he could from work and the moment he arrived I collapsed into his arms. 7/31:8dp5dt AM POSITIVE DIGI CLEARBLUE PREGNANT2-3!!!! We started a second round of IVF in October and transferred our 1 pgs normal embryo at the end of January. Unfortunately, miscarriage is all too common, but my situation is a little bit different. I had a D&C the following morning. Can you use a heating pad while pregnant? This is also true if your ultrasound measurements indicate a heartbeat should definitely be present. hello did you end up having success? Time is of the essence and we really want to avoid another miscarriage but I am so scared of harming them through this process. just like everything else in this fucked up world of infertility. You arent alone! Had a very high grade embryo and also had pgs testing. DAY 3 Labs Drawn 2/26 put on vitamin D and calcium supplements, Regroup and Protocol Reveal 3/04 "Bazooka Protocol" EPP with MDLF "Protocol 6 with patches", ER/MESA 4/10 ER 9 eggs retrieved MESA success found live swimmers, Fertilization Report 6 eggs mature and ICSI'd 4 eggs fertilized normally. Going through infertility is hard and draining both mentally and physically. Chromosomal abnormalities are the major cause of miscarriage. Abdominal ultrasound is considerably less sensitive, so it can take longer for the heartbeat to become visible. Once a pregnancy makes it to 6 weeks and has confirmed viability with a heartbeat, the risk of having a miscarriage drops to 10 percent. EDD 2/8/14 6wk u/s HB 126. This may be followed by cramping and pain in the lower abdomen. Note that once you confirm, this action cannot be undone. Diagnosis. Doctors and myself think that 3rd beta was higher the day before and had already started dropping the day before. I miscarried my first pgs normal embryo. She told me that its possible that that inside layer of cells that makes the fetus (which cant be tested) was potentially abnormal resulting in the miscarriage. The educational health content on What To Expect is reviewed by our medical review board and team of experts to be up-to-date and in line with the latest evidence-based medical information and accepted health guidelines, including the medically reviewed What to Expect books by Heidi Murkoff. In true Casey fashion, I even made a big to-do list for us for the remaining 7 months so we could prepare for Baby Finns arrival in June. In the same breath, horrifically scared because what are the chances we get lucky with a BFP again, and we have only day 6's left. We tested the remains of the first miscarriage and they came back chromosomally normal. Pregnancy . I also miscarried after seeing a HB using a pgs tested embryo. Have you ever had a hysteroscopy done? However, your doctor might not write the pregnancy off yet. Theres a chance in other words to throw away an embryo that would have been successful. Use of this site is subject to our terms of use and privacy policy. Today was the day I would tell you that I was 17 weeks pregnant and due on June 19th. A Group Owner is a member that has initiated the creation of a group to connect with other members to share their journey through the same pregnancy & baby stages. And even better, how excited I was to have a baby the same age as my best friend. SCH getting smaller, 3/6 - 8w6d - minor car wreck, SCH larger again, 3/30 - NT scan - lowest risk score possible at 1:10,000 for both Downs Syndrome and Trisomy 18. So, have you done a 3rd FET, or are you prepping for one? I'm so sorry that you are having to ask this and I pray that you will have a good result. Learn more about. hi I have had the exact same problem I did my first FET pgs normal embryo transfer February and it stopped growing at 5.5weeks I saw a fetal pole yolk sac, but no heartbeat. Im with you my last protocol feb 2018 I got pregnant but the embryo stopped growing at 5.5 weeks and I had a dnc at 8weeks., my dr did a bunch of blood work all results came back normal but he did change my protocol this time to add prednisone fragmin, progesterone, aspirin, interlapid infusion, etc etc, Im currently considered 5w3d and beta has been doubling so far. We chose not to test the remains this time due to the high cost-our consultant thinks this one was probably normal too as the pregnancy made it this far. If the first loss came back as chromosomally normal and you have environmental issues ie endo then you have to ask yourself why are they suggesting it x. After many canceled cycles due to fluid in my uterus, we were finally able to get my lining thick enough for an embryo transfer. I'm so sorry for you losses. No advice but just wanted to say how sorry I am. Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. Were you on cyclogest? I dont have any symptoms even though my beta is rising. Nevertheless he thinks it could be worth PGS screening our remaining embryos to prevent more loss as at least we would eliminate one factor that could cause a miscarriage in the future. I also had a bit of testing done after my miscarriage and everything came back normal. I am still a bit of a mess. Are you currently going through treatment? We soon learned that this is known as the vanishing twin syndrome and with IVF the chance of this happening is 1-2%. FET prep: CD 1 6/08 CD 3 Start BCP 6/10, HSG 6/12 Lupron Start 10 iu6/17 End BCP 6/21CD 1 6/23!!! IVF # 1 Dec 2011 BFP
I wish you lots of success on your next cycle.x, We haven't had any of those tests done on me (my , Hi hun, how upsetting and cruel ivf is sometimes! It's such a minefield as we know some in the medical community would say the same about PGS? I am seriously considering not testing and transferring two in our next FET (until now we only transferred one as we were worried about the medical risks of twins but I think our chance of having two normal ones implant is very low now). overly paranoid and delusional that every one is out to get you." I think I'll ask them about them. At that instant, I was numb. And doubling, but I know that beta doubling doesnt mean ur little embryo is growing. As someone has commented i would definately get some further tests done of the ones mentioned already such as NK cells, blood clotting etc . For the second pregnancy we heard the h/b on the ultrasound at about 7 weeks, but the ultrasound at 9 weeks 4 days showed no h/b and the baby stopped growing at 8 weeks. At 8 weeks, we went to my normal OB/GYN for our first visit. I would love to stay in touch with anyone that is also having their pgs normal embryo fail to make it. Bleeding is more likely to indicate a miscarriage when it is heavy, gets heavier with time, or occurs with intense cramps. One 2013 study found that the overall chance of losing a pregnancy after week 5 is 21.3%. Our ultrasound there was again a good one. 3dt of 2 Grade 3 embies. We began seeing a therapist who specializes in fertility treatments and pregnancy loss, and that was helpful for us both. The Meaning of No Fetal Heartbeat on an Early Ultrasound. We wrote sweet notes in our anniversary journal and thanked God for finally answering our prayers. As the fetus gets stronger, it may be less vulnerable to harm. Group Owners uphold the core values of the brand by reporting content that violates the community guidelines. Your emails, DMs, prayers, and good vibes sent our way keep us going. But if you're not sure exactly when you conceived, you might not know exactly how far along you are. Best of luck for your Ja. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. The heartbeat had gotten even stronger and he was looking perfect. Some other symptoms of a pregnancy loss include: A person should speak with a doctor about any bleeding they experience during pregnancy. How Bridget and I were nervous about having babies within 3 weeks of each other, but how we would somehow figure it out. A pregnancy loss is not anyones fault. I looked at the clock everyday wishing for it to be bedtime, so I could just sleep. Your post will be hidden and deleted by moderators. I say that because I havent seen a lot of people on the boards give the 15% stat for pgs. I've also had countless chemical pregnancies that were without ivf. According to a 2008 study, the risk for . Most miscarriages are due to chromosomal abnormalities, a whopping 70-80%. Everything went perfectly, and looks like our stories are pretty similar I went in for my 7w ultrasound today and there was no heartbeat and baby stopped growing last week. I haven't had PGS or PGD testing, but when we had our consultation, our doctor said that there are other problems that can occur, like implantation failure. Further investigation of the fetus confirmed there were no abnormalities. How Finn and I would sit on the couch at night and talk all about our son. At this point, we had already seen the baby 3 times and had heard his strong heartbeat at each appointment. We have no more embryos and will need to start another IVF cycle (we are completely out of pocket) but I am terrified. Read our, No Fetal Heartbeat After Seven Weeks Gestation, Lack of a Fetal Heartbeat Indicating Miscarriage, Guidelines for Diagnosing a Miscarriage by Ultrasound. -lastsliverofhope, http://www.fertilityfriend.com/home/490dd7. Most of the time, bleeding is the first sign of a miscarriage. I'm sorry to say yes. By week 20, a pregnancy loss is known as a stillbirth, and this may cause a person to go into . She also gave us information for prenatal classes and showed us how to sign up for the hospital for delivery. However, not all bleeding is due to a pregnancy loss. Following and Im so sorry to be in similar shoes. 2013;369(15):1443-51. doi:10.1056/nejmra1302417, Murugan VA, Murphy BO, Dupuis C, Goldstein A, Kim YH. Have others done PGS after losing normal embryos? I've seen several miscarriages (at 6w, 9w, 10w), and chemicals too, with PGS-tested DE embryos, some of them in women who already have previous children, i.e. Looking for something in particular? Also, @afreeda29, where did you get your new protocol list? That night, almost the same time as last time - the baby fell out. And thats when I saw itmy baby boy on the screen without the flicker of his heartbeat. My next ultrasound isn't until I'm 9 weeks and I'm terrified of my baby's heartbeat stopping ): I know the chances of miscarriage after a heartbeat. IVF #2 Jan 2015 cancelled due to dominant follicle. Considering a natural cycle for 2nd attempt. CCS Results BOTH BLASTS CCS NORMAL!!!!!! One of the most exciting uses for PGD / PGT is the ability to decrease the rate of miscarriage. Some risk factors for pregnancy loss include: Most of the time, the earliest sign of a miscarriage is bleeding. If yes, maybe it would be worth adding a blood thinner (lovenox and baby aspirin) prophylactically, and maybe a steroid to prevent an inflammatory issue? using certain drugs, especially stimulant drugs such as cocaine or high amounts of caffeine, having an uncontrolled chronic condition, such as, having a hormonal disorder that makes it difficult for the body to produce hormones to sustain the pregnancy, a sudden reduction in pregnancy symptoms, though symptoms can decrease even without a miscarriage due to fluctuating hormones, a decrease in the fetuss movements in the second trimester, not feeling the fetus move after regularly experiencing movement. If you're still not getting a heartbeat after your fetus reaches a certain size, you can be fairly certain that you'll lose this pregnancy. Went in for my beta and it was a 5,178. Helpful - 0. Group Black's collective includes Essence, The Shade Room and Naturally Curly. Planning to do another retrieval, as I have just one normal pgs tested embryo left from the first round, and I would have more peace of mind have at least one or two more going into my 2nd FET. 13dp5dt, Ive got a positive pregnancy test and 2 positive beta. I do have any experience either, but I am so sorry for your losses. I've carried 2 full term pregnancies in the past but due to a tube being removed needed IVF to conceive again. As the pregnancy ends, symptoms may include those of miscarriage. There are lots of other genetic reasons for . Mosaic embryos may be misclassified as being abnormal but if the biopsy had randomly taken another area, it may have come back normal! Group Leaders arent expected to spend any additional time in the community, and are not held to a set schedule. Heating pads can soothe the many aches and. I did the reoccurring miscarriage blood work and also we did the DNA micro deletion tests on my self and husband it was all normal. Wishing you all the best and sending prayers your way and to all the other women having to go through this. NTNP 5/2014-9/2014, OPKs and TI 10/2014 - 1/2015. Now is the perfect time to start your Baby Registry! How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.ncbi.nlm.nih.gov/pubmed/22511535, https://www.ncbi.nlm.nih.gov/books/NBK532992/, https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2018/11/early-pregnancy-loss, https://journals.lww.com/greenjournal/Fulltext/2018/03000/Risk_of_Adverse_Pregnancy_Outcomes_at_Advanced.7.aspx, https://www.tommys.org/pregnancy-information/im-pregnant/early-pregnancy/how-common-miscarriage, https://www.marchofdimes.org/complications/miscarriage.aspx, https://academic.oup.com/aje/article/177/11/1271/97504, https://www.tommys.org/our-organisation/why-we-exist/premature-birth-statistics, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4780347/, https://americanpregnancy.org/healthy-pregnancy/pregnancy-complications/signs-of-miscarriage/. 6 weeks can be a little early for a heartbeat, so we promised ourselves that we wouldnt get upset if they didnt hear one today. I'm so sorry to hear This is such a frustrating process. Since there can be exceptions and the approach you take next is extremely important, medical authorities have developed guidelines as to when you can be fairly certain you have had a miscarriage. Determined that I miscarried thst day at 5 weeks 4 days pregnant. When we got the call, I was overjoyed. Baby was measuring right on track. I did a dnc at 8weeks, it took about 8-10weeks for me to get my period after dnc and I finally did a 2nd FET transfer July 23rd, Im currently 13dp5dt. I was feeling confident about our 9-week ultrasound appointment. This educational content is not medical or diagnostic advice. I remember waking up from surgery and touching my stomach, knowing that he was no longer with me. Weeks 6 to 12. The last time we touched base about our infertility struggle was when Finn shared his side of the story. I'm so sorry to hear Did you start bleeding at home before confirming the miscarriage at the clinic? She told me that there is a 15% chance of this happening. a missed period. I recently did an embryo transfer. Following are a few possible reasons for the absence of a heartbeat on ultrasound. This book was really helpful for me to learn about the various testing available for recurrent miscarriage and to arm myself with information. There are multiple other reasons why the heartbeat of a healthy fetus is not being picked up. Im utterly heartbroken. After completing every test/procedure under the sun - ERA, EFT, Laparoscopy, Hysteroscopy, even some of the immuno/recurrent panels just in case, we completed our FET last month and learned we were pregnant! If you have no other symptoms, rechecking with another ultrasound seven to 10 days is the most common recommendation. Hello all, are any and all of you still active here? Also, your chance of miscarriage goes down greatly after youve seen a heartbeat, and we had seen a strong heartbeat three times. Also, people may change any potentially damaging lifestyle habits they have once they know that they are pregnant. Your provider may measure your hCG levels if you have certain risk factors, such as prior miscarriages. If you have irregular periods there could be a chance that your pregnancy is not as far along as you think. I ate pineapple core (an old wives tale to get the baby to implant), meditated daily, saw my acupuncturist, made a pregnancy diet plan with my nutritionist, and went for long walks to stay active and keep my mind busy during the two-week wait. A similar study of 668 pregnancies with a confirmed fetal heartbeat between 6 and 10 weeks, found a similar decline in miscarriage risk by week: 10.3% at 6 weeks. I hope you get answers and wishing you good luck with your next transfer. Best wishes xx, Kirstie992, thanks so much for your reply. Checking just 4-6 cells out of the whole embryo (100+ cells) sometimes doesn't give us the whole story! By this point a transvaginal ultrasound should be able to reliable detect a heartbeat or lack thereof. The problem is that this is the only cause which PGS will allow us to pick up as far as the genetic reasons for a miscarriage go. So during December, we both underwent blood work and more testing to see if there was an underlying issue here. I just did a FET and havent had my viability US yet. Some other symptoms to monitor for include: Most pregnancies end with a healthy birth, even if the person has a previous history of or risk factors for a miscarriage. Most people can have a healthy pregnancy following a miscarriage. Remember that there's nothing wrong with getting the advice of another physician if you are in doubt. Bridget and I had sat down in November and planned it all out. Has anyone had a mis with this testing? I just have this gut feeling this transfer also failed. I do have symptoms but it may also be from the progesterone Im taking. If you are not sure when you conceived, your healthcare provide will be able to give you an accurate estimate based on your fetus's measurements at the ultrasound. Picture a blown up balloon (trophectoderm) with a small ball stuck on the inside at one position (inner cell mass). I figured my mom would love to come along and meet my doctor and favorite nurses at my fertility clinic before I graduated. However, the chance of experiencing a miscarriage, or a pregnancy loss, starts to drop as the pregnancy progresses. My husband and I are just devastated - we did 3 retrievals to find our 1 PGS normal embryo. Ultrasonography. OK! If you saw a heartbeat at an earlier ultrasound but not at the next, that's a pretty clear indication that something is not right. I think its just you and I on this old thread. We only had 1 healthy embryo, so there's a lot of pressure and hope that this one will stick. I've had every other test under the sun and did PGS on all my embroys (and ALL of them were normal) so I think sometimes it's not the embryos themselves but something else that could be going on. Group Leaders communicate with staff moderators and escalate potential violations for review, but they dont moderate discussions. A Group Leader is a What to Expect community member who has been selected by our staff to help maintain a positive, supportive tone within a group. If you can share any updates, tests, new protocols, I would be eternally grateful. Im very sorry youre going through this. In June, we lost our identical twin girls at 20 weeks due to a cord accident. So many of you have checked in with me over the last month asking for updates and I felt like it was time to share the details. There is no right or wrong way to react to a pregnancy loss. I have my d&c scheduled for this upcoming Tuesday and Im already thinking about when I can transfer next. The same study suggested that after week 6, the rate of loss drops to 5%. Can poor sleep impact your weight loss goals? Patience is key: understanding the timing of early ultrasounds. I am praying for ya. You can also take pregnancy tests daily and watch for the positives to get darker each day. I did bleed a bit at 6 weeks. I think its better to focus on recurrent miscarriage testing/options. 3/26/15transferredone 8 cell grade 4 embryo and one 6 cell grade 3 embryo = slow rising betas for 2+ weeks = ectopic MTX shot 4/29/15, 2nd and last IVF cycle August 2015, stimmed for 12 days, 2 egg retrieved, both mature and both fertilized. We started a second round of IVF in October and transferred our 1 pgs normal embryo at the end of January. Learn about, Light bleeding, or spotting, in early pregnancy is common but does not mean a woman is having her period. There may still be hope. My HCG level was high and things were looking up! Most people who experience a pregnancy loss go on to have healthy pregnancies in the future. I have also seen success stories where there was full term pregnancies after loss. 3/19/15. they are capable to carry a pregnancy full-term. finally did ivf transferred a perfect 5day blastocyst embryo pgs normal on February 9th, and we saw the gestational sac and yolk sac and the fetal pool but not the heartbeat, at my 6w1d ultrasound they said I had SCH which is blood clotting development and I was on bedrest for 1 week, at My 7w2d appointment they said the embryo was measuring at 5w2d unfortunately and I have a dnc scheduled for tomorrow. My husband is furious, of course - after all of the money, time, care we put in, there is no answer. Last medically reviewed on September 26, 2021, Home pregnancy tests are generally accurate, but sometimes they may provide a false-positive result. Posted 17/11/20. 2011. But then at night, I would find myself lying awake replaying every moment over and over in my head and asking myself questions. I cried tears of joy when the nurse called me and couldnt wait for Finn to come home so I could give him a big hug and celebrate. Baby was measuring right on track. Instead, they will most likely do a transvaginal ultrasound, where a probe is inserted into your vagina to get better access to your uterus. Im sorry for your loss. Out of curiosity, did you have pregnancy symptoms before you miscarried? Sorry this is going to be long .We started Ivf - 2 years ago , due to my partner sperm count being low i.e 4 mil everything is low including morphology n motility . Most pregnancy losses are due to factors that the person cannot control. TW: Miscarriage I miscarried our PGS-tested six-day AA embryo at around 9.5 weeks, but it wasn't discovered until 12.5 weeks. 1. I just had my genetic consultation prior to moving forward with PGS, and the doctor did touch on this possibility. The trophectoderm cells are sent for testing and this gives us information on the trophectoderm and not the inner cell mass. I had really strong betas that were tripling, and we saw a strong heartbeat at our first US last Monday. According to a research group based in the United Kingdom, there is a minimal chance that a baby born at 22 weeks will survive. Typically, sex isn't recommended for two weeks after a miscarriage to prevent an infection. hi!! Honor yourself and grieve in the way that is best for you. Alternatively, you can always get a second opinion from another OB-GYN. Born April 2010!! Had I done something wrong? Could this happen again? This is true even if it has been seven weeks since your last menstrual period. ), the other was completely empty and had stopped growing. I miscarried two weeks ago after having seen a heartbeat. Reviewed February 2020. My dr also said I developed a SCH below the sac and its small but he put me on bedrest for a week to see if it will disappear. Mumsnet carries some affiliate marketing links, so if you buy something through our posts, we may get a small share of the sale (more details here). Your health care provider might do a variety of tests: Pelvic exam. By seven to ten weeks, you a transvaginal ultrasound should be able to pick up a fetal heartbeat. Insurance only covers testing if youve had 2 or more losses, but we were willing to do anything to prevent this pain from ever happening again.