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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Infertility After Miscarriages?

Hi she is about 42, she had misscarage 2 years before for an identified reason. After that she is not able to cocieve. It will discontinue with first or second month. One doctor recommend her folicum 5mg tablet per day. When she is cheking online the the dossage all below 5mg. What is your openion?
Wed, 9 Nov 2016
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General & Family Physician 's  Response
Hello,
Thank you for your query.

Sorry about the miscarriage. Trying to conceive isn't an easy journey and can be devastating when there has been a loss.

*What did you mean by saying 'it discontinues in the first or second month'? Did she get pregnant and lose it after 1or 2 months?
* why did she have the first miscarriage? (you said they identified a reason)
* has she been evaluated for recurring miscarriages?

I recommend :
-an OBGYN and fertility specialist consult
- blood tests (complete blood count, Thyroid hormone levels, TORCH panel, autoimmune panel, anti mullerian hormone, follicle stimulating hormone and lutenizing hormone-the last 2 on day 3 of her period)
-ultrasound on day 3 of period to check for ovarian reserve
-folic acid supplement 5mg a day
-semen analysis for you.
-a healthy lifestyle. Minimize stress and caffeine.
-regular exercise. Weight loss is overweight
-time intercourse regularly

To answer your query, folic acid (folicum) 5mg is safe to use before and after conceiving. Women are commonly deficient in this vitamin.
Deficiency can lead to miscarriages, spinal and neural tube defects in the fetus.
It can also cause anemia for the woman which is unfavorable whole trying to conceive and during pregnancy.

As women age, the quality and number of her eggs go down and the more difficult it is to get pregnant and have a healthy pregnancy. Nevertheless it is possible, based on the above results.

Hope this helps. Please let me know if there is anything else I can help you with.
Wish you good health
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What Causes Infertility After Miscarriages?

Hello, Thank you for your query. Sorry about the miscarriage. Trying to conceive isn t an easy journey and can be devastating when there has been a loss. *What did you mean by saying it discontinues in the first or second month ? Did she get pregnant and lose it after 1or 2 months? * why did she have the first miscarriage? (you said they identified a reason) * has she been evaluated for recurring miscarriages? I recommend : -an OBGYN and fertility specialist consult - blood tests (complete blood count, Thyroid hormone levels, TORCH panel, autoimmune panel, anti mullerian hormone, follicle stimulating hormone and lutenizing hormone-the last 2 on day 3 of her period) -ultrasound on day 3 of period to check for ovarian reserve -folic acid supplement 5mg a day -semen analysis for you. -a healthy lifestyle. Minimize stress and caffeine. -regular exercise. Weight loss is overweight -time intercourse regularly To answer your query, folic acid (folicum) 5mg is safe to use before and after conceiving. Women are commonly deficient in this vitamin. Deficiency can lead to miscarriages, spinal and neural tube defects in the fetus. It can also cause anemia for the woman which is unfavorable whole trying to conceive and during pregnancy. As women age, the quality and number of her eggs go down and the more difficult it is to get pregnant and have a healthy pregnancy. Nevertheless it is possible, based on the above results. Hope this helps. Please let me know if there is anything else I can help you with. Wish you good health