Greetings ! your wife was too young
for marriage and child birth when you got married. You ought to have been
advised by wiser elders of the family and any doctors that attended your
wedding to follow contraception till your wife grew up into a mature young
woman. Due to the backward social practices most of us follow in India,
scientific and medical knowledge about things as sacred as marriage, love and
sex are taboo for us. Every young person of reasonable intelligence must make
an effort on his/ her own and learn basic things about these things from the
considerable print and on line material available on the world wide web free.
And they must meet and take advise from their family doctor or other doctor
having inclination and enthusiasm to advise on such matters, as most patients
do not think that they need to pay for such consultation ! The parents of every
groom and bride too must shoulder responsibility to ensure this. Even by
marriage time parents are usually the last people to advise their own kids they
love so much about these things due to the taboo and silly frame of mind we
have grown up with. That is how we end up spending tens of thousands or lakhs
of rupees on so many less meaningful and meaningless things before, during and
after the wedding !
And we are all blissfully un-aware
and unconcerned about the many important things a young couple need to learn
around this time. This brings down the value and quality of their long future
in many ways.
Well be that as it may, whenever
there is abortion, during that process certain changes can take place. For
regular periods Hypothalamo pituitary ovarian axis works in a cyclical fashion.
This may be disturbed after abortion, so the cycle becomes irregular. Repeated
D & C are not good because basal line tissue of endometrium may get damaged
Like any other subfertile couple- we
need to investigate both of you. Even after one successful pregnancy, the
system can fail at any time.
So you better undergo the battery of
investigation for both partners. Semen analysis + sperm function tests,
antisperm antibody etc for man and for woman – HSG [Hystosalpingogram] or diagnostic laparoscopy to know uterine,
tubal and peritoneal factors. Hormone analysis, thyroid profile, prolactin,
base line Day3 FSH, LH, ovulation study and PCT (post coital test to know the
survival of sperm in vagina and cervix), antisperm antibody etc. So with the
above investigations we my be able to come to a conclusion and diagnosis. Depending
upon diagnosis we start treatment i.e either only medicines and timing of
intercourse (or) intrauterine insemination. We continue this treatment for 6
months. If there is no pregnancy even after 6 months treatment, we need to re-evaluate
and proceed with next line of treatment .
I advise you both to relax mentally,
eat balanced diet, sleep well and take medical treatment for conception. Body
and mind condition should be good for good health including reproduction.
Please feel free to reach us