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1. cardiac activity absent 2. decidual reaction poor ...

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Hi,
I had abortion 2 times due to fetal cardiac activity absent. I have undergone hystereoscopy surgery due septate uterus. Even after surgery at 3rd time, I had abortion in 7th week, when ultrasound sonography shows below findings:
1. cardiac activity absent 2. decidual reaction poor 3.Embryonic demise 4. CRL - one cm

I was under medication of SUSTAIN 100mg injection, Progesterone 200mg tablets every day, Duphaston 10mg daily.

What could be reason for abortion for every time? What are possible treatment for this? how much possibility to have normal pregnancy in future. Please advice.


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replied November 6th, 2012
Pregnancy Q and A Answer A40111
Hi,
Welcome to ehealthforum,
If you have been having recurrent abortions/miscarriages, consider going ahead with getting Karyotyping tests done and genetic counseling to rule out chromosomal anomalies in you and your partner, as it will also help in predicting future pregnancy outcomes (advanced maternal age can also be a complicating factor in determining pregnancy progression and outcome). If the cause is found to be poor endometrial reaction or defective implantation, then supplementing progesterone and HCG with trigger injections and Depo HCG injections should help with smooth continuation of pregnancy. If you have had previous pregnancy complications, then taking folic acid 4 milligrams (4000 micrograms) daily for 1 month before conception and then continuing for 3 months after conception under supervision of healthcare provider should be helpful (it also helps in better egg maturation). Also consider supplementing essential vitamins and minerals (especially zinc) in daily diet to help with better egg and sperm maturation. For further clarification and assistance, visit your doctor/gynecologist. You may also consider taking second opinion from another gynecologist or a perinatologist.
Take care.


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