Dr. Sameer Kumar
MBBS., MS (OBS/GYNAE)., FMAS., DMAS., FELLOWSHIP IS ASSISTED REPRODUCTIVE TECHNIQUES
Infertility, Obstetrics And Gynaecology
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Considering your age at 39, and last missed abortion, with a history of natural conception post-Mirena removal, the most likely cause of missed abortion could be age-related possible chromosomal disorder in the embryo, which would have been incompatible with life and hence missed abortion.
However, if you have been trying to conceive again since last 10 months now, it is important to get your hormonal profile done and also antral follicular count with AMH (anti-Mullerian hormone levels) to ascertain the quality and number of eggs available or if the hormones FSH and LH levels are normal or not. Also an ultrasound pelvis would be contributory to assess the status of uterine wall and also the endometrial lining. If all is within normal limits then with medical assistance you should be able to conceive again.