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Conceiving After Miscarriage
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 Frequently Asked Questions

Q: I got married two years ago and wanted to plan my pregnancy after four to five years. But since, my husband loves kids, we have to plan it in the very first year itself. I had an missed abortion 6 months ago. This month, I missed my periods but the pregnancy test say that it is negative. Its been over a month now that I have'nt got my persiods. I have a regular 28 days cycle. How can I find out whether I am pregnant or not? And if I am not pregnant, then what could be the possible reason for not getting my periods on time.

Kaantashree (Chennai, India)

A: Do a blood test called serum beta HCG which will tell you if you are pregnant. A hormonal imbalance can delay a period. Also you need to get a few tests done to find out the cause of the missed abortion you had 3 months ago, before you try to get pregnant now.

Dr. Asha Paranjpe

Q: My friend had a miscarriage in the third month of her pregnancy. Three years later she had a tube pregnancy. The doctors say that she is normal and her other tube is fine. But its been ten years and she still has not been able to conceive. Please advise.

Manali (Shanghai, China)

A: Ask your friend to monitor her ovulation and see when she ovulates on the normal tube side then have relations. If this fails then try artificial insemination method.

Dr. Asha Paranjpe

Q: I got married when I was twenty years old. Its been eight years since then, that I am trying to have a baby. I have had four miscarriages. You can imagine what I must have gone through because of this and have also become weak. Doctors have also been unable to detrmine the reason for having so many miscarriages. I am soon nearing thirty, will I be able to concive? What are the chance?

Sakshi (Baroda, India)

A: Your problem is recurrent pregnancy loss (RPL), also known as recurrent abortions (recurrent miscarriages, habitual abortion). This is the most frustrating problem is reproductive medicine today, because we really do not know what causes it! Is your cycle regular? If it is irregular, you may have PCOD (polycystic ovarian disease). If you do have PCOD, with high LH hormone levels in your blood (you can ask your doctor to test you for this), then this may be a reason for your miscarriages. You should also get an X-ray of your uterus (called a HSG, hysterosalpingogram) to confirm your uterus is normal. If all your results are normal, there is still no reason to lose hope. You can try empiric (based on experience) therapy with low-dose aspirin; and supplemental progesterone when you get pregnant. Studies have shown that even women who have had 3 or more miscarriages in the past, have a better than 50% chance of having a healthy baby, when they receive 'tender loving care' and careful monitoring in their next pregnancy!

Dr. Malpani

Q: My wife has had two miscarriages in the past as she started bleeding in her sixth and eight week respectively. Will she be able to bear a child? Is she required to undergo some tests before conception?

Karan (Mumbai, India)

A: Your wife will have to see a gynaecologist and undertake some blood tests, X-rays and chromosomal studies before she tries to conceive again.

Q: I got married five years ago and since then I have had four miscarriges. My doctor conducted lupus and chromosomal tests for the miscarriages but did not find any problem. I was told it was a matter of bad luck that I miscarried.

Pratibha (Gorakhpur, India)

A: Your doctor is right. Most miscarriages do occur because of bad luck. I know this is not a scientific explanation, but the most common reason is a choromosomal error in the foetus and the miscarriage is nature's defense mechanism. With some tender loving care, even women who have had 4 or more miscarriages have a better than 50% chance of having a healthy baby in their next pregnancy! Please do get a HSG (X-ray of the uterus and tubes) to confirm whether your uterus is normal.

Dr. Asha Paranjpe

Q: I had a miscarriage in the second month of my pregnancy. How long should I wait before planning my next pregnancy and what precautionary measures should I take?

Anita (Atlanta, USA)

A: You should wait for three months before trying for the next pregnancy. Also, get all the tests done before trying again.

Dr. Asha Paranjpe

Q: Since the time we have started planning a baby, I have already had three miscarriages. My doctor said that its just a matter of bad luck that I had a miscarraige as I am completely normal. The doctor did the lupus and chromosomal for the miscarriages also advised us to keep trying. Will I ever be able to have a baby? Please advise.

Akshada (Reston, U.S.A)

A: I agree with your doctor. Most miscarriages do occur because of 'bad luck'. I know this is not a scientific explanation, but the most common reason is a chromosomal error in the foetus - and the miscarriage is nature's defence mechanism. With tender loving care, even women who have had 4 or more miscarriages have a high chance of having a healthy baby in their next pregnancy! Please do get a HSG (X-ray of the uterus and tubes) to confirm that your uterus is normal.

Dr. Malpani

Q: I got married at the age of twenty-two and have a beautiful girl. Now we want to have another child, preferably a boy. I got pregnant a few months a ago, but I started bleeding and had a miscarraige. Since then, I have not got pregnant again. What could be the possible reason. Please help.

Jennifer (Melbourne, Australia)

A: See your gynaecologist for all your problems. He or she is the right person to consult. Find out why you are unable to get pregnant. You may have to undergo some tests.

Q: I am 30 years old. I had been taking birth-control pills for a few months, but they didn't suit me so I stopped taking them. I conceived, but had a miscarriage in the 8th week. I am now unable to get pregnant. Why is this so?

Antara (Haryana, India)

A: You need a formal infertility workup (including a semen analysis, hormonal blood tests, HSG and laparoscopy) to determine the reason for your infertility.

Dr. Malpani

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