Hi,
Welcome to icliniq.com.
I understand your concern.
I see your problem glaring from your history, your weight. I am sure you were not so overweight before your first pregnancy. But let me tell you, if you had one pregnancy, you would indeed have another. From your history, I feel you have PCOD (polycystic ovarian disorder). This is a congenital condition. When you suddenly gain weight, cholesterol is converted into estrogen hormone. FSH (follicle stimulating hormone ), as the name suggests, stimulates the follicle from the ovary. Still, once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone comes from fat, the brain is confused and follicle growth stops early at a smaller follicle size and will not rupture, so there is no ovulation. This is usually associated with obesity, irregular cycles, no periods for a few months, and later heavy periods with clots and fleshy masses, spotting on and off, thyroid abnormality, and prolactin problem indirectly. You develop that extra pad of fat around the mid-segment of the body, especially the waist, thighs, and breasts, with no fat beyond the elbow and knees. There are excessive body hair growth, hair fall, dark shade over the lower half of the face, acne, oily face skin, and black skin over the back of the neck, inner thighs, and the undersurface of the breast. There can be a family history of diabetes, especially father or his family. This will not allow ovulation to occur at any time, so you cannot get pregnant until treated. It also increases your chances of early pregnancy abortions. But this has a solution. Once you reduce weight to the normal range, you will not need any medicine to get periods or to get pregnant, and pregnancy will be healthy. To reduce weight, I suggest you do no fasting, no junk food, fast food, or red meat, and reduce snacks in between meals. Have low calories food and high in protein. Regular exercise, especially for the waist and hip area, aerobics, yoga, and brisk walking, try to reduce two to four kilograms per month. You will see changes as soon as you reduce at least five kilograms. Even if you are in the normal weight range, try this schedule. It will help. Just postpone pregnancy until your weight is reduced by at least a kilogram, as this imbalance can cause hormone imbalance, early pregnancy bleeding and abortions. You are at the right age for pregnancy and have some time, till the age of 35 years. Kindly see if the following checklist of investigations is done.
- Husband semen analysis was at least twice done four weeks apart, preferably in an infertility center.
- Blood sugar and thyroid profile test.
- Ultrasound scans to evaluate the uterus, ovaries, and adnexa.
- Confirm tubal patency.
- Check with HSG (hysterosalpingogram) or laparoscopy.
I hope this information will help you.
Thanks.