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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Possible To Have Healthy Pregnancy Despite Having Repeated Miscarriages?

I conceived in end of october 2014, around 6weeks I was abdominal and tvs ultrasound because gest age is less than 6 weeks u/s technician said there is internal some bleeding and no heartbeat so she said repeat tvs after one week after that scan gest size increase but no heartbeat then she did tvs again after 1 week but now no heartbeat and very little bit change in size my doctor do meditation also for internal bleeding but I have no outside bleeding and pain after my third tvs doctor said its miscarriage , she did manual vacuum cleaning in jan 2015but due to heavy bleeding she halted process and not did proper cleaning after this again did tvs which shows there is maybe some rpocs left, I did meditation for removing this and after mvc doctor advised beta hcg test and tvs u/s regularly for monitoring, after mvc I had two months bleeding my baby was just seven weeks.my last tvs result which was done on 12/6/2015.uterus is anteverted and normal in size.uterus measures69.3*41.5*41.6mm.no mass seen in myometrium.endometrium appears normal.endometrial thickness measures 7.8mm both ovaries are normal in size.no mass or cyst seen in either ovary.right ovary measures 36.6*24.1mm and left ovary measures 24.8*17.4mm.no adnexal abnormality seen.no free fluid seen in cul-de-sac.urinary bladder appears unremarkable. plz I am very worried plz kindly answers my few questions I am 38 years old I was married at34years age now I have only one kid which is two and half years baby girl.I lost my second baby just after seven weeks and misscariage in jan2015, from second baby conceived and miscrriage from dec2014 tojune2015 I have 8 tvs .is this harmful for my vagina and body tissues? at my first baby I have no tvs only abdominal u/s , I think so tvs harm me and my pregnancy? I want to conceive now I am trying to two to three months but not conceive yet, doctor advised me tvs for follicle is it  to early for tvs because I think frequent u/s harm body? do I try few months more to conceive? do I take any medIicine,I am not taking any medicine I just take my bp medicine mepressor100 half tablet daily? which diet , healthy habits and medicine I need to conceive healthy and save pregnancy? we need baby boys and three four kids more? my first baby was normal but at the end doctor do c section, is it possible my second delivery will be normal? what is the fertilization age of woman? what is the healthy age for pregnancy? I had thyroid profile test at25/7/15, Total T3 1.46 mmo]/L, TOTAL T4 7.30 ug/d], SERUM TSH 2.402u] U/m] , is it value normal? kindly answers my questions soon. thanks alot
Fri, 3 Jul 2020
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General & Family Physician 's  Response
Hi

I will answer your questions one by one.Since you have a history of frequent abortions,the cause should be identified and managed.

Genetic causes, immunologic causes, autoimmune diseases, uterine anomalies, infectious causes, smoking, endocrine factors such as diabetes mellitus and hematologic disorders are some of the causes of recurrent abortions and must be ruled out.

Ultrasound testing does not produce radiation which harms your baby.Hence do not worry about ultrasound scan being the cause of abortion.

I would suggest you to undergo fertility investigations to determine any
hormonal imbalance.

Consider taking folic acid supplements routinely to prevent fetal defects.Folic acid is a very safe drug.

Your TSH levels are normal and you can repeat the tests after 6 months if required.Right now,I would suggest to keep your BP under control since hypertension can complicate pregnancy.Avoid stress.

Hope I have answered your query. Let me know if I can assist you further.

Regards
Dr.Saranya Ramadoss, General and Family Physician
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Is It Possible To Have Healthy Pregnancy Despite Having Repeated Miscarriages?

Hi I will answer your questions one by one.Since you have a history of frequent abortions,the cause should be identified and managed. Genetic causes, immunologic causes, autoimmune diseases, uterine anomalies, infectious causes, smoking, endocrine factors such as diabetes mellitus and hematologic disorders are some of the causes of recurrent abortions and must be ruled out. Ultrasound testing does not produce radiation which harms your baby.Hence do not worry about ultrasound scan being the cause of abortion. I would suggest you to undergo fertility investigations to determine any hormonal imbalance. Consider taking folic acid supplements routinely to prevent fetal defects.Folic acid is a very safe drug. Your TSH levels are normal and you can repeat the tests after 6 months if required.Right now,I would suggest to keep your BP under control since hypertension can complicate pregnancy.Avoid stress. Hope I have answered your query. Let me know if I can assist you further. Regards Dr.Saranya Ramadoss, General and Family Physician