Patient's question:
I got married last year. Recently, I've been experiencing lower abdominal pain, especially during my period. I'm very worried it might affect fertility, and I also feel extremely cold and fear the cold. Could you please tell me what I should pay attention to after experiencing a miscarriage and getting pregnant again?Doctor's answer:
First, it's important to rule out environmental and infectious factors. A single miscarriage does not necessarily indicate a problem. If there are repeated early embryonic deaths and spontaneous abortions, it is recommended that you undergo the following tests to help identify the cause. Tests that have already been completed can be skipped:- Chromosome analysis for both partners
- Blood type recheck
- Female TORCH (including rubella, toxoplasmosis, etc.)
- Gynecological ultrasound
- Sex hormones
- Luteal phase progesterone
- Anti-sperm antibodies
- Anti-endometrial antibodies, etc.
- Hysteroscopy and laparoscopy if necessary
- Male semen analysis
If all the above tests are normal, it is recommended to fully prepare for pregnancy before trying to conceive again. Currently, 50% of spontaneous abortions cannot be attributed to a clear cause. However, medical statistics show that improving lifestyle, maintaining a regular routine, eating a balanced diet, and avoiding harmful environments can significantly reduce early pregnancy loss rates for couples. Although there is still a risk of complications, it is certain that any issues are naturally resolved, and you will ultimately have a healthy child.
Currently, medical technology is limited, and not all problems can be identified and resolved. We are also helpless in this regard.
Regarding pre-pregnancy preparation:
- A woman's egg maturation cycle is approximately 80 days, meaning that the egg released in the current month began growing two and a half months earlier.
- A man's sperm production cycle is three months, so both partners should ideally start preparing three months before trying to conceive.
You can begin by adjusting your lifestyle. For example:
- Drink 2,000–3,000 ml of plain water daily to help detoxify.
- Ensure you get 10 p.m. to 3 a.m. sleep every night and avoid staying up late, as this is the best time for rest and recovery.
- Consume fresh fruits and vegetables to enhance antioxidant capacity.
- Avoid smoking and alcohol, and minimize exposure to toxic or harmful environments.
- Women should take folic acid and vitamins for three months before pregnancy and during the early stages of pregnancy.
It is recommended that women get a TORCH test before pregnancy and only conceive if the results are normal.