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Can A Dilation And Curettage Procedure Affect The Chances Of Conceiving?

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Posted on Wed, 8 Nov 2017
Question: Hi Doctor,

My age is 36.
I had my first child when I was 28. My daughter is now 8 years old. She was born at 32 weeks as my water broke early. I had a C-section with my daughter. She is a perfect healthy girl. I conceived during my first cycle of trying with my daughter.
We started trying for our second child since August 2016. This time too, I conceived in my first cycle of trying. At almost 6 weeks, I started bleeding, my obgyn said it was a chemical pregnancy. Next cycle, I conceived again with the first cycle. This time also, I miscarried at 6 weeks.
Then I consulted a Reproductive Endocrinologist (RE), and me and my husband underwent all possible tests (chromosomal, hormonal, structural, FSH, AMH levels etc). All came back normal. I conceived next month again, and RE prescribed to use vaginal progesterone pills till 10th week of pregnancy as my progesterone tested during 4 week pregnancy is 11.5. Third time also I had bleeding around 6 weeks, and I also passed 2 large sized clots. Bleeding stopped the next day and we could see a heartbeat. I continued using progesterone till 11 weeks and then stopped them. When I went for 12 week ultrasound, they could not find a heartbeat and said that the baby stopped growing at 11 weeks. I had a D&C and the fetus was tested. The chromosomal analysis report of the fetus said there is no problem with number of chromosomes in the fetus. It is 22 pairs + X,Y.
We started trying again from 3 months after D&C. We have been trying since the past 4 months, but could not conceive. I am worried that something wrong happened during the D&C, that is preventing me from conceiving, as I used to conceive everytime we tried, before the D&C.
Please suggest the solution to the problem. I am already 36 and afraid that I am running out of time.

Thanks, XXXXXXX
doctor
Answered by Dr. Mahesh Koregol (1 hour later)
Brief Answer:
Preimplantation genetic Screening

Detailed Answer:
Hi,

I understand your concerns.

It is very common to have miscarriages in your age as there are chromosomal abnormalities are quite frequent.

These nees to be identified by doing ICSI (intracytoplasmic Sperm Injection) and PGS (preimplantation genetic Screening) to identify chromosomal abnormalities and mutations leading to these miscarriages.

Let me know if you need anymore help.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Mahesh Koregol

Infertility Specialist

Practicing since :2000

Answered : 3808 Questions

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Can A Dilation And Curettage Procedure Affect The Chances Of Conceiving?

Brief Answer: Preimplantation genetic Screening Detailed Answer: Hi, I understand your concerns. It is very common to have miscarriages in your age as there are chromosomal abnormalities are quite frequent. These nees to be identified by doing ICSI (intracytoplasmic Sperm Injection) and PGS (preimplantation genetic Screening) to identify chromosomal abnormalities and mutations leading to these miscarriages. Let me know if you need anymore help. Regards