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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Precautions Before Conceiving With History Of Having Two Abortions

Hello Dr Jain,



I am 28. I have had 2 miscarriages recently. Both of them at 11 weeks of pregnancy.

During my first pregnancy I had a threatened abortion at around 7.5 weeks. However with medication of duphaston and regular chorion injections biweekly I carried until 11 weeks. At 11 weeks I started bleeding and a ultrasound revealed that there was no heartbeat of the baby. However at the 8th week ultrasound everything was ok.



I conceived again after 3 months of miscarriage. I was prescribed a dosage of duphaston everyday till 3 months alongwith folvite.At 11 weeks again started spotting. An ultrasound revealed no heartbeat. supposedly the embryo showed no development after 8 weeks 4 days. But here again at the 8th week ultrasound everything was perfect.



I have undergone various tests and the results are normal.

My husband has also undergone a semen analysis which is normal.

Through the test we have not been able to identify a reason for the miscarriage.

I will mail the test reports to you.



I plan to again try after 1 month which would be 6 months after my miscarriage. Please advice what I should do. do I need to take some medication or any other test.



I have regular menstrual cycles for the past 2.5 yrs before which they were irregular.



Kindly advice



Regards

Priya

YYYY@YYYY

+91-0000

Tue, 27 Jun 2017
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General & Family Physician 's  Response
Hi Priya,
Thanks for the query. I have read it &understand your concern.
As you say you had undergone many tests . all were normal.. still the mishap repeated...it was unfortunate.. but with a careful management.. you would succeed.. plese don't worry.
*I feel before planning for baby.. you should have full proof plan with help of your treating gunecologist.
- Confirmed normality ovulation,semen analysis.. excluding abnormal sperm forms, thyroid function test,TORCH test is to be seen.In case something of these need to be treated....get it done to complete satisfaction of your doctor.
- Three months course of oral contraceptives is given to acheive rebound normal ovulation &early conception .. after stopping the contraceptive pills.
-During these three months 5 mg folic acid &200 mg vitamin E is taken by both the partners... which helps good fetal outcome.
-Early diagnosis of pregnancy &suplrmentation of progesterone in sufficient dose (as per the treating doctor's advise &bed rest to avoid any physical or psychological stress is helpful.
-Regular pregnancy check up /thyroid check up, nourishing diet &8 hours sound sleep count much.
* With all these majors you would definately get your dream baby.
Best of luck.
Thanks.
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Suggest Precautions Before Conceiving With History Of Having Two Abortions

Hi Priya, Thanks for the query. I have read it &understand your concern. As you say you had undergone many tests . all were normal.. still the mishap repeated...it was unfortunate.. but with a careful management.. you would succeed.. plese don t worry. *I feel before planning for baby.. you should have full proof plan with help of your treating gunecologist. - Confirmed normality ovulation,semen analysis.. excluding abnormal sperm forms, thyroid function test,TORCH test is to be seen.In case something of these need to be treated....get it done to complete satisfaction of your doctor. - Three months course of oral contraceptives is given to acheive rebound normal ovulation &early conception .. after stopping the contraceptive pills. -During these three months 5 mg folic acid &200 mg vitamin E is taken by both the partners... which helps good fetal outcome. -Early diagnosis of pregnancy &suplrmentation of progesterone in sufficient dose (as per the treating doctor s advise &bed rest to avoid any physical or psychological stress is helpful. -Regular pregnancy check up /thyroid check up, nourishing diet &8 hours sound sleep count much. * With all these majors you would definately get your dream baby. Best of luck. Thanks.