At 35, having experienced two miscarriages, it’s understandable you’d want a thorough evaluation before trying again. While your blood reports and scans are reportedly normal, it’s crucial to delve a bit deeper to ensure nothing’s overlooked. First, considering the recurrent losses, a comprehensive assessment of both partners might be needed. For you, specific tests to consider could include a detailed hormonal profile, such as thyroid function tests and prolactin levels, as abnormalities here can impact fertility. An anti-Müllerian hormone (AMH) test can help evaluate your ovarian reserve—critical for understanding potential challenges. Genetic testing could be considered for both partners to rule out chromosomal abnormalities that might have contributed to previous losses. Further, tests for conditions like antiphospholipid syndrome and other blood clotting disorders might be warranted. Structurally, an evaluation of the uterine environment, possibly through a hysteroscopy, could identify any anatomical issues. Moreover, since lifestyle factors can play a significant role in fertility, ensure you and your partner maintain a balanced diet, manage stress, and avoid alcohol and smoking. Consulting with a fertility specialist would be beneficial; they might also recommend advanced fertility evaluations or treatements such as IVF if needed. It’s vital to follow these steps with a healthcare professional who can tailor further investigations or interventions based on initial findings.
Preganancy related issue at the age 35
Iam 35 yr old . I had 2 miscarriage in 2023 and 2024. All my blood report and scan are normal.. iam trying to conceive but unable to conceive now. What all test need to be done before I try again pls help
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Doctors' responses
Hello dear See as per clinical history there seems to be many health issues like chances of pcos, endometriosis or hormonal fluctuations. I suggest you to please get following tests done and share reports with gynacolologist in person for better clarification Serum prolactin Serum progesterone Serum Lh Serum TSH Esr Urine analysis Rft Lft Pregnancy strip test Pelvic USG Please donot take any medications without consulting the concerned doctor There can be chances of getting complications also Regards
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