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Could a D&C after a miscarriage make you infertile?

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Could having a D&C after a miscarriage make me infertile? I had the surgery on August 13, 2009, went on the patch for about 6 months but then I had an allergic reaction and haven't been back on it since. My husband and I have not used protection while engaging in intercourse. Since the surgery, I only have my period about two or three times a year, and I have a lot of pregnancy symptoms but all of the tests that I have taken say negative, and they were right as I am not pregnant nor I have I ever been since then. When I went for blood work, my HCG levels were still rising even though the baby was no longer living until about 2 weeks before it the miscarriage actually happened. There were quite a bit of complications with it, as it did not happen the way that any of my doctor's thought, as a matter of fact, The doctor's also found an ovarian cyst in my left ovary while doing a vaginal ultrasound.I had one doctor tell me that they had only seen one other person as bad as me. So, since all of that happened, could I be infertile?
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replied February 1st, 2012
Welcome to ehealthforum.
D&C can affect the uterine lining or the endometrial layer causing difficulties in carrying on with pregnancy. Hysteroscopy test and endometrial biopsy done can help with looking for any abnormalities. If you have had repeated early pregnancy loss, Karyotyping test done will help to rule out any chromosomal anomalies as cause. If you have your pregnancy confirmed, you should consider getting serial HCG levels estimated. Doubling up of the hormone levels in 48-72 hours will show that pregnancy is going on smoothly. If levels are not adequate, then external hormonal supplements would be considered to be started to help you in preventing miscarriage/threatened abortion. An ultrasound scan done will also help to confirm gestational age of fetus/baby along with fetal wellbeing and viability. Treatment as needed (based on examination findings and investigations results) would be started to help you control the symptoms and progress with pregnancy smoothly. Consider being in regular monitoring and follow-up with your treating doctor/gynecologist and report any new/abnormal symptoms immediately. Drink plenty of water. Take adequate rest. Maintain healthy diet and lifestyle. Avoid all activities that cause increase in abdominal pressure.
Take care.

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