Patient's question:
Doctor, hello:I am 35 years old. In late 2003 and late 2004, I experienced two miscarriages, both around 40 days of pregnancy. Ultrasound examinations showed no fetal pole or fetal heartbeat. I underwent painless abortions around 70 days. After the second abortion, I had amenorrhea for 8 months (I have had two periods recently, which are still normal). I have had two karyotype tests, and the results were normal. What should I do? Thank you for your reply!
Doctor's answer:
You have been experiencing amenorrhea for two months now. If there is still no fetal heartbeat, it could be that the pregnancy has stopped developing. Alternatively, if you have a history of delayed menstruation, it cannot be ruled out that the fertilization occurred later. You can wait for about a week and then have a follow-up check. If the situation remains the same, the likelihood of fetal demise is high, and you may need to consider a miscarriage. There are multiple reasons that could lead to such a situation. Before your next pregnancy, both partners should undergo comprehensive pre-pregnancy tests to identify and address any issues proactively, thereby preventing and reducing the chances of recurrence.