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What Do These Following Lab Reports Indicate?

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Posted on Mon, 1 Aug 2016
Question: Hi I'm 30 yrs of age and my wife 24. She had miscarriage twice in the last two years. Last miscarriage had in May 15 before that April 14. We trying from last 3 months but failed.
After the 2nd miscarriage her cycle had been irregular varies 30 to 33 days. Doctor asks us to tests and said everything normal.

My sperm count 59 mil/ml
And her reports
Plasma Glucose fasting 89mg/dl
TSH 3rd 2.93 uIU/ml
Urine blood +ve
Urine ph 5.5

And doc prescribed her
Clome 50
Gluconorm SR
Thyronorm 25
Folic Acid 5mg
doctor
Answered by Dr. Purushottam Neurgaonkar (1 hour later)
Brief Answer:
Usg. Supplements. positive thinking

Detailed Answer:
Hi, Dr Purushottam Neurgaonkar here. I welcome you to HCM VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options.

1 ) First of all do not panic.

2 ) I would like to know -
What was the pregnancy duration at the time of both the miscarriages.

3 ) As such, there is 16 to 18 percent pregnancy wastage in the women of child bearing age. Most of the times, the reason for the same is genetic or chromosomal abnormalities or congenital or structural issues in the baby. Sometimes, structural problems with uterus are also responsible .

4 ) Before going ahead for next pregnancy, we need to rule out these caused.

5 ) Also, as of now, USG will be of help to rule out PCOS as a cause of irregular cycles.

6 ) Even if there is PCOS or not , I will suggest that she should indulge in a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet. Drink plenty of water in the day. Avoid deep fried foods, bakery products and refined sugars. Avoid substance abuse if any.

Start with Vitamin B 12, Folic acid, Omega 3 supplements on daily basis. This will help to reduce chances of pregnancy related complications.

7) Use of Metformin is justified, if she had PCOS. It is solely her treating doctor's judgment to start with Thyroid treatment.

8) Lastly, I will suggest to be positive, put all the trust in your treating doctor and almighty.


Please do not worry. All things will be fine.
May God bless you with a bundle of XXXXXXX .

Wish you all the very best.

I hope this answer helps you.
Thanks.
Dr. Purushottam Neurgaonkar
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Purushottam Neurgaonkar (14 hours later)
Thanks sir,
Not sure about pcos but if she had pcos then should we go through the same medicines or anything else.

You asked for miscarriage information
1st time it's on 9weeks
2nd time 13 weeks

1st time ovam lost its shape and empty gestational sac
2nd time there is no heart beat on week 12 and 13
D&C both the time
doctor
Answered by Dr. Purushottam Neurgaonkar (10 minutes later)
Brief Answer:
Causes of both miscarriages are different. Please adopt healthy lifestyle.

Detailed Answer:
Hi there ,
thanks for appreciating the answer and reverting back.

It is clear from the history of previous 2 mishaps that reasons for both were totally different.
So you need not worry.

Even if she does not have PCOS , please follow the advice in the previous discussion.
I think point no.6 in our previous discussion.

I hope this answer helps you.
Thanks,
Dr Purushottam Neurgaonkar
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
Answered by
Dr.
Dr. Purushottam Neurgaonkar

OBGYN

Practicing since :1992

Answered : 2236 Questions

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What Do These Following Lab Reports Indicate?

Brief Answer: Usg. Supplements. positive thinking Detailed Answer: Hi, Dr Purushottam Neurgaonkar here. I welcome you to HCM VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. 1 ) First of all do not panic. 2 ) I would like to know - What was the pregnancy duration at the time of both the miscarriages. 3 ) As such, there is 16 to 18 percent pregnancy wastage in the women of child bearing age. Most of the times, the reason for the same is genetic or chromosomal abnormalities or congenital or structural issues in the baby. Sometimes, structural problems with uterus are also responsible . 4 ) Before going ahead for next pregnancy, we need to rule out these caused. 5 ) Also, as of now, USG will be of help to rule out PCOS as a cause of irregular cycles. 6 ) Even if there is PCOS or not , I will suggest that she should indulge in a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet. Drink plenty of water in the day. Avoid deep fried foods, bakery products and refined sugars. Avoid substance abuse if any. Start with Vitamin B 12, Folic acid, Omega 3 supplements on daily basis. This will help to reduce chances of pregnancy related complications. 7) Use of Metformin is justified, if she had PCOS. It is solely her treating doctor's judgment to start with Thyroid treatment. 8) Lastly, I will suggest to be positive, put all the trust in your treating doctor and almighty. Please do not worry. All things will be fine. May God bless you with a bundle of XXXXXXX . Wish you all the very best. I hope this answer helps you. Thanks. Dr. Purushottam Neurgaonkar