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Asking for Self, Female, 24 years old, Rawalpindi
Mari shadi ko 4saal ho gay hun 2 misscarrige huwy hun 3 months ka or last year 9march 2024 ma premature baby 6 month ka last ma deliver ho gya tha baby boy 3 din live raha incubator ma phir expire ho gya usky baad abi tak conceive ni keya
visit Punjab Medical Centre for a detailed evaluation
you can contact me I'll guide you
plz take appointment for video consultation or visit some expert gynaecologist at your place
You need proper management for your pregnancy. Before that get an ultrasound for egg size and plan pregnancy with proper care
early booking in next pregnancy
Assalam o Alaikum
Ovulation week practice karain. Fertility work up karain. Pregnancy will need special care.
i can help and guide you
Guest:
Asking for Self, Female, 24 years old, Rawalpindi Mari shadi ko 4saal ho gay hun 2 misscarrige huwy hun 3 months ka or last year 9march 2024 ma premature baby 6 month ka last ma deliver ho gya tha baby boy 3 din live raha incubator ma phir expire ho gya usky baad abi tak conceive ni keya
AI:
I'm sorry to hear about your situation. Based on the information you provided, it seems you may be experiencing difficulties with conception following multiple miscarriages and a premature birth. This could indicate several potential underlying issues. Here’s a brief overview regarding recurrent pregnancy loss and potential infertility:
Possible Causes of Recurrent Miscarriage and Infertility:
Anatomical Issues: Structural abnormalities in the uterus (e.g., uterine fibroids, polyps, septum).
Hormonal Imbalance: Conditions like polycystic ovary syndrome (PCOS), thyroid disorders, or luteal phase defect.
Genetic Factors: Chromosomal abnormalities in either parent can lead to miscarriage.
Immunological Factors: Autoimmune disorders can affect pregnancy.
Infections: Certain infections may impact fertility and pregnancy outcomes.
Lifestyle Factors: Smoking, excessive alcohol intake, obesity, and extreme physical activity.
Symptoms:
Recurrent miscarriages (two or more)
Difficulty conceiving
Irregular menstrual cycles (if related to hormonal issues)
Pain or discomfort
Investigations:
Blood Tests:
Hormonal assessments (FSH, LH, progesterone, thyroid function tests).
Genetic tests for both partners.
Autoimmune screening (e.g., antiphospholipid syndrome).
Imaging:
Pelvic ultrasound to evaluate uterine structure.
Hysterosalpingography (HSG) to check for blockages in the fallopian tubes and assess uterine cavity.
Sonohysterography for detailed imaging of the uterine lining.
Other Tests:
Infectious disease screening.
Management:
Treat Underlying Conditions: Address any hormonal imbalances or anatomical issues.
Lifestyle Modifications: Encourage a healthy diet, regular exercise, and cessation of smoking or alcohol use.
Fertility Treatments: Depending on the diagnosis, options may include fertility medication (clomiphene, gonadotropins), intrauterine insemination (IUI), or assisted reproductive technologies (IVF).
Counseling: Emotional support and counseling may be beneficial, especially after multiple losses.
Prevention:
Preconception Care: Optimize health before trying to conceive (folic acid supplements, prenatal vitamins).
Regular Monitoring: Close follow-up during early pregnancy if conception occurs again, potentially with progesterone supplements if indicated.
Important Note:
This overview is provided for informational purposes and should not substitute for professional medical advice. It’s crucial that you consult with a healthcare professional for a thorough evaluation and personalized management plan. Always use your clinical judgment when addressing patient concerns.
If you have more specific questions or need further details, feel free to ask
detailed history needed for better outcome
Book appointment online or call at
042-32591427, 427,
https://www.marham.pk/online-consultation/general-physician/khanewal/dr-m-sanaullah-qureshi-042-32591427, 427
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ur issue would be resolved IA.
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