Does natural miscarriage lead to infertility?

Patient's question:

Two natural miscarriages, no surgery was performed, the gestational sac spontaneously came out from below.

Doctor's answer:

Hello: Women who have experienced spontaneous miscarriage have a relatively high chance of experiencing another spontaneous miscarriage during their next pregnancy. If the miscarriage leads to conditions such as tubal inflammation or uterine adhesions, it may result in ectopic pregnancy or infertility. Since you have had two spontaneous miscarriages, you will need to undergo various medical examinations at the gynecology department before your next pregnancy, including the "Four Tests for Fertility Preservation," "Six Hormone Tests," tubal contrast imaging, ultrasound, immune factor tests, and more. Men will need to have a routine semen analysis, and if necessary, both partners may require chromosomal testing.

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