This is my medical history .I had 3 missed abortions in 1 year's time.

I am 38 years old female. My blood group is B+ and my husbandâ??s is O+ . My husband is also 38 years old. We got married in April 2008 and had three missed abortions .First happened in June 2008 when even till 8th week heart beats did not come. Second happened in March 2009 where heart beats came at 6th and half week but I had slight bleeding and at 7th week heart beats stopped .Third happened in August 2009 .



The following blood tests have been done for me -

Lupus Anticoagulant screen - Negative

Glucose tolerance test â?? Normal

Rubella â??Negative

Toxoplasma â?? Negative

Free T4/TSH â?? Normal

Glycosylated HB (HbA1c) â?? Normal

CBC â?? Normal

ACA â?? Negative

VDRL â?? Non reactive

Analysis of Protein C and S â?? Normal

G20210 A mutation â?? Negative

Apart from blood tests â??

3D Ultrasound of my pelvic area â?? normal .

Karyotype of self , husband , Product of conception â?? All are normal

Semen of husbandâ??s report showed â?? Normospermia with prolonged liquification and mild infection.



My periods are regular .My BP is normal.



As all the reports came normal after 2nd missed abortion so my doctor advised me - Folvite and Loprin 75 and to plan Pregnancy .



After 3 months of my 2nd missed abortion we planned again and I had conceived.My LMP was 26th July 2009 .Once test came positive on 28th July immediately my doctor started Inj - Susten (200) mg twice a week and Tab Duphaston (10)- Thrice a day apart from Loprin 75 and Folvite .I was put on complete rest .

Ultrasound at 7th week 4 days showed Gestational sac of 5 weeks and 3 days , yolk sac but no fotel pole. Advised to repeat u/s after 10 days .It was performed again after 10 days and showed no growth . Concluded missed abortion .

I am disheartened that inspite of susten injection why it did not grow after 5 weeks (In last 2 times it grew upto 7 weeks and even heart beats came ) but third time it never grew after 5 weeks .





I was clueless about what to do next. Finally I went to AIIMS in Delhi . There doctor performed hysteroscopy to see if the fibroid which I had could be the possible cause .Findings revealed no cause for my missed abortions .Doctor told me to start Folic acid and plan pregnancy and on positive test satrt susten .But susten inj twice a week did not work and help me last time .Now I am too scared to just plan and face the same problem once more .



My regular gyne is telling me to go for Doppler test to see any blockage in uterus arteries .Pls advice what should I do .



One more thing , every time when I miss my periods(means i get pregnant) I start having some kind of dull pain in my lower abdomn (which is not cramp kind) and in around 5th week or 6th week slight pinkish spots starts .......



Thanks for your help and time.





Regards