Hi doctor, I just wanted to know my chances of having secondary infertility. When 15, I was sexually assaulted and resulted in pregnancy and a late-term abortion. At 17, I fell pregnant with my son. I had an easy pregnancy with no complications. Last year, at 28 weeks, I went into early labor which they stopped until 29 weeks and his heart rate started dropping and not picking back up and I started bleeding. They delivered him at 29 weeks via emergency C-section. During the healing process, I had a hematoma and a large infection right on top of each other and after two weeks of not being able to walk only being in a wheelchair, my healed scar ripped open and blood and pus was leaking for days. I have since last year not used protection with my partner and since the end of the year, I have been tracking my cycle and making sure we were having sex days before during and after my ovulation. I guess I want to know when I should go to the doctors, how secondary infertility is diagnosed and what you think about my situation? Also, periods have been a lot heavier since the birth of my son, more painful and large clots. Before his birth, my periods were very light, lasted three days and had no pain or clots.
Hello. How are you doing? That was quite a history. I hope you and your son are doing fine. Well to start with, you will need to rule out any pelvic infections. Examination by your doctor as pain as early as 28 weeks of pregnancy, with a history of sexual assault at a young age, pus from CS scar with wound gaping, all can be due to infection. This can also increase your period's blood being thicker, darker with vaginal discharge, with itching with fleshy masses. You and your partner will be needing a course of antibiotics. Rule out any bleeding disorder. Anyway, when you had the purulent discharge, there is a risk of infection entering the abdomen. This could affect the tubes. So, better have the tubes tested by HSG (hysterosalpingogram) or laparoscopy. You have had a pregnancy, So will definitely have a pregnancy again.If your attempts to get pregnant have crossed six to eight months, then better to meet your doctor. Hope I have clarified your query. Do write back if any more queries. All the best. For more information consult an infertility specialist online -->