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36-Year-Old Woman Experiences Second Miscarriage - What Should She Do?

Dr Nandita

Dr Nandita Palshetkar  | Answer  |Ask -

Gynaecologist, IVF expert - Answered on Jan 27, 2025

Dr Nandita Palshetkar is the medical director of Bloom IVF.
She is a pioneer in ICSI, laser hatching, spindle view, oocyte and embryo freezing, IMSI, in vivo vaginal culture, metabolomics, embryoscope and spindle check technologies.
With over 30 years of experience, Dr Nandita is managing 10 centres across India.
She has written over 100 papers, edited 25 books and given over 1,000 lectures and speeches.
She has also won several prestigious awards, including the Dronacharya Award (2021), the Bharat Gaurav Award at the House of Commons in London (2014) and the Inspiring Gynaecologists of India (2018) to name a few.
Dr Nandita completed her MBBS from Grant Medical College and Sir J J Hospital, Mumbai, and her MD in obstetrics and gynaecology from Mumbai University."... more
yashu Question by yashu on Jan 08, 2025Hindi
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Hi I have a 5 years old son now I’m planning a second child, 6 months back I got pregnant but at 12 weeks I had a miscarriage. I’m 36 years old I don’t have any health issues. My baby was also fine.but still I had miscarriage????now I’m again pregnant after 6 months now I’m again having same problem doctors are says this is not a healthy pregnancy I have to abort it...I’m so worried about it. It will be my second abortion I don’t know why this is happening to me.

Ans: History noted
You are being 36 years with one delivered child and 1 miscarriage one at 12 weeks and another at early pregnancy:
It is advisable to Diagnostic evaluation should include maternal and paternal karyotypes, assessment of the uterine anatomy, and evaluation for thyroid dysfunction and immunological causes, APS, and selected thrombophilia's. In some women, evaluation for insulin resistance, ovarian reserve, antithyroid antibodies, and prolactin disorders may be indicated.
To do semen analysis also
To check for DNA FRAGMENTATION
TO DO hysteroscopy to evaluate the uterine cavity and rule out chronic endometritis.
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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