Can a woman ovulate after undergoing a D and C procedure?

Question

Hi doctor,

Unfortunately, I had to have a D and C six to seven weeks ago at around eight weeks pregnant. This was my first pregnancy and was achieved via IVF. Unfortunately, my infertility workup determined that I do not ovulate on my own, so I did three Letrozole medicated cycles, during which blood tests confirmed ovulation but did not result in pregnancy.

I recently had a saline ultrasound to confirm no retained products of conception after the D and C. However, during this ultrasound, my REI (reproductive endocrinology and infertility) told me that the uterus was clear and I had a dominant follicle (21 millimeters).

Is it possible that I will ovulate independently after the pregnancy or miscarriage?

Does the presence of a dominant follicle ensure that an egg will be released?

Do an-ovulatory women (where the etiology is unknown) still produce a dominant follicle each month?

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

The reason for IVF (in-vitro fertilization) is still unknown to me. And similarly, many other points need to be included in the description.

But every woman can try for natural conception, including you.

In every cycle, multiple follicles grow, and only one is used in the cycle further.

Take folic acid daily.

Do sex in the fertile period of the cycle.

Go for a complete checkup and regular treatment of any health issue like thyroid and diabetes, both for you and your partner.

Do recreational activities and quit recreational drugs as a couple as it increases fertility issues and can give congenital anomalies to the fetus. Do sex in suspected fertile days to try for conception. It is better to have hormonal support when you are found pregnant, like tab Duphaston (Dydrogesteron) 10 milligrams twice daily till the second trimester.

If you were on blood thinning medication in a previous pregnancy, have it as soon as viability comes. In case of a positive pregnancy test, abdominal pain, or bleeding report immediately to the doctor.

Have folic acid.

Take full treatment of any health issue as a couple if you have and do have recreational activities and quit recreational drugs.

I hope things will be better.

Thank you.