Hello doctor, I had a miscarriage and vacuum Aspirin procedure a month back. The miscarriage was mostly due to low FHR as evident in the report (bradycardia at 6W3D). I had spotting around 10th week and doctor reported it as a missed abortion. I also had high TSH around 6.7 and was on 25 mg Thyronorm every day. Please let me know your detailed view based on the molecular karyotyping report.  It has been around two weeks since the procedure. I am feeling better; however, do not feel completely normal or energetic yet. I get exhausted after few hours of going out (without any strenuous activity). Initially, had pain in the waist and abdomen. Now I feel like my waist is still fragile and not sure if I should start normal exercises or still be cautious. I am not working currently for some time and taking adequate rest. Given my age, TSH count (was almost 6.7 TSH last month) and other reports need your complete guidance on how to proceed further. I take 50 mg of Thyronorm every morning on empty stomach and 1 folic acid 5 mg (Folivate) late evening after dinner. The course of medicines after the miscarriage has been completed (five days course). Bleeding is almost negligible these days. My Vitamin D levels are low so should I again continue with Uprise tablet once every week along with Becosule tablet? I have migraine issue for the past three to four years. It is more in control since last two years; however, I still need to take 1 Naxdom 500 (once every three to four days average) which is an emergency painkiller. In terms of general health, normally I tend to get exhausted or tired or fatigued or sleepy very soon. All this combined with the tendency to get highly stressed out frequently. The conditions demand some kind of special medications for sure I feel for my future normal pregnancy. Please note that my AMH was pretty low as well a few months back when I got tests done. Are there good books or online websites you can suggest that also act as a guide for me, please? Please suggest me all the possible tests I should get done at this stage to be absolutely sure of any complications that we should be aware of. Given my age and general health, I want to take all possible measures.  The laboratory tests performed are molecular karyotyping, general blood, thyroid, pregnancy tests, AMH, Vitamin D.
Hi. How are you doing? I am very sorry for your loss and do understand the mental stress which you are presently suffering. But let me start on a positive note that you are fine and will surely have a healthy pregnancy. Do not worry about your age and do not feel you are aged, up to 35 years you have a very bright chance of pregnancy. Many get married at this age. For more information consult an infertility specialist online -->