Dr. Dattaprasad Balasaheb Inamdar
Obstetrics and Gynecology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
At first, I ended up with miscarriage in 8 months. It was a natural one when the baby movement got less and I was unable to determine. Then, after eight months I conceived. That also ended with a miscarriage in a month's time. I have gone through D and C. Now, I have been trying to conceive for the past three months after D and C, but I am unable to get pregnant. I have hyperthyroidism and taking medicine Thyronorm 100 mcg for 2 years after my first case. Please explain why is it happening so. What I need to do to conceive again? My age is 30. I had all other tests like rubella and other virus tests and all reports are normal.
Hi,
Welcome to icliniq.com.
Three months is a short duration for conception to occur. Chance of pregnancy after trying for six months is 70 %. You can safely try naturally for another six months. There is very less likely to be any pathology preventing pregnancy. If conception does not occur in another three months, you need to undergo at least one mid-cycle ultrasound (to know endometrial thickness) and one tubal patency test, as dilation and curettage (D and C) can affect both. Apart from that, investigations for repeated miscarriage, especially antiphospholipid syndrome (autoimmune hypercoagulable state lead to fetal loss) should be done to know the cause and prevent recurrence (repeat miscarriage). Kindly get it done if not already done. Please keep TSH levels (thyroid-stimulating hormone) in the normal range by taking the proper dose of Thyroxine and checking the same every 6 to 12 months. Hypothyroidism can affect baby's brain development.
Patient's Query
Thank you doctor,
May I know the cure for endometrial thickness and antiphospholipid syndrome?
Hi,
Welcome back to icliniq.com.
There is no exact cure, but these things can be treated for successful continuation of pregnancy. So, you need not worry right now.
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Obstetrics and Gynecology
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