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This question was answered on Mon 07, Mar 2011 11:24pm by Dr Anitha Paderla

hello doctor, i m 29+ yrs of age, a working woman and married in Oct.'2008. i conceived spontaneou



    
Asked by Unregistered on Fri 10, Sep 2010 09:36am

hello doctor, i m 29+ yrs of age, a working woman and married in Oct.'2008. i conceived spontaneously after marriage n took pills to abort pregnancy and then had to undergo D&C for incomplete abortion by pills within two months from the date of marriage. From Jan.'2010 started plan to conceive n conceived by the end of Jan, but had severe pains in lower right abdomen, in back alongwith mild fever, underwent ultrasound to rule out ectopic and report was negative. I had spotting in the second week of feb. and again underwent ultrasound in the last week of to know about the cardiac vascular activities of baby, but report suggested missed abortion n had to undergo D&C Again On !st March 2010. In june i had cryocautery as doctor said thr is huge cervical erosion, infection etc. After two months , in the last week of August, doctor said erosion is healed n i m absolutely fit n fine to plan again for baby. We r hving relations to conceive. But thr is chronic pain in my lower back, lower abdomen, deep inside uterus, heaviness in lower abdomen,cramps as these were before crycautery. My last periods date was 16th August2010 and next due date is 13th september'2010(because of 26 days cycle).But I m having light/dark brown spotting, and also a drop of blood once/twice after brown spotting,it started on 6th September in the evening, pregnancy report is negative as i get it examined, i also felt vomittish, loss of appetite before the start of such spotting. plz let know why do i feel so much of chronic pain in lower back, deep inside uterus,lower abdomen, feel very low, weak and my legs /feet also pain a lot.Is such spotting normal?My every report of every test is normal along with reports of USG, TVS, THyroid, Blood Test, Whole abdomen,s ultrasound etc.My doctor says i m ok ,thr is no problem with me. Plz help me and guide me what's wrong thr n what should i do to conceive n what precautions i should take before and after i conceive?

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Answer by Dr Anitha Paderla  (doctor) on Mon 07, Mar 2011 11:24pm:

Hello and sorry for the late reply. Hope your symptoms are better now. The pain and bleeding could be due to growths in the uterus like polyps, fibroids and uterine hyperplasia; and in bleeding disorders. Will need to rule out pelvic inflammatory diseases, pregnancy related complications and ovarian cysts. Infertility work up can be planned only after ruling out these causes. Please discuss these issues with your primary care physician. Regards.

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