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Suggest Treatment For Infertility After An Abortion

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Posted on Sat, 2 Apr 2016
Question: I lost my baby at 23 weeks pregnant in 2014 from an infection and slap cheek, since then I have been trying on and off to try for another baby but to no success, with my other children I was quick to get pregnant so I am worried if there is a problem, each month my cycles vary from 24 to 26 days and I have tracked my ovulation,
doctor
Answered by Dr. Nishikant Shrotri (27 minutes later)
Brief Answer:
Other factors need evaluation

Detailed Answer:
Dear XXXXXXXXX,

From your history what I gather is that you are having regular menses and also are ovulating regularly. However, I could not get any information nor the details about the infection due to which you lost your previous baby at 23 weeks.

What sort of infection was it? Did it affect you only, baby only or both of you? I would appreciate if you update me about this information. It is very likely that the infection you had could have blocked the tubes and hence the sperms cannot reach the ovum that is released.

I would like to have you undergo Hysterosalpingography in which X-ray of uterus and tubes is taken by filling in radio-opaque XXXXXXX in them. This will inform us about the status of the tubal patency and the uterine cavity also.

Also, please undergo Laparoscopy to find about the external appearance of the reproductory organs and the condition of the pelvis.

Please upload the reports and images of the investigations suggested after which I may be better equipped to advise you further regarding the further management and/or any more investigations. Also I would appreciate if you load all the investigations that have been previously carried out in evaluating your fertility problem.

If you want any more information, I am always available for you, XXXXXX.

Dr. Nishikant Shrotri
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Nishikant Shrotri (8 minutes later)
they told me it was the parvo virus that i had and they post mortumed the placenta and that was full of infection
doctor
Answered by Dr. Nishikant Shrotri (4 hours later)
Brief Answer:
Please get the requested investigations done

Detailed Answer:
Dear XXXXXXXX,

Parvo virus causes destruction of red blood cells and thus kills the foetus due to resultant severe anaemia.

However, usually this infection is not known to cause infertility later in life. Since you had conceived previously and have given birth to healthy children in the past, and this pregnancy was lost due to specific viral infection of the foetus, I would say that your potential for conception should not be doubted. Moreover, your ovulation has been confirmed.

I therefore would like to stick to my previous advice of getting the anatomical problems if any in the reproductory organs. So please get Hysterosalpingography and Laparoscopy done.

It is likely that during the process of miscarriage, you could have contacted minor infection which could have lead to tubal or intrauterine adhesions.

I am looking forward for the reports and the images of the requested investigations uploaded.

DR. Nishikant Shrotri
Above answer was peer-reviewed by : Dr. Naveen Kumar
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Answered by
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Dr. Nishikant Shrotri

OBGYN

Practicing since :1968

Answered : 2916 Questions

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Suggest Treatment For Infertility After An Abortion

Brief Answer: Other factors need evaluation Detailed Answer: Dear XXXXXXXXX, From your history what I gather is that you are having regular menses and also are ovulating regularly. However, I could not get any information nor the details about the infection due to which you lost your previous baby at 23 weeks. What sort of infection was it? Did it affect you only, baby only or both of you? I would appreciate if you update me about this information. It is very likely that the infection you had could have blocked the tubes and hence the sperms cannot reach the ovum that is released. I would like to have you undergo Hysterosalpingography in which X-ray of uterus and tubes is taken by filling in radio-opaque XXXXXXX in them. This will inform us about the status of the tubal patency and the uterine cavity also. Also, please undergo Laparoscopy to find about the external appearance of the reproductory organs and the condition of the pelvis. Please upload the reports and images of the investigations suggested after which I may be better equipped to advise you further regarding the further management and/or any more investigations. Also I would appreciate if you load all the investigations that have been previously carried out in evaluating your fertility problem. If you want any more information, I am always available for you, XXXXXX. Dr. Nishikant Shrotri