I was diagnosed with ITP in 2009, shortly after having my son who was A- blood type and I am AB+. I was given a shot of Rhogam and I feel that my ITP was associated to either my pregnancy with a + baby or the shot itself. My levels maintained at 100k with minimal bruising and bleed issues, and some pupura marks on the sides of my legs. Then I got pregnant again in 2010 and had an unexplained miscarriage. In 2011 I was pregnant again and I had a hard time keeping him, my hormone levels kept dropping but thankfully with help from my OB I had another beautiful healthy strong boy in 2012. Carrying him however was brutal. It felt like my body and immune system was always fighting to keep us both alive. At one point I my blood dropped to 20k. Has anyone had issues with their ITP levels dropping while pregnant? Once I delivered my son I went back to 100k but it was a scary ordeal. Recently though my levels are dropping again, and this time it's changed. I started with intense back pain a few months ago and ended up in the ER. I thought it was my kidney's or liver but both checked out fine. The pain gets worse if I am dehydrated, if I have a few glasses or wine or even if I am intimate with my husband. None of it makes sense. Now I have this debilitating exhaustion with nose bleeds. Some doctors say it's viral, others say it's musculoskeletal pains, no one has answers. I go for MRI after MRI, CT scan after CT scan, blood test after blood test and no answers. All they know is that my platelets are dropping and don't know why. My spleen is perfectly healthy. Steroids do help but only temporarily. Is there anything I can take or do to help my levels back up. I am extremely weak, tired and now my joints have been so achy as well. I'm a 37 years old. Is there anything I can do about the fatigue and joint pains, and does anyone have this unexplained back pain?